More About Dental Implants

Dental implants can be used in many different situations. They are used to replace teeth that may have been lost, whether due to large carious lesions (cavities), failed root canal treatment,  trauma or accident,  etc….

Dental implant treatments are one of the most effective  methods for those who want to recuperate their oral and systemic health and  have a beautiful smile.

A Beautiful smile has a  direct relationship with the individuals personal well-being, self-confidence, professional success, etc … When the individual feels uncomfortable smiling or talking in public this may cause illnesses such as chronic depression and anxiety.

What are the indications for performing the treatment?

The main indication is the replacement of missing teeth. It is common to use implants  in accident victims who have lost their teeth due to trauma.

They are also frequently used by older people or even younger individuals, who have lost their teeth due to poor hygiene and its subsequent causes of gum disease, cavities, root canal treatment, among others. It is most important  to consult a specialist in Implant therapy to find out what is the best treatment option for your particular case and also to inquire about the alternative options available

What are the treatment procedures?

The procedure is planned and executed with great attention to each factor responsible for the long-term treatment success. THere are over fifty variables to be accounted for during the treatment plan phase therefore the dentist must be thorough in his examination and subsequent treatment planning of each unique case.

It is common to ask for a computer tomography scan (ct scan) of the area to evaluate how much available bone is present in the area to be implanted and also to evaluate the critical anatomy in the area such as the presence of nerves and blood vessels in close proximity to the implant.

If there is not enough available bone in the area there may be the need for bone graft surgeries such as onlay grafts or sinus lift grafts to increase the available bone in order to have the adequate foundation to place the implants. Gingival graft surgeries/gum graft surgeries may also be indicated in some case to achieve optimal aesthetic results or for functional reasons when there is not enough attached gum tissue available to create a seal around the implant in order to avoid gum disease issue in the future known as periimplantitis.

For the placement of the implants themselves, local anesthesia will be applied. Then an incision is made in the gum to reflect the tissue and gain visual access to the underlying bone. The titanium implant is then inserted into the bone with great care making sure of the correct angulation and position of the implant.

There is also the option of conscious sedation such as oral sedation or nitrous oxide sedation  for apprehensive patients who have anxiety or fear.

Following the surgery usually a period of four to eight months is recommended for the implant to fuse with the bone before restoring the implant with the crown which mimics the natural tooth. Therefore the total treatment time varies anywhere between six to ten months for most cases. In certain cases it may be possible to place the implants and at the same time place the crown/tooth on top of the implant. This is known as Immediate load implants. There may be a greater risk of the implants failing when performing this procedure. Therefore the implantologist must be prudent and thorough in his examination and treatment planning protocol to minimize the risk of complications and implant failure.

What are the possible risks and complications of this treatment?

Any surgical procedure has inherent risks and complications. THese include possible failure of the implant to integrate with the bone, infections following the surgical or restorative procedures, uncontrolled bleeding during the surgical procedure, damage to the critical structures in close proximity of the implant such as the nerves and blood vessels which may cause numbness, tingling and/or burning sensations which may be permanent. This is the reason why it is important to consult a dentist specialized in this field who has lots of experience to minimize these risks.

Patients who are smokers are at a greater risk of complications and implant failure. Also patients with certain systemic diseases such as osteoporosis, diabetes, or other immune compromised diseases have a greater risk Complications. Other risk groups are patients who have undergone radiation therapy. In such cases your dentist will ask your physician to provide written consent for the procedures to be performed.

How to Care for the Dental Implant to Increase Success in the Medium and Long Term?

The main care is related to your oral hygiene practice at home or work. It is important to practice the correct brushing and flossing techniques on a daily basis and maintain your routine dental visits at least every six months for your dentist to check the bite/occlusion of the teeth and other criteria to preserve your implants in the mid to long term.

Ask your dentist to show you how to brush and floss correctly to maintain optimal and continue to smile confidently.


What are the indications for prepless porcelain veneers?

The smile is the predominant part of the face and any change inevitably ends up attracting attention, therefore, the search for corrections of imperfections increases and also the demand for aesthetic dentistry.

With porcelain veneers also  known as porcelain laminates, it is possible to modify the color of the teeth, improve the shape, the contours, lengthen them and make everything more harmonious and aligned even without the need to use orthodontics, depending on the case.

The technique has several advantages, but the most attractive is undoubtedly the fact that it is a minimally invasive, fast, long-lasting and highly functional procedure.

In addition, people think that teeth become weak, but research shows that the teeth are just as strong or even stronger than before the treatment is performed. the Porcelain laminates when cemented on the teeth add greater resistance to the teeth, since the material used in making it is very durable and withstands the normal impacts and demands of everyday life.

What are the procedures for veneers?

A ceramic material of minimum thickness of .2 to .5mm also known as “Prepless veneers”. Its preparation requires minimal or no tooth preparation, therefore being extremely conservative.

Once the teeth are minimally prepared, the dentist takes a silicone material impression of the teeth and sends it to the laboratory where a master ceramist will create these delicate pieces.

On the following visit the veneers are tried on the teeth and if the fit is right along with the desired aesthetic results the dentist will cement them on to the teeth. If the final result is less than optimal the veneers are sent back to the laboratory to be modified and achieve optimal aesthetics and functional results and on the third visit once again they are tried in the mouth. Once both the patient and the dentist are satisfied with the final aesthetics they are cemented definitively on the teeth.

How long do veneers last?

Currently, longevity is one of the reasons that influences the patient to go through the treatment.

With adequate care and periodic evaluation by the dentist, it is normal for veneers to last more than 20 years. THere is a small chance that one of them may get decemented  over time, which is easy to cement back. Rarely the veneer may fracture just like a natural tooth is predisposed to fracture if put under great stress.

How to care for you beautiful new smile?

You need to follow regular oral hygiene routines. That means brushing and flossing daily using the correct techniques. Ask your dentist to show you the Bass tooth brushing technique and the intrasulcular flossing technique. It also means that patients should continue to visit the dentist for regular checkups ideally every six months  and professional cleanings.

After the procedure is performed, it is necessary to adopt some measures to avoid damaging the porcelain laminates:

  • Use a brush with ultra soft bristles like the Colgate Slim Soft brush.
  • Do not bite your fingernail, pencil or similar hard objects.
  • If you are a grinder you will need to wear a hard occlusal/night guard to prevent fracturing your veneers
  • Take care with whitening agents and substances that promise to whiten your teeth.

Cautions when performing the procedure

Veneers are considered permanent because the dentist needs to modify the structure of natural teeth to position them properly. In this way, the outer layer of the enamel may need to be removed slightly in some cases even for prepless veneers..

It is recommended to make an appointment with a dental professional specialized in aesthetic dentistry to find out if veneers are really the most suitable solution to meet your needs and desires .

What Are Immediately Loaded dental implants?

Dental implants with immediate loading consist of a modern technique that allows to reduce the time between the fixation of the titanium pins and the placement of the crown, providing a better quality of life to the patient during the healing process.

Among the benefits attributed to the technique can be mentioned the comfort in the period of bone integration, improvement in self-esteem, talking and chewing, which improves the  digestion.

All of this makes immediately loaded dental implants very attractive, however, it has its particularities and is not suitable for all patients. There are some factors that must be previously evaluated by the professional and it is interesting that the patient is aware of this possibility.

Implants with immediate loading – how it is done?

To place dental implants a dentist especialized in implants will evaluate the case.  A complete analysis of the bone conditions will be made along with assessing the patient’s medical history and health conditions.

The procedure is very similar to that of conventional implants with pin fixation. The main difference is that immediately loaded dental implants allow the cosmetic prosthesis to be fixed on the same day, so the patient will walk out with teeth on the same day that the surgical placement of the implants is done.

Previously, it was necessary for the titanium screw fixed to the bone to remain for some time in order to allow a stable fixation of the titanium surface to the bone, with the migration of the bone cells to the metal, only then the dental prosthesis could be attached to it.

It is important to note, however, that this prosthesis is temporary and should be replaced by a permanent one in a few months, its function is aesthetic and provides greater comfort to the patient.

Who are the best candidates for dental implants with immediate loading?

Ideally, the best candidates are young, healthy, non-smoking patients, without any periodontal disease and sufficient bone.

There is always a specific reason for the need to remove a tooth / teeth and each case should be investigated individually to verify the adequacy of the extraction with immediate placement and loading of the implant.

What are the benefits of implants loaded immediately?

Following a conservative treatment modality means waiting 3-6 months after tooth extraction. Then, the implant is placed and a further 3 months are required for bone integration before restoration with a crown.

The insertion of a dental implant immediately after tooth extraction with immediate placement of a crown has a superior result when it comes to the long-term aesthetics of the surrounding tissues.

The alveolar bone around the implant is restored immediately and the adjacent gums will be preserved to their maximum extent.

And, of course, it is a good  for the patient to get a complete dental rehabilitation in one day and not suffer any constraints in self-esteem.

What can patients expect after receiving their implants?

Depending on each individual patient and the location of extraction and placement of the implant, some amount of swelling and pain should be expected for about 3-5 days, with possible bruising occurring.

How often should patients visit their dentist after the implants are completed?

It is advisable to follow up with the surgeon approximately one to two weeks after implant placement and again before restoration with the permanent crown.

In the long term, maintenance of the implant consists of regular six month checkups at the dentist.



Progressive loss of bone that supports the implants (around the implants) is called Periimplantitis. This disease causes gingival pockets which could be accompanied by bleeding and / or suppuration.

Clinically, this bone loss causes tissue inflammation, bleeding, and often dental implant exposure.

Treatments could include the following:

1. When bacterial accumulation is the cause, the dentist must educate and guide the patient in detail about the correct oral hygiene methods. Bacterial plaque or tartar removal is done with subgingival cleanings known as scaling and root planing or curettage and gingival surgery also known as Periodontal surgery.

There are two surgical techniques: guided bone regeneration or gingival pocket reduction by removal of gum tissue. This choice is determined depending on factors such as extent of bone loss, aesthetics and location in the arch. For bone regeneration surgeries it is necessary to use membrane barriers and bone graft materials whose careful selection is critical to successful treatment. Membrane Barriers could be resorbable or non-resorbable.

2. When the cause is mechanical overload the most common cause is occlusal trauma which means an incorrect bite. In such cases it will be necessary to adjust the occlusion (bite) for bone loss to stop its progression. Mechanical overload is one of the most common causes for implant failure. And one of the main reasons for this is placing too few dental implants because the patient cannot afford or does not want to pay for the adequate amount of implants. In such cases it is common for the dentist not to insist on placing the adequate amount of implants in order for the patient to be able to accept the treatment plan.

A prudent and detailed treatment plan should account for having a mechanical advantage over potential extra loads and forces during biting and parafunctional habits Like grinding and clenching. As a general rule in restorative implant dentistry when in doubt it is better to over engineer the system by placing more implants Because the more implants the greater the foundation and functional surface area. Since a lack of available bone is one of the main reasons for not being able to place the adequate amount of implants, it is common to perform bone graft surgeries and gum graft surgeries to create the adequate foundation to support the implants.

To minimize the complications inherent in implant treatments always consult a dentist who has experience and is specialized in dental implants. Primarily your dentist needs to study your case in detail with the appropriate x-rays in order to develop an optimal treatment plan. Since there are more than fifty variables to consider in most cases, the initial analysis needs to be carefully evaluated in order to minimize mid to long-term complications.


The mouth is the gateway to the body. Therefore it is one of the most common ways of infections and diseases spreading to the rest of the body. Many people are not aware of this fact.

Research has shown that excess tartar in the mouth or chronic infections Of teeth that need root canal therapy or have large carious lesions is one of the main sources of serious diseases of the mouth and the body.

Tartar comes from bacterial plaque. Every time we eat food residues get stuck between our teeth and are impacted under our gums. This food residue is part of the bacterial plaque which sticks tenaciously to our teeth. When our oral hygiene is not adequate such as using the correct brushing technique and flossing technique The bacterial plaque that adheres to our teeth starts to get calcified and then this calcified deposit is called tartar. Tarter structurally resembles rough And porous grains of sand which attracts millions of bacteria as a home. The presence of tartar under the gums causes irritation of the gums Which subsequently leads to inflammation of the gums which bleed easily on brushing or eating different foods. This bleeding is one of the signs of the body that There is something wrong.If this sign is ignored the charter starts to accumulate like a snowball effect which in turn refuge is more bacteria and causes more destruction. When there is excess tartar it is possible that tiny pieces of the tartar may enter the blood system and lodge in the muscle of the heart causing a heart disease called endocarditis. Also if a tiny piece of tartar lodges in the veins of the brain it May cause a stroke tartar is also responsible for Bad breath (Halitosis) and gum disease known as periodontal disease which involves bone loss and infections of the gum. The danger of periodontal disease is that it is a silent disease in the early and middle phases therefore the person usually may not be aware of it if they do not go for regular preventive check ups and cleanings to the dentist. By the time the disease is in the advanced stage it is too late to reverse the process. The teeth become loose and the person loses their teeth at a younger this point there is a need for gum surgery (periodontal surgery) which may involve bone graft and gingival grafts. Periodontal surgery is traumatic, costly, may cause teeth sensitivity and compromises the aesthetics of the smile because dark black triangular spaces start to show between the teeth which ages the smile. Therefore it is common to need aesthetic dental treatment after surgery such as porcelain veneers or all ceramic crowns. When the bone loss is severe around the teeth there may be the need to extract the teeth and to replace the missing teeth with dental implants.Therefore periodontal disease and it’s culprit tartar is responsible for the majority of the tooth loss worldwide.

Other diseases that may be spread from the same bacteria that is in the mouth are diabetes, Alzheimer’s disease, bacteremia otherwise known as sepsis among others.Every year many people die and suffer from these diseases which may have the origin from their mouth. Public education and awareness is fundamental to reduce the incidence of these diseases

Dr. Arya Edalat Works together with physicians to diagnose more cases of these diseases being sourced from the mouth.

Dr. Edalat educates his patients on how to floss and brush properly to effectively reduce tartar accumulation

He has educational videos on his website and YouTube channel for his patients to learn preventive practices. He also educates his patients on the importance of having regular deep cleanings ideally every six months to remove any excess tartar buildup.

As a result his patients not only keep their breath fresh and their beautiful smiles intact throughout their years but they also have a better oral and systemic health which improves the quality of life and helps to economize on medical, dental and medicinal costs.

After all a healthy mouth leads to a healthy body.


There is a prevalent fear among the general public that placing porcelain crowns or veneers on teeth damages the teeth. The good news is that this is not true when it comes from the perspective of restorative dentistry.

The reason we place crowns or veneers on teeth in the first place is because the teeth need to be restored for a variety of reasons such as:

There may be extensive loss of tooth structure due to caries (cavities) or the tooth may have fractured or chipped.

A common axiom in prosthetic dentistry says that when the tooth has lost more than 50% of its structure it needs to be protected by a restoration such as a ceramic crown or a ceramic inlay/onlay type of restoration Which are much stronger than regular bonded filling materials made up of a composite resins which flex much more than ceramic type materials.

The flexion of these resin materials along with their weaker structure are meant to be placed in only small to medium sized cavities. they are contraindicated for large cavities.
Ceramic materials most closely resemble the strength of the natural tooth enamel therefore they are the ideal material to restore teeth in both function and aesthetics.

When restoring teeth with porcelain laminates aka veneers even if it is for an aesthetic reason such as to brighten teeth that are naturally stained or darker in appearance, once the veneers are bonded to the teeth with resin cements they actually act as an armor to reinforce the teeth.

Another advantage is that the areas of the teeth that are covered by the veneers are protected from caries/cavities forming.

Studies have shown that veneers help recuperate or reinforce the original strength and stiffness of the teeth. In some cases the teeth actually become stronger after having placed veneers. These cases are typically when veneers are used to add volume to the teeth as a means to create the ideal form and shape of the teeth.

Therefore there are functional benefits as well as the much sought after aesthetic benefits when placing porcelain veneers, ceramic crowns and bridges.

By placing these restorations we are creating a more beautiful smile while strengthening the teeth to keep your radiant smile for many years to come.


As you would care for your natural teeth it is important to brush two to three times daily and floss at least once a day to keep your gums and teeth healthy. Ask your dentist for the proper brushing and flossing techniques so that you do not damage your gums or your teeth by incorrect brushing and flossing techniques. Dr. Edalat recommeds the American Dental Associations recommended brushing technique called Bass brushing aka Intra sulcular brushing. Also important is to practice the Intra sulcular flossing techniques to remove all food debris from under the gums which may cause gum
Disease and bone loss.

On Dr. Edalat’s websites homepage you can find their YouTube channel with two short videos showing how to brush and floss properly.

Dr. Edalat tells all of his patients to watch these videos which are the fundamentals of how to care for your teeth. There is also an anti-inflammatory diet video which he recommends to maintain your healthy and beautiful new smile along with a healthy body.

Remember that the mouth is the gateway to the body and one with the body. Therefore a healthy mouth reflects on a healthy body and vice versa.


Smile makeovers help to increase peoples confidence both in their personal and professional lives. One of the most common treatments is the use of porcelain laminate’s Otherwise known as porcelain veneers. There is also the choice of prepless veneers. Veneers are extremely thin pieces of porcelain or ceramic varying between .5 to .7 mm in thickness.
Once they are bonded to the teeth they restore the original strength of the teeth that have had enamel wear along the years and are more susceptible to chipping or fracturing. Therefore the popular misconception that the teeth get weaker as a result of tooth reduction to place veneers is not true. The veneers actually act as an armor to protect the teeth.

Veneers can be used for the following cases:

. To cover stained teeth

. To restore chipped or fractured teeth

. To straighten misaligned teeth

. To close open contacts between teeth

. To have beautifully shaped teeth

. To have a bright white smile that will last for many years and will not need teeth whitening.


These types of veneers need minimal to no tooth reduction because they are indicated for cases when the teeth need to be increased in volume since they may be smaller or shorter than normal teeth. Therefore there is an apposition of volume instead of a reduction in volume of the teeth. They look and function like porcelain veneers.


These veneers are used in cases where there is a need for reduction of tooth volume like in cases of misaligned teeth. The tooth reduction is also minimal in these cases of about .3 to .7 mm and 2mm incisally. Research has shown that once they are cemented on the teeth they regain the original strength of the teeth or they may even make the teeth stronger than they are naturally.
Another advantage of these veneers is that since they can wrap around the sides of the teeth they help to protect these areas from getting cavities. They also never stain so your smile will remain bright and white for the life span of the veneers.


Proper brushing technique os essential to prevent cavities im the areas that are not covered by veneers. Also it is important to use an ultra soft brush with light pressure on the brush to avoid gum recession which will show the yellower areas of the root surface beyond the margin of the veneers.
Daily flossing is also essential to maintain the health of your gums and teeth to prevent gum disease and bone loss.

If you are a grinder or clencher it is important to wear night guards to protect your natural teeth and veneers from chipping or fracturing.

Avoid eating very hard foods like hard candies to prevent chipping of your natural teeth and veneers.


Remember that the mouth is the gateway to the body and connected with the body. Therefore a healthy smile helps to maintain a healthy body.

There have been several diseases linked to poor oral hygiene and excess tartar buildup such as heart disease, Diabetes, strokes, Alzheimers among others.

Statistics show that people are living longer healthier lives. As a result senior citizens are socializing and working more in their older age. Therefore it is understandable that you want to feel and look great no matter what your biologic age is.

As we get older our smile can look aged due to wear and tear of the teeth including enamel wear which results in the inner yellower dentin layer showing giving the teeth a yellowish older look. Also there can be chipping of the edges of the teeth and hairline fractures of the enamel. The different foods and drinks can stain our teeth. Bone loss around our teeth which may happen along the years (especially if we are not flossing on a daily basis and having routine professional deep cleanings regularly) can cause gum recession around our teeth which will show as dark black triangular spaces between our teeth also ages our smiles dramatically. All of these factors need regular “maintenance” procedures to avoid the problem getting worse with the passage of time.

Research done on groups of senior citizens and younger age groups demonstrate that a beautiful and healthy smile motivates people to socialize more and be more active in the work lives.

Dr. Edalat’s team is specialized in all aspects of cosmetic dentistry including the following:

1. Smile design

2. Smile makeover

3. Porcelain veneers/porcelain laminates

4. Veneers

5. Prep-less veneers

6. Dental implants

7. Ceramic crowns

8. All ceramic bridges

9. Professional tooth whitening

10. Porcelain crowns

11. Plastic surgery of the gums

12. Periodontal surgeries

13. Gingival grafts

14. Correction of gummy smiles by crown lengthening surgeries

15. Full mouth rehabilitations

16. Scaling and root planing – known as deep cleaning

17. Inlays and Onlays

18.white fillings aka dental bonding or bonded fillings

The American Dental Association recommends routine dental visits to prevent serious destructive cases such as bone loss, gum recession and tooth fractures along the years which can ultimately cause more serious issues that can be costly and traumatic to repair and in some cases the damage may be irreversible compromising your healthy smile and even your systemic health.

Healthy smile, healthy body.

7 Tips That Will Get You the Smile You’ve Always Wanted!

What you can communicate to your Edalat Dental Arts to help create your dream smile!


Creating your optimal smile involves more than simply a few appointments and new restorations. As specialists in edalat dental arts with over 30 years of experience, Father and Daughter team Dr. Parviz Edalat and Dr. Maryam Edalat at Edalat Dental Arts, have a few pointers to share that can optimize your experience of cosmetic dentistry.

1. Know what you don’t like about your smile. The more specific you are the easier it is for us to create your best smile. Do you have a gap you have always wanted to correct? Are you teeth discolored? Do your teeth look crooked when you speak or smile?

2. Choose a edalat dental arts with advanced education in the field and experience in smile makeovers. For example, a specialization in Prosthodontics and Implantology.

3. Know that transforming your smile is a team effort that includes both your doctor and a master ceramist that actually fabricates the crowns or porcelain laminates. Ask to see if there are pictures of their work available to view. Edalat Dental Arts Specialists practice has a long relationship with renowned master ceramist Jason J. Kim and together we have transformed several smiles. Here is an example of porcelain laminate veneers produced by Jason J. Kim:


4. Go for what you’ve always wanted to correct. People most often notice imperfections when they see photographs of themselves. Bring in pictures of yourself when you had the smile you wish to recreate or photos of smiles you aspire to!

5. Ask about the shade of “white” that is right for your skin tone not just what you may see in a picture. It’s important that different colors and hues look different in varied lights. An experienced cosmetic dentist takes the whole person into account when choosing the best shade for their new smile.


6. Be realistic in your expectations. It’s OK to want to look like the best version of yourself, rather than try to morph into an entirely different person!

7. Get to know the team you will be working with and only sign up for treatment when and where you feel most comfortable.

To learn more about Edalat Dental Arts and their services, visit:

Dr. Parviz Edalat, Periodontist & Prosthodontist

Dr. Maryam Edalat Periodontist & Implantologist

Dr. Arya Edalat General Dentist, Implant & Cosmetic Specialist

Could Your Crooked Teeth by the Reason for Your Bad Breath?

Did you know that straight teeth not only boost self-confidence but also keep your gums healthier in the long term? The combination of gum health and straight, healthy teeth is essential to an optimal oral environment. Most people do not realize that healthy gum and teeth ensures a healthier heart, strong respiratory system and even has been linked to helping control diabetes.


Before and After picture showing results with Invisalign

WE NOW KNOW that straighter teeth lead to better gum and bone health – here’s why:

● Straight teeth promote better oral hygiene where crooked teeth are harder to clean. Crooked or misaligned teeth actually work as food traps that may lead to bad breath, tooth decay and gum disease along with bone loss.

● When teeth are misaligned patients tend to grind their teeth more which leads to further bone loss and chipped teeth. Grinding is a major risk factor for periodontal disease and premature tooth loss.

● BADLY positioned teeth also tend to have more gum recession throughout our lifetime resulting in earlier tooth loss and tooth sensitivity. Exposed roots in areas of gum recession are more prone to tooth decay as well.

Do you have crooked teeth that could not only be causing bad breath, but worse, lead you to lose a tooth? I recommend you consider Invisalign for treatment. Invisalign is a series of clear aligners worn all day, that gradually and painlessly move teeth in to proper position. Once treatment has begun,dental visits for supervision are every 46 weeks for a few minutes, thereby making this treatment a great time saver! There are no unsightly wires and as the aligners are removed during mealtimes, no food traps to later clean out! Your oral hygiene regimen is simpler and more effective both throughout treatment as well as after.

Invisalign is the most popular cosmetic dental treatment because it is painless, non invasive and predictably creates a more ideal smile, leading to better self-esteem and a more social and healthy lifestyle!

To learn more about Invisalign and have a one on one consultation visit our page here:
Is Invisalign right for me?

Dr. Maryam Edalat
Invisalign Preferred Provider
Edalat Dental Arts, NYC