Below is a list of some frequently asked questions, but please feel free to call our office if you need additional information. We are always pleased to assist you.

Frequently Asked Questions

Is this kind of treatment expensive? Can I make payments or get financing?
I have a question about my smile. How can I get a complimentary consultation?
What should I do if I have bad breath?
I grind or clench my teeth. What can I do about it?
The answer is that the in office procedure is SAFER, MORE EFFECTIVE, and FASTER. The percentage of peroxide (bleaching agent) in the over the counter products is often too low to give the dramatic change in the amount of time the companies promise and has certain other limitations. There is too much room for human error and damage to your teeth and gums can occur. Occasionally, when teeth are relatively uniform in size and position and don't need much whitening, these products are cost effective. It is always best to consult with your dentist before planning to whiten your teeth. Not everyone is a candidate for tooth whitening.
When should my child first see a dentist?
The American Academy of Pediatric Dentistry recommends that your child see a pediatric dentist by their first birthday. As dental problems can start early, the earlier the dental visit the better. It is extremely important that young children do not walk around with, or go to sleep with a bottle unless it is filled with water only! They should also limit the use of candy, especially ones high in sugar like lollipops. If you follow these guidelines, we find that children generally do not have problems or cavities before the age of 4 or 5. Other problems can also develop and therefore the earlier you child sees a dentist the better.
How often should my child or I see the dentist?
The American Dental Association recommends a dental check-up at least twice a year for most children and adults. However, some children and adults require more frequent visits due to an increased risk of tooth decay or a need for more frequent dental cleanings due to braces, poor oral hygiene and an increased risk of periodontal disease. Some children and adults with both excellent oral hygiene and a healthy diet can be seen only once per year. Your dentist will evaluate you or your child's specific needs and recommend a dental prevention regimen.
What are dental sealants and how long do they last?
A sealant is a light cured resin material that helps protect the grooves and pits on the chewing surfaces of the teeth from getting decayed. They cannot however protect in between the teeth, where only dental floss can keep those surfaces clean and healthy. Sealants can last anywhere from two to five years and often longer depending on the patient's eating habits.
Nitrous oxide/oxygen, or "laughing gas" is a blend of two gases, oxygen and nitrous oxide. When it is inhaled, it has a calming effect on the patient. The relaxed state it produces in the patient allows him / her to respond more favorably to treatment. Nitrous oxide/oxygen is very safe. You or your child remain fully awake and alert and can respond easily to stimuli. It is eliminated quickly from the body with normal breathing. We recommended that you do not drive for at least 15 minutes after treatment and only when you are sure the effect has completely worn off.
What is nitrous oxide and is it safe?
We have various ways to treat pain, muscle soreness, and headaches that are associated with Temporomandibular joint pain (TMJ). TMJ pain can be treated effectively with pharmacological agents, appliance therapy, diet and modification of behavior and posture. We can evaluate your problems and help guide you as to which treatment or combination of therapies is best for you. Early diagnosis and treatment is key to preventing more serious problems that often develop over time.
For many years there has been some concern as to the safety of amalgam (silver) fillings. Dentists have used this blended metal to fill teeth for more than 100 years. The controversy is due to claims that the exposure to the vapor and minute particles from the mercury can cause a variety of health problems. About 75% of dentists still use silver containing mercury to fill teeth. The ADA, the Center for Disease Control, the World Health Organization and the FDA all state that silver fillings are safe and that studies have failed to find any link between silver containing mercury and any medical problems related to them. There have been about 100 reported cases of a true allergy to mercury even though millions of these fillings that have been placed over the past decades. The ADA maintains, however, that when the mercury combines with the other components of the filling, it becomes an inactive substance that is safe. There are numerous options to silver fillings, including tooth colored composite fillings, porcelain inlays and onlays and of course all porcelain crowns.
Are silver (amalgam) fillings safe? Can I get rid of these ugly, black fillings?
Will my insurance cover cosmetic dental treatment?
Insurance companies do not cover cosmetic procedures as tooth whitening and porcelain veneers, or any treatment purely for cosmetic reasons. However, other procedures that can greatly improve your appearance, such as porcelain crowns, tooth colored composite or porcelain fillings, and replacement crowns, bridges and dentures generally are covered by insurance.
This is true when they are repairing chipped teeth, stained and deteriorating fillings; and crowns, bridges, and dentures with a variety of problems. We can help determine for you whether or not your insurance will cover these procedures.
I had some crowns place some time ago, and I noticed that now I have a dark line at the gumline. What can be done to done?
This problem is usually due to the crown having it's edge or margin end with metal and the recession of your gum that originally covered this area. Sometimes it is also due to gum recession uncovering a darker root. Although we can usually
improve this problem by placing a tooth colored filling over the area in question, the only way to properly give you the beautiful, esthetic and natural look you want, requires remaking the crown. In this type of situation, we generally recommend that the new crown either be made with all porcelain or at least have a porcelain edge so that even if the gum recedes, no metal margin will ever show. Critical to preventing this situation from reoccurring, the gums must be healthy to start, and the tooth must be carefully prepared. Finally, the fit and the contours of the new crown must be perfect, or the problem is likely to reoccur.
Sometimes we can get a dramatic improvement in appearance much quicker, easier and less expensive that you would imagine. Other times, a problem is more complex that you would think. Only with a consultation can we determine that for you. Just call our office for a complimentary evaluation and consultation and we will be able to discuss these issue with you. We offer a variety of payment options and interest free financing to help you achieve that smile you always wanted.
Are home bleaching products as safe and effective as the in office procedure?
When is the best time to remove wisdom teeth?
Why should I have them removed if they don't hurt me now?
Some individuals are lucky because they never develop wisdom teeth, or the wisdom teeth come in straight and with enough room to erupt. Most people though do end up with impacted wisdom teeth that eventually cause problems. Generally speaking, between the ages of 16 and 19 is the best time to remove wisdom teeth. However, it is more dependent on the actual development of those teeth than your age. The ideal time to remove wisdom teeth is when they are near the surface, just under the gumline and BEFORE the roots have fully formed. When wisdom teeth are removed at that time, both the discomfort and swelling and the chance of complications is greatly reduced. Only with the use of x-rays in combination with a visual examination to see whether or not there is enough room for the tooth to erupt, can anyone make a determination as to when and if wisdom teeth should be removed. Don't wait until your face is swollen, you can't bite down, or you have severe pain. Often, these problems arise at the worst time as when you're taking final exams, away at school or on vacation. Obviously, waiting until the problem arises unexpectedly, is not the best approach. It's better to plan ahead!
Long Island Cosmetic Dentists
Is it better to replace missing teeth with bridges or implants?
In most cases, dental implants are the treatment of choice. Implants prevent the unnecessary drilling down of healthy teeth,
allow one to floss normally and easily between teeth, and are usually easier to maintain. However, not all people are candidates for implants and not all areas of the mouth are always capable of receiving dental implants. Each case has to be carefully evaluated individually by a trained restorative and cosmetic dentist.
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How do I go about getting a personalized evaluation?
Gary L. Sandler, DDS & Bonnie E. Lipow, DDS
201 Moreland Road, Suite #8
Hauppauge, NY 11788
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The material contained in this site is intended as a reference guide only.  It is to be used for informational purposes only, and not as dental or medical advice.