Oral and Facial Surgical Center of Hermitage

How to choose your general dentist

friendly_dentistHow to Chose a Dental Provider?


Choosing a Dental provider can be a difficult task with multiple factors that influence ones decision. Dental insurances today differ significantly from Medical insurances in that they have varied deductions, co-insurances, non-covered procedures, waiting periods and even yearly maximums all adding to the decision making process. Two important factors to consider when selecting a dental provider are cost and whether the dentist participates in your dental network or insurance, however, I am proposing you consider four other reasons.

Looking past the financial factor of a dental provider, what else should you consider? The first consideration would be personality and the ability to have a professional relationship. If you see yourself able to talk freely with the doctor and he or she is receptive and answers questions, then this is a positive start.

Secondly, does the doctor seem knowledgeable regarding their area of expertise? All doctors DO NOT have all the answers regarding all subjects but they should have a good working knowledge of the area of concern. For example if they say “I really don’t do this procedure” or “this is my first time doing this” you should probably talk to your doctor and discuss other options. Again, it is important to be able to talk freely and openly to your doctor. If your doctor is evasive and ambivalent regarding your questions or concerns, this is worth looking into further.

Third, the doctors’ reputation is very important. Do some of your own research. Go on the doctors website and read their biography.  As with any service, a referral from a friend and reputation can be extremely helpful. Be careful of reviews you read on the Internet.  Many times reviews may be inflated or even misleading.

Fourth, the physical presence of the office can reveal information of the dental provider. If the office seems old and out dated then you may ask yourself, “Does the doctor practice this way?” If the provider is not willing to stay up to date with the physical presence of the office, then does he or she keep up to date with their practice skills and equipment?  The doctor does not need to have every new piece of equipment but staying current and up to date is definitely important.

As with any decision, spend some time thinking about personality, expertise, reputation, and physical appearance, and don’t be influenced totally by the financial concerns. Choosing the right dentist is very important and a decision that you would like to do only once. A good provider cannot only save you money in the long run, he or she could also be life saving.

Why a Cone Beam CT before your implant?

Dental implants are the best way we have to replace missing teeth. Implants are placed within the jawbone of the upper or lower jaw and require bone for placement.

The dental cone beam CT, which is a specialized CT using significantly less radiation then traditional medical CT, provides valuable information regarding Bone prior to placement of the implant. The CT is also used to Plan the exact placement of the implant prior to surgery. The surgery is completed on a computer with a special software program that allows for planning and placement . Following the computer surgery, the lab will then fabricate a surgical guide that will be used to place the implant.

The CT and surgical guide take the guesswork out of placing an implant and make it more predictable. This translates to better success with integration and function of implants. The dental cone beam CT is performed in the office and takes approximately 30 seconds to complete.

Before you have your next tooth replacement with a dental implant, make sure to ask, “Do I need a cone beam CT prior?”

Why Facial Fillers and Neuromodulators

Why Facial Fillers and Neuromodulators?

This is why…

Facial Fillers


Who wants to look old, with sagging skin and deep creases? Unfortunately with time we lose elasticity of skin and also volume. That’s right , fat to the face is lost as we age. That cute full facial appearance that you had in your early twenties and thirties disappears. Review of photos from younger days will confirm that full and rounded facial appearance.

What can be done to give us back some of the fullness that we had 5 or 10 years ago? Well, facial fillers are the answer to replacement of lost volume. Facial fillers are different from the neuromodulators that help treat lines and creases which are present with animation of face. I will come back to this later.

Facial Fillers are injected into the deep creases of the face to add volume that lifts and smooth the deep lines. There are even fillers now that can be used for more superficial lines. It is important to first have an evaluation and discussion to decide which type of filler would benefit you the most. In our office we fit the filler to the area of concern and to the patient. That brings me to the next important point. Who should do your filler placement?

My answer to this question is more “old school” as I prefer a professional physician trained in facial rejuvenation. Some would say others with different qualifications or less experience could complete the procedure but when it comes to facial rejuvenation, leave it to the professionals.

In regards to neuromodulators; Neuro what?  This is a substance that is injected into the facial muscles to paralyze and prevent creases from appearing with animation of your face. The name you may be more familiar with is Botox. The two types of neuromodulators we offer are Botox and Xeomin. With the addition of a filler and neuromodulator one can improve facial appearance with out having a surgical procedure.

While it is no fun getting old, with fillers and neuromodulators it can be more palatable!

Dental Implants: What Should I Believe?

Dental Implants have become commonplace, with over 3 million people worldwide hosting some sort of implant. Unfortunately, their rising popularity has been accompanied by an increasing number of misconceptions about what they can and can’t do.

Dental Implant FLet us help you to understand which of these common messages are true and which are fabricated.

Message #1: Dental implants are more expensive than traditional restorative methods.

Verdict: True and False. While the initial implant installation is more costly than other dental restorative procedures, over time, maintaining dental implants is much easier and cheaper. Other procedures require eventual replacement.  For example, dentures require replacement after 5-10 years while dental bridges must be replaced every 7-10 years.  So in the long run, dental implants can be less expensive than these alternative procedures.

Message #2: Dental implants are exceedingly painful.

Verdict: False. Like most forms of oral surgery, dental implant installation does involve some discomfort. However, patient accounts reveal that the pain is not worse than any typical tooth extraction as doctors use local anesthesia to address and minimize any discomfort during the procedure.

Message #3: Dental implant placement often fails.

Verdict: False. While dental implants do have the possibility of falling out, it is very rare for this to happen. In fact, reports show that 98% of dental implant surgeries are successful.

Message #4: Only young people should get dental implants.

Verdict: False. There is no reason healthy, elderly patients cannot receive implants.  In fact, there are many cases of patients 90 and older undergoing dental implant placement surgery with great success!

Don’t let these common misconceptions get in the way of your decision to get dental implants. Give us a call…we’d be happy to discuss your concerns about dental implants with you to give you a better idea of what this procedure can do for you.

Traveling and Oral Health: Tooth Tips for the Holidays

We don’t have to tell you:  the winter holidays mark one of the busiest seasons of the year.  With shopping, parties and vacations jam-packed on the calendar, it’s no wonder that many people take shortcuts when it comes to oral health maintenance during this time.  If you are traveling during the holiday season and you want to avoid a January surprise cavity (or worse), here are some simple tooth travel tips to help you keep your smile intact.

  1. TravelDon’t leave home with a toothache!  If you suspect you have any lurking problems in your mouth, schedule an appointment prior to your travel date so that you don’t end up with a tooth emergency while out of town.  Research emergency dental clinics in your destination city and have those numbers handy to ensure that your time off is as relaxing as possible.
  2. No one ever regrets buying travel-sized gear. Keeping a travel toothbrush, floss and toothpaste on hand in addition to trial sizes of your favorite toiletries reduces your packing time, and not just during the holidays.
  3. Splurge on probiotics! Diseases and germs run rampant in buses, airports and other communal places that you might encounter during your trip. Researchers believe that probiotics are not only good for the gut; they may help maintain optimal oral health too!
  4. Toothbrushes don’t last forever! Generally, dentists recommend that you buy a new toothbrush every two to three months when at home.  However if you are traveling, your toothbrush is exposed to even more bacteria.  It’s best to toss it when you return home and swap it for a fresh brush, even if it hasn’t hit the three-month mark yet.
  5. Chewing gum is a limitless oral-health-on-the-go tip! Bringing sugar-free gum with you has multiple benefits; not only does it taste good and make your breath smell fresh, but the gum can help remove food that may be stuck in your teeth as well, acting as a secondary toothbrush.

Pre-Holiday Cosmetic Enhancements

Are you ready for this year’s slew of holiday parties?  While it’s still technically only fall, the holiday celebrations are just a handful of weeks away, giving you just enough time to schedule those last minute facial (or body) enhancements that you know will help you to truly shine this year!

Pre Holiday Cosmetic EnhancementYou may be wondering, “what procedures do I still have time to do before the holidays are in full swing and still be able to enjoy the results?”

Don’t worry, we’ve got you covered!

Here are the procedures that top our patients’ wish lists this time of year:

  1. Blepharoplasty (eyelid lift surgery):  Time to New Look:  10-14 days.  During this procedure we may remove fat and excess skin to give skin around the eyes a taught, youthful look.  (*Note: scarring may remain red for 6 months but makeup can be worn over the discolored area.)
  2. Lip Augmentation with JUVÉDERM®:  Time to New Look:  24 hours to a few weeks.  During this procedure, JUVÉDERM® filler is injected into the lips to plump and fill them out, giving you a more youthful and overall improved pout.
  3. BOTOX® – Time to New Look:  5 days.  A quick, temporary treatment, it’s no wonder that BOTOX® has become one of the most popular cosmetic enhancement procedures!  In just 5 minutes, we can complete the procedure to temporarily fix fine lines around the eyes and forehead.
  4. JUVÉDERM® soft tissue filler for lines and creases:  Time to New Look:  24 hours to a few weeks.  We can fill in deep lines and creases, such as those that reach up (smile lines) and down (frown lines) from the corners of the mouth, to turn back the clock for a more youthful look.

If you are looking forward to a festive holiday season and want to look your best, now is a great time to call us to see what we can do for your looks over the next few months!

Dental Implants: Are they right for you?

Not everyone is blessed with perfect teeth. Many people would tell you they lack the smile they’ve always wanted due to genetics, disease, and sometimes even accidents. Fortunately, we have a solution. With dental implants, you will no longer feel self-conscious about your smile; but rather delight in having a new and improved grin!

Dental Implant eWhat are dental implants?

Technically, dental implants are replacement roots for missing teeth.  First, the implant, a titanium screw, is inserted into the jawbone.  Next, a removable or permanent replacement tooth is attached to the top of the implant to mirror the appearance of your natural teeth. Currently, over 3 million people worldwide have dental implants and the technology has reached a point where each procedure has a 98% success rate.

Why should I get dental implants?

Beyond simply improving the appearance of your smile, dental implants include many other benefits:

  • Oral health: Unlike other restorative procedures, dental implants do not necessitate the reduction or alteration of neighboring teeth, thus resulting in improved oral health overall.  Additionally, dental implants do not interfere with access to neighboring teeth, so it is no harder to brush or floss.
  • Longevity: While other dental aides such as dentures and bridges inevitably require replacement, dental implants are extremely durable, lasting many more years and in some cases even a lifetime!
  • Convenience: Dental implants do not ever need to be removed for activities such as eating, drinking and brushing, and do not require adhesives.  They act, look and feel just like natural teeth!

How much do dental implants cost?

Dental insurance does not always cover the cost of dental implants.  However, in the long run, dental implants are usually cheaper than other restorative procedures. Because they do not need to be replaced, the initial investment for implants is well worth the price.

Dental implants are becoming a popular trend in the world!  Call us to set up an appointment to upgrade your smile!

JUVÉDERM® for Nasolabial Folds

The first thing you are probably wondering is:  “What are nasolabial folds?” 

laughNasolabial folds are, quite simply, the lines that reach from the nose to the mouth, also commonly known as “laugh lines” or “smile lines”.  As we get older, these lines, just as all other so-called “wrinkles” on our bodies get deeper, wider, and generally more intense.  Fillers offer a great way to soften these lines, minimizing the looks of natural aging, and JUVÉDERM® is our go-to choice here in the office!

What is a dermal filler?

Fillers like JUVÉDERM® are sterile gels that can be injected into facial lines to add volume (or restore) fullness to the skin.  They are effective at treating a variety of common skin wrinkle complaints including crow’s feet and can even be used to plump up thin lips for aesthetic enhancement.

Dermal fillers, like JUVÉDERM®, offer a quick, safe and temporary solution to wrinkles.  You may wish they were permanent solutions, but actually temporary, in this case, is better, as we can adjust our plan over time to keep results more in line with your natural age.

When will I see results?

JUVÉDERM® features immediate results, but it can still take a few days to reveal its final shape.  Usually patients report that they like the look even better after waiting a few days.

How long does it last?

The results of JUVÉDERM® last for 4 to 6 months.  After this time, we can reassess your goals for your aesthetic facial enhancements and see if more fillers are needed or if you want to go in a different direction.

If you feel that your laugh lines have become a bit too obvious over time, fillers like JUVÉDERM® are an easy and quick fix that many have benefited from.  Please don’t hesitate to call us for a consultation!

Dental Implants: Five Things You May Not Know

How much do you know about dental implants?  With the increasing popularity and availability of dental implant surgery worldwide, patients are gaining more and more knowledge about dental implants every day. dental implant d

But did you know these five important facts?

  1. Dental implants are appropriate for almost all ages.  Not just for the elderly, dental implants are frequently placed even in the mouths of young adults.  As long as the jaw has stopped growing (after puberty; age 16 for girls and age 18 for boys), a dental implant can be placed with great success.
  2. The titanium post actually fuses (osseointegrates) with the natural jawbone.  They grow together to form a stronger foundation for replacement teeth.  So dental implants actually improve the bone structure in the jaw, they don’t just fill it in.
  3. The “dental implant” is actually just the titanium post, one of three parts of the whole process.  Other parts used in the full procedure that we think of as “dental implant surgery” are known as the abutment (the connector) and the actual replacement tooth itself (the crown).
  4. Dental implants preserve jawbone, whereas other teeth replacement options can lead to bone deterioration.  Bone is similar to muscle in that it must be used in order to maintain its mass.  When a tooth goes missing and the site is left untreated, the jawbone underneath tends to deteriorate.  Dental implants eliminate this problem by securing a natural-like tooth right into the jawbone and thus utilizing (and preserving) that area of bone.
  5. Dental implants protect their neighbors.  By contrast, a traditional, tooth-supported bridge involves the grinding away of the teeth on either side to act as a hammock for the bridge.  With dental implants, the jaw is the anchor and support for the artificial tooth.

The bottom line?  Dental implants offer a safe and manageable alternative to traditional tooth replacement methods.

What to Know About a Nose Job

nose-reshapingIf you find that you aren’t happy with your nose, there are two routes you can take to fix this:

1)   Take hours to dissect why you aren’t happy, thus stressing yourself out even more.

2)   Do what makes you happy.

It isn’t rocket science. Nobody is stopping you from attaining happiness but yourself. At the end of the day, your personal contentment should be your number one priority. If you aren’t happy with any specific aspect of your physical appearance, such as the shape of your nose, you owe it to yourself to schedule a consultation with Dr. Clemenza.

The Art of Rhinoplasty

Being born with a disproportionate nose isn’t uncommon. Many A-list celebrities such as Shia Lebeouf, Tyra Banks, and Paris Hilton are all said to have had rhinoplasty surgeries due to their abnormally shaped noses. But celebrities aren’t the only ones turning to nose-jobs to perfect their appearance. Each year, approximately half a million people reach out to cosmetic surgeons for consultations regarding reconstructive nose surgery. This number will continue to increase as cosmetic surgeons become increasingly advanced with their procedural techniques.

The Sculpting

One of the most important things to know about a Rhinoplasty is that every specific procedure is unique. The surgeon carefully decides where to make the initial incision, whether it be in the area between the nostrils, or anywhere on the inside of the nose. If the tip of one’s nose is too large, the surgeon will correctly sculpt the cartilage in this area to make the nose better harmonize with the rest of the face. If any part of one’s nose is abnormally small, the surgeon will add cartilage or soft tissue grafts, thus re-shaping the nose accordingly. Dr. Clemenza knows that the angle of one’s nose is just as important as the size, which is why he will sculpt the nasal support structure to make the nose point at the perfect angle towards the upper lip.

After the Procedure

 After the surgery, your doctor will monitor you in the post-anesthesia recovery area. Most patients do not feel a significant amount of pain after their procedures, but the few who do are sent home with analgesic medications. Your quick recovery is our priority. Some patients will see swelling for the first 2-5 days. These symptoms are normal, and will not last for more than one week. It is extremely important to follow all of Dr. Clemenza’s post operative instructions, as failure to do so can result in an prolonged healing process.

All in all, visual appearance goes hand in hand with personal happiness. Dr. Clemenza is wants to help you regain confidence and feel comfortable in your own skin! Call us to schedule a consultation today!