Smile Solutions by Emmi Dental

Total Family Dental Care.

Smile Solutions is a total family dental office. We provide services in all aspects of the dental disciplines that we can do as well as the specialist. We provide all the needs for your family from early child dental services to geriatric care for your parents or yourself. We have the best staff in Delaware in my opinion. They are friendly, courteous, knowledgeable and here to serve your dental needs. Our dentists have been voted bests dentists in Delaware Today several years in a row. We take more than the required continuing dental education courses. Our clinical staff is patient centered and bend over backwards to make your visits pleasant and we submit your dental claims for you. Our clerical staff works behind the scenes just as hard to track and make sure you get the maximum insurance benefits your plan offers. When your insurance company tries to deny rightfully allowed procedures we submit appeals on your behalf to fight for your benefits.

If you don’t get satisfaction at my office for any reason then you just let me know and I will personally investigate and correct the situation on those extremely rare occasions.

I instruct my staff to treat you as they would a loved family member. Call Smile Solutions by Emmi Dental Associates and test us.

CALL 302-999-8113

Can I get dentures in a day?

The short answer is yes. However, the real question I think that you should ask is do “I” want dentures in a day? I am being somewhat facetious with my last statement so I will try to explain my point.

I would like to lose weight in a day, or get in shape in a day or bench press more in a day. Most things in life that are valuable or worthwhile take more than a day.  Now, I can make a set of dentures in a day if certain things happen:

  1. I need a thorough exam to make sure dentures are what are required to fix the patients’ problem.
  2. I need to make sure the person has an established bite or vertical dimension that is functional.
  3. I need to make sure I can capture the bite accurately so the lab can duplicate in the dentures
  4. I need to take an accurate impression of gums and teeth.
  5. I need to pour models and send to lab
  6. The lab needs to mount the case at the proper bite
  7. The lab needs to remove the stone teeth from model and adjust gum tissue on model.
  8. The lab needs to set the teeth in the proper three dimensions so the look and function properly.
  9. The lab the needs to process in a stable material.
  10. The lab needs to finally adjust the bite after processing to minimize any errors from processing then polish and send to office.
  11. I need to try in your mouth and make sure all your teeth hit properly
  12. I need to remove any spots on the denture that rubs your gums too much.

 

 

 

If all these steps are performed well then I can make a set of dentures in a day. If I want to make a set of dentures in a day but these previous steps are not done ideally then I have to accept slight to moderate to major errors leading to poor fit, function or look of the denture in a day.

Some offices can do many of these steps in a day and for a very low price.  At times, the price difference may be enough that the patient may have to overlook some irregularities and accept them as a compensation for a quicker delivery of a denture. At times, in my experience, all the stars are aligned and the denture looks very good and the patient got a reduced fee. Life is good on those days!

 

Please feel free to call my office for a free consultation to discuss dentures or any other topic in dentistry. Call 302-999-8113

 

Best denture in Delaware.

 

Smile Solutions by Emmi dental associates will make every attempt to get you the best denture that you could possible get in our great State.  We will go the extra mile to make sure you are satisfied. We first try to listen to your concerns and determine if a denture could meet those concerns. If a denture can be fabricated to meet your needs we will try our best to fulfil your desires.

Our motto is” we strive for perfection but will accept excellence.”

Many dentists do not even make dentures because they can be very subjective. I mean that the patient must like the feel and look even if the dentists would have made them more ideal or different. Sometimes patients want the denture to look perfect white and straight. Sometime patients want the denture to look more natural with slight rotations to replicate natural teeth. I must get in my head what the patient wants so I can instruct the lab to make the denture fit the patients’ needs.

I enjoy doing dentures even though they can be very challenging.

If you need a replacement or a new denture please call to have a free consultation.

Call 302-999-8113 and as for Dr Jeffrey Emmi

The Dentist ground down my good tooth!

 

I hear this from my patient’s every day. They point to a tooth or refer to a previous dentist that “drilled on a good tooth”, so that must be the reason for the problems they are having.

I understand that sentiment 100%. I would think and feel a similar way if I was a patient and if I was not fully informed why the dentist “ground down” a good tooth. And when I say fully informed, I do not mean informing the patient that they need a different tooth smoothed down. I mean really getting the patient to understand that, most likely, the tooth that needs to be “ground down” is ultimately the villain or the cause of the problem for the other tooth. Let me explain further.

When a tooth breaks or is cracked, a dentist must look for the reason. Many times it is simply that the patient bite on something harder than the tooth and the tooth broke. But frequently, the reason the tooth broke is because the opposing tooth is stronger and has a very pointy chisel-like cusp that exerts too much point contact pressure. Think of the chisel-like cusp as a log splitter. It is hitting the tooth hundreds a time per day and eventually a small crack develops and increases until the tooth either breaks or hurts to chew on it.

In those situations, a dentist MUST smooth the opposing tooth or the new crown/filling will be under the same stress and will break just like the natural tooth. So the easiest solution is to smooth the offending cusp and recreate a situation where the new crown will be under normal biting forces.

 

Please remember, nothing in the mouth happens without a reason. If a tooth hurts, is rotated, has red gums and or a myriad of other problems, something is causing the issue. Our job as dentist is to figure out the cause and remediate it as best we can so the patient can function normally.

 

Please Call SMILE SOLUTIONS BY EMMI DENTAL ASSOCIATES 302-999-8113

Why do dental implants cost so much? Affordable implants.

Dental implants are expensive. My experience has been that, in some situations, they are one of the most satisfying procedures done for patients. There are a few procedures in dentistry that bring smiles to both the patient and the Dentist. A well done set of porcelain veneers or crowns can transform a poor smile into something the patient just loves to show by smiling all the time. Even though it was expensive, the patient feels a new sense of self confidence that is worth the expense.
A patient that wears loose dentures is mostly disabled from a mechanical chewing perspective. Their chewing forces decreases from 700 pounds per square inch to 70 psi. Patients learn to accept to smile with a slight fear of their teeth slipping or moving. They also learn that they cannot chew some foods anymore. When implants can be placed and a new denture attached to them, the patient gets a tremendous amount of satisfaction from their new ability to chew and speak with a new found confidence.
Now back to the question of why are dental implants expensive. The main reason for expensive is because of the training and expertise of all the people involved in manufacturing, delivering, placing and restoring a dental implant. It must be made from surgical grade titanium, placed in an atraumatic way and in a healthy position into adequate jaw bone. The implant, once healed, needs to be restored by a well-trained laboratory person using high end digital mills to create an implant tooth that will function in your mouth for many many years if not many decades.
Most patients thinks of an implant as a single replacement tooth. A dentist thinks of all the components needed to replace that “tooth”. An implant tooth consists of a dental fixture (screw), dental abutments and screws (healing and restorative) and finally the porcelain crown placed on the abutment. So the more parts the more risk ill-fitting, the more cost to allow the perfect tooth for your situation.
My last caution is a common phrase that seems to hold its’ truth over and over again. That phrase is “if it sounds too good to be true, it probably is”. Be careful of bait and switch schemes where implant fixtures are advertised at low prices. It seems like its half the price of regular implants. But most times the patient finds out that the abutment, abutment screw and porcelain crown are charged separately so in the end it turns out to be about the same or similar cost as done buy you local implant dentist. Make sure your implant dentist has been trained thoroughly and is an active member of a dental implant or professional society so that you at least know they continue to get training and education.

If you have any questions please call 302-999-8113 and as for a free implant consultation

Should my Root Canal last forever?

Patients ask me every week why did that dental procedure they had fail by the other dentist. When I explore the question further, it may be a filling placed 10 years ago, or a root canal done 15 years ago, or a crown that got decay below it margins done 13 years ago, or any number of procedures done by me or another dentist.
I then ask what in their body is as good as it was 10-20 years ago. All body parts are in a state of failure. Nothing lasts forever. A new hip or knee may only last 5-10 years. The mouth is a very difficult area to survive in. The mouth has extremes in temperature daily. Drinking fluids that are 40 degrees colder then ambient mouth temperature. Or drinking or eating stuff that is hotter then ambient temperatures. This sometimes happens many times during one meal!! The expansion and contraction caused but radially variant temperatures causes stresses on dental materials.
Additionally, the mouth is a wet damp place and materials and procedures must follow strict protocols to allow the material to adhere to the tooth so that it gets its maximum life expectancy. The dental procedures are also exposed to forces that can exceed their limit of material strength. People that grind or clench notoriously break teeth, fillings and most any dental devise placed in the mouth. Also, many patients have missing teeth or rotated teeth which place loads on teeth that are at angles that cause shear forces beyond their capacity to absorb.
So my rule of thumb for most procedures, unless specifically informed of a reason for less time, is at least a decade. I want to do work that lasts at least that long and most times longer. I always think of my brand new car that I loved and was new and shiny when purchased. After 150,000 miles or 10 years, I have many found memories, but there are certainly scratches, dents and certain failing parts I have learned to accept because of the age and wear and tear on the car. Teeth and dental procedures are no different. If you maintain your teeth as if it was a prized vehicle, garage kept and never driven hard, they will last a very long time. If you “ride” your teeth hard then you will get less time and use from them. It’s just a natural law of cause and effect.
Make sure you have a good relationship with your dentist so he/she can discuss all these parameters before the procedure so you know exactly why you need it and how long it will last you.

“Can you re-cement my crown?”

“Can you re-cement my crown?”
What does this statement mean to a dentist?
1. It could simply mean the cement washed out and needs to be re-cemented.
2. It could be that decay has decayed the tooth so that the crown is no longer viable.
3. It could mean that the tooth fractured under crown.
4. It could mean that the bite is off so the crown loosens due to an off bite.

I see patients every week with this issue. The first step is to access the problem. Patients need to remember that everything in the mouth happens for a reason. It may be that your crown really does need to be re cemented. But the situation has to be evaluated by the dentist.

How long does cement last?
1. It depends on the amount of tooth supporting crown
2. It depends on the type of cement.
3. It depends on the material of the crown
Many things effect the cementation of a crown. It’s a good rule of thumb that if a patient can get a decade out of most of their dental restorations then it was done well.
What are some additional factors effecting crown cementation?
1. The load on the crown dictated by the number of teeth in mouth.
2. The kind of bite the patient has.
3. If the patient is a grinder.
4. How well the patient brushes and flosses.
So as you can see, when I see a patient on my schedule for a “recementation of a crown”, I don’t think it is simply a matter to get the “good” glue out and put it back in.

Call Smile Solutions for more information. 302-999-8113

Should I save my tooth or pull it?

I hear this question every day in my dental office. Unfortunately, many times the patient is in pain and wants immediate relief. The quickest and “cheapest” way to get out of pain is to pull the tooth.
The problem always arises when the patient eventually asks, “How can I replace the tooth so I don’t see the black gap in my smile?” At this point, the answer is slightly more complicated. There are options that involve a removable tooth or a non-removable tooth.
The removable tooth is called a flipper and varies in size but usually is not tolerated well if only replacing one tooth because of the size it needs to be to be strong enough to maintain biting forces. The non-removable tooth can be an implant or a bridge. Both of these choices are more like having a natural tooth.
The bridge advantage is that it can be done quicker. And if the teeth on either side of the space are weak, the bridge will strengthen those teeth. So by filling the space, you have actually improved the overall strength on that side of your mouth. But a disadvantage if the teeth on either side are not weak, then I will have to drill them. And that is done all the time, but now that we have implant therapy, there is an alternative to drilling on good teeth.
An implant to fill a gap is most often ideal. It replaces a single lost tooth with a single implant tooth. Although, implants are not as good as natural teeth they are the best we have at this point in time. Implants can have disadvantages. If a person has lost too much bone then bone must be replaced to get an implant. That additional procedure can be more complicated if it involves the sinus area so the cost can be significant to add and grow new bone. Since implant therapy is an invasive dental surgery, similar to an extraction, the health of the patient matters more. Some medical and habitual conditions affect the healing potential of new bone growth and implant healing. Smoking and diabetes are the two main health issues that cause more risk to implant failure. Although many other conditions are important as well, so a complete medical review and clearance from your Physician is warranted in some situations.
The moral of this story is that making decisions while in pain may result in a more expensive dental procedure to undo what was done to alleviate the immediate concern of pain. The best option is always to maintain good dental hygiene and go to regular dental visits and do the preemptive work before it turns into a painful situation that will lead to poor decisions made from a painful situation.
Feel free to contact my office for a free consultation on this or any dental topic. Call 302-999-8113

Should I feel a cavity? How can I have a cavity if I do not feel it?

I wish that all my patients could feel a cavity on their tooth. My job would be easier and my patients would have better oral health if any small or large cavity was felt as soon as the patient developed it on a tooth because they would call as soon as possible to get it removed. However, that is not how it works in the mouth unfortunately.
Cavities usually develop on enamel first. Enamel is a strong dense boney structure. It does not have pores leading to your pulp (nerve). Because there are no pores in enamel there is no mechanism for you to feel any difference in your tooth. That is a blessing and a curse.
Consider if you developed a tooth ache every single time the enamel started to decalcify or decay? Humans would be in chronic pain or aggravation. I guess it was evolution that allowed us to not feel every single minor ache and pain so we could hunt and gather food. Although, it would make a dentist’s job much easier if the patient told us where it hurts from cavity pain. Patients would be calling and making visits for cavity pain. Or when we saw decay during a cleaning visit, they would say “yeah, I felt that cavity starting”. ”
Conversely, when a patient does feel a “cavity” it’s usually too late to fill. A pain in the tooth from a cavity, mostly, means that the nerve is infected and needs extraction or a root canal. So we are left with getting cavities and having our dentists telling us we have them.
Our office, Smile Solutions, uses an intra oral camera that can actually show the patient a picture of the dark cavity. I try to take one as much as possible so the patient feels comfortable about the procedure and is more educated about their dental health.

If you have any dental concerns, call our office, 302-999-8113, and ask for a free consultation.

Why is my lower denture loose?

Can my lower denture fit better?
A weekly situation in my office, Smile Solutions by Emmi Dental Asssociates, involves a patient asking me to get their lower denture to fit better.
When I explore exactly what they mean by “fit better”, they usually say that their “denture is loose and they want better suction”. The ones with a full upper denture compare the fit and say they want it to be as tight as their upper denture and not move as much. The ones with natural upper teeth want it more like natural teeth.
There are many potential causes for looseness of a lower denture. The primary cause is the anatomy of the lower jaw. Unlike the upper jaw, the lower jaw does not allow for an easily obtained 360 degree seal of denture borders. The denture must allow space for the tongue and the up and down movement of the floor of the mouth. The lower denture must also be fabricated to resist dislodgement by the cheek side gums, called vestibule.
Additional reasons for ill fitting dentures leading to looseness could include:
1. Lack of seal due to inadequate denture border length.
The sides of a denture are called the borders. The borders must be the correct length, not too short or too long for good retention. The borders must also be the correct width to help create a good seal.
2. Resorption of remaining ridge or bone.
There must be enough bone to support a full denture. When a dentist says “you don’t have enough gums” for your denture, what he is really saying is you don’t have enough bone which makes the gums very small and flat. All jaws starts to resorb or disappear once the teeth are removed. It can be a faster process on some versus others but the ridge of the jaw always resorbs once teeth are removed which make denture stability and retention more difficult.
3. Warped denture base.
The surface of the denture touching the gums is called the base. Bases can distort over time if left to dry out when out of the mouth. Also, the ridge can change which makes the denture appear distorted but really it was the jaw that changed not the denture.
4. Decreased in amount and quality of saliva.
A major factor in denture retention is your saliva. Normal saliva aids in the suction of a denture. If your saliva quantity is deficient or if the saliva is thick and ropey the denture will not fit as well. This can be caused by an underlying medical condition or by medicines taken to correct other medical conditions.
5. Patient inability to exert appropriate control of denture by control of tongue, cheeks, and different chewing mechanism of denture versus natural teeth.
Part of the process of eating well with a removable denture is for you to understand that a denture does not function like natural teeth. Therefore, a patient must adapt to how they chew and how they control their tongue and cheeks to help keep the denture in proper position.
Your Dentist must do a thorough examination of your lower ridge, the fit of the denture and determine the changes needed to get a better more comfortable fit of your denture.
Some common solutions are:
1. Perform a hard reline of the denture.
A reline will readapt your denture base to your current ridge anatomy. This can usually be done in a day or two and most times you must go without your denture while the dentist has the reline of your denture completed by a dental lab.
2. Remake the denture.
When a reline is inadequate, a new denture must be fabricated to get the best results. This process can be done in two to five visits under normal conditions. A normal denture should last about 7 years.
3. Or suggest an alternative to a removable denture.
The hands down best alternative and most effective solution to a loose denture is to have dental implants placed to secure your denture. You can have a denture that can still be removed yet held by implants or a denture that cannot be removed that is completely implant supported.
As you can see, there are a multitude of reasons for a loose lower denture. Our body is in a constant state of change. As we age, our jaws change especially when there are no teeth to maintain the integrity of the jaw. If you are experiencing a loose lower denture, go to your dentist and ask for solutions. There is almost always a solution to a loose denture, however, you must decide the extent to which you want to explore to gain the stability and tightness you desire.
Good luck and please call my office, 302-999-8113, if you have any questions or concerns about your denture or for a second opinion to correct your denture problem.