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San Diego Woman Top Dentist


        crowns made from materials that are   of aligners which vary depending on need,
        significantly stronger and last longer.”  can straighten teeth in anywhere from
           This is just the tip of the iceberg when   three months to two years. One of the big
        it comes to innovations in dentistry today.   advantages is that the aligners can be tak-
        Even the way the crowns are made has   en out when you eat and they also allow
        changed. Today there is computer milling   the teeth to be properly brushed, even
        and computer design used in the creation   during the alignment process.
        of crowns. X rays are now done on the   I asked Dr. Braunstein what he loves
        computer, unlike when they had to be de-  about being a dentist. “There are several
        veloped before they could be read, and the   things I absolutely love about dentistry. I
        patient had to endure a second set of x-rays   truly enjoy the creativity. With cosmetic
        if the results were not acceptable. Now the   dentistry you can provide composite resto-
        results are instantly ascertained. They now   rations allowing you to create the complete
        have 3D scans where dentists can see a pa-  anatomy of a tooth or you can do cosmetic
        tient's entire mouth before the patient even   veneers which can mimic how a real tooth
        sits down for his or her first examination.   looks. Patients are amazed when they see
           Dental implants, previously unheard   the results. For many patients, it is more
        of, are now solving issues of lost teeth in   about health than cosmetics. Many come   Photo by Judith A. Habert
        a way that becomes a permanent solution   into our offices with gum disease, which is
        and does not involve an apparatus that has   greatly impacting their lives. They can’t eat   “I guess when it comes down to it
        to be removed each day or which creates   properly because they can’t chew and they   probably the very best part of being a
        the possibility of falling out of a patient’s   need to have these problems remedied so   dentist is that I've been very lucky because
        mouth while eating or speaking.     they can achieve better health, by eating   my patients are super wonderful people.
           “The implant is basically a titanium   foods that are better for them, and that they   I really enjoy dealing with people, and I
        fixture that replicates the root of the tooth.   enjoy. When I can help a patient become   think I understand people. A lot of people
        A post, which is called an abutment, is put   healthier, I am always happy.”   go to different dentists and may have had
        into the implant and then a crown over   “What I really enjoy, maybe more   bad experiences. And so, I make a point of
        the abutment. This allows us to recreate   than anything else, is when a person   really listening to my patients and I have
        a tooth without damaging or destroying   comes in and they don't have a nice smile   tried to create a situation where they will
        the teeth next to it. For those patients who   and their self-esteem is not there, because   be very comfortable with us.”
        have no remaining teeth of their own,   of this. I love being able to help a patient   When I am lucky enough to have
        we can restore a full mouth of teeth by   get a good smile and it just changes their   some time with a top professional in the
        providing just a few implants and affix-  life. I will never forget one young man   field of dentistry, I would be remiss to not
        ing a permanent bridge to the teeth. This   who came in to see me. He never had a   obtain information which will help our
        method does not have the risks or the   good smile, and it embarrassed him. He   readers. So, of course, I asked if Dr. Braun-
        discomfort of a traditional denture.”  said I want to get this girl, and I have to   stein could share with us some advice on
           Not only are implants a great new way   get a good smile because, she will not   how to keep a healthy smile.
        to replace missing teeth, but they stimu-  look at me if I don't have a good smile. So,   “Probably the most important thing
        late the bone helping to prevent bone loss.   we did about 20 veneers on him and we   is to be vigilant with your daily home
        When teeth are removed with no replace-  changed his look completely. He ended   care. There are a lot of devices to help you
        ment, the bone keeps shrinking, changing   up marrying this girl and they have a   clean your teeth, you have toothbrushes,
        not only the situation in the mouth, but   beautiful family today. It had been his   dental floss, Waterpiks®, whatever you
        often the way a patient looks. This is one   smile that held him back and once that   prefer as long as the outcome is keeping
        reason removable dentures are not as   was fixed, he had the self confidence he   your teeth clean and healthy. Keep in
        beneficial, since as the bone shrinks, the   needed to finally ask this girl out. When I   mind that plaque is the culprit. Plaque
        dentures need to be continually realigned   hear these types of stories, it makes me so   forms on your teeth, it is a sticky sub-
        or completely replaced.             thrilled that I could play even a small part   stance, and it re-forms every 24 hours.
           On the opposite end of the spec-  in making a patient happy.”         So, if you're not really cleaning thorough-
        trum are the advances made in the area   The results are clear in the offices of   ly, that plaque stays on your teeth. Then
        of orthodontics. Instead of the methods   Dr. Braunstein; His patients always have   the bacteria invade underneath the gum
        that were previously used involving   wonderful things to say about him. He   and start destroying the gum tissue, and
        brackets and wires used in metal braces,   immediately instills confidence and trust   then it starts invading the bone. You can
        the introduction of Invisalign® has made   from the first moment you meet him. He   lose teeth because they get periodontal
        orthodontics a lot easier for children and   has an innate ability to put a patient’s fears   disease, which is an infection in the bone.
        others requiring alignment of their teeth.   to rest and resolve anxiety that so many   If people do their home care properly,
        These clear aligners are designed to slowly   patients suffer even just at the thought of   they can avoid the majority of dental
        reposition the teeth as needed. The series   seeing a dentist.           issues that they encounter.”

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