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Patient Resources

Frequently Asked Questions

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What goes into designing a smile?

Patients simply find “natural” more appealing.

Tailoring our dentistry to harmonize with the individual’s facial characteristics and lip posture allows us to meet patients expectations, optimize esthetics while hiding evidence of treatment. Our best reference for developing a new smile for and individual is studying nature and identifying elements that make it appear attractive and appealing. A proper “smile design” should reflect the desirable appearance without negatively impacting the stable biological environment surrounding the teeth. What goes into a smile design will always heavily depend on what surrounds the smile and teeth considered for alteration.

Why is Dr. K not on our Preferred Provider list?

We believe dental insurance plans provide a tremendous service for those who need more routine care and maintenance. However, when treatment needs become well beyond what dental benefits typically allow, finding a sustainable solution involves using the best materials and technique. We simply believe patients should have the option to choose what is best for them without Insurance interfering. Contracted dentists in PPO networks are limited in many ways in choosing products used to restore teeth. Although the direct benefit to patients may be financial savings and convenience, every filling or crown procedure inherently involves removing more of your natural tooth. Our best materials and techniques will translate into less treatment over your lifetime if you are dedicated to maintainence.

We do however, like most dental offices, accept most forms of dental insurance plans and as a service to our patients file claims and follow them up. Please contact our front office for questions related to our dental insurance policy.

What problems are caused by teeth grinding?

Notice the deep dark colored neck area of the canine tooth below.

Tooth colored filling material is often used in areas such as this to protect the vulnerable unprotected surface void of enamel. Little notches near the necks of teeth are very common and are not always associated with grinding habits. Often sensitive to cold and difficult to clean, these defects lead to gum recession as illustrated clearly here. Gum surgery has become a very predictable way to recover receding gums but in this case, surgery was not needed. The underlying cause of this defect is primarily excessive teeth grinding placing extreme lateral forces against the tooth. These forces can cause the tooth to flex – which stresses the bone and soft tissue supporting the tooth. Gingival Defect, Recession, Grinding

What has been discovered in more recent literature, tooth flexure increases when enamel loss reaches moderate levels. Ceramic is in many ways very similar to enamel structurally and when used appropriately can reduce this flexure resolving problems arising peripheral problems. Notice the photo progression of treating this tooth using a ceramic veneer to cover the visible surface of the tooth. The tissue recovery here is a remarkable observation of what happens to tissue when flexure is reduced back to ideal levels. Surgery was completely avoidable here for this patient.

Why do I need cleanings and exam every 6 months?

What we are monitoring during routine visits are possible changes or signs of pathology occurring around the soft tissue and bone that support your teeth. Measurements are taken every six months, and if we observe changes, treatment may be indicated to prevent further damage and costly treatment down the road.

The exam following the hygiene procedure allows the doctor to examine your teeth and tissue, confirming any problem areas the hygienist observed and small lesions that could be covered up by tarter or plaque.

You should know that maintaining stable oral health is primarily up to you. 90% of stability comes from what you do daily. Our hygienists are your most valuable resource in making sure you are making the most of the products used on a daily basis to brush and floss effectively. The more you understand about your own mouth will ultimately help you minimize how often we need to be involved. This is our goal.

Your hygiene appointment is your best chance of reducing costs in the dental office over your lifetime. Treating disease early substantially reduces the potential cost to recover.

Is this a mercury free practice?

Yes. We use primarily two materials to repair natural teeth. For fillings, we recommend a tooth-colored material known as Composite.

For larger areas or previously crowned teeth needing replacement, we recommend ceramic to repair the tooth. Ceramic material is remarkably similar to enamel and offers teeth the most lifelike and superior biological integration.

Both materials are applied to teeth using ultraviolet light, creating a seal that prevents bacteria and moisture from invading the most vulnerable areas where damage most likely occurs.

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What is the purpose of a night guard?

Teeth undergo stress from clenching, chewing, and nighttime grinding for 90% of the population. Possibly the most under-treated oral disease, but one we have observed, is a primary precursor for cavities, dental abscesses, cracked teeth, enamel wear, sensitive teeth, periodontal disease, TMJ abnormalities, recession, and often chronic isolated gingivitis.

With age, teeth naturally wear and erode, leading to enamel loss. One of our natural enamel’s many benefits is resistance from bending forces.

Teeth Wear. As the outer enamel layer thins, teeth become more flexible, and stress cracks become more common due to habitual stressor habits like grinding and clenching. Premature enamel loss can begin early in life if these habitual activities go untreated. The extent of dental treatment complications later in life may be proportional to whether the patient was treated when signs of premature wear were identified.

We believe optimal oral healthcare involves identifying the cause of existing disease in addition to the side effects of the disease. A night guard is worth its weight in gold in prevention when habitual stressors are influential in reducing stability in one’s oral cavity.

What is a Mock Up?

The purpose of developing a mock-up is to allow patients to see how treatment enhances their smile. Using a matrix of the new design, we can place temporary material in the patient’s mouth so they can see what the changes will look like.

Analysis of the appearance at this stage can include several photographs for the patient to review or possible video if appearance during public speaking is a concern.

Video analysis is easily created at this point if needed. Click this link to a recent publication Dr. Kormylo co-published on the video technique.

Esthetic Zone Single tooth replacement

Implants in visually critical areas are as much art as it is science. Conditions driving recommendations for implants could be one of many; failing bridge, tooth lose due to fracture or accident or failed treatment, but we take these cases far more seriously as it is integral to the individuals smile and appearance. Patients considering this treatment need to be certain both the dentist and surgical team placing the implant are capable of delivering satisfactory results. Achieving a truly natural appearance requires a deep understanding of not only the characteristics of color and reflective properties of natural teeth have but also an equally if not deeper understanding of the available materials to rebuild the illusion of something real….. Our teeth are in a sense “jewels” and rightly should be treated as precious. I personally have found a wonderful world of fascinating dynamics which created deep passion to understand more.

I would love to share this passion that I have developed to those of you who have either been disappointed with existing dentistry or facing an unfortunate failure in a critical area…..

About Implants

Implants serve primarily two purposes. They replace individually missing teeth or use them to support a prosthetic where multiple teeth are missing. Perhaps even to support a complete denture.

This article will provide general information about implants. Traditionally, implants were developed to replace the root portion of a missing tooth.

This is an x-ray showing an example. Here, the implant is attached to the irregular grey appearing part of the film, bone. Traditional implants will have a threaded periphery, but the core will appear hollow. This core allows for an (abutment), which is often customized to support the size of the tooth that needs to be replaced.

The lower section is a titanium abutment, supporting the crown cemented once placed in the mouth.

Generally, when teeth are lost, bone and soft tissue collapse. This tissue loss can be prevented if appropriately handled. Implants in more visually critical areas must be handled by only the best surgeons with extensive experience to reconstruct an artificial tooth blending perfectly as if it were natural.

Discover more video content showcasing the expertise of Matthew Kormylo’s dental practice!

Testimonials

Dr Kormylo is the BEST dentist I’ve ever had. He consistently attends educational sessions to stay at the “cutting edge” of his industry. This combined with his caring of each individual patient makes him an outstanding dentist. I would highly recommend him to the “pickiest” of patients.

Debbie Allen

I am a dentist myself, and if there is one dental office that I would recommend beside my own it is Dr. Matthew Kormylo’s office. You can not expect more from a dentist! Excellent dentistry, manners, communication, care! Wonderful, knowledgeable, compassionate staff! Dr. Kormylo is a perfectionist, and will spend extravagant amounts of time to take care of the minutest details, giving your teeth and smile the most conservative, natural, long-lasting, and beautiful make-over.

Paul Mitrofan

Matthew J Kormylo Dentistry are the most professional and caring dentist office I’ve been to. They know what they are doing, there is no up selling, really take care of you. Bringing my whole family here. It’s take me decades to find a dentist like this.

Michael Nyberg

Dr Kormylo hands down, the best dentist I have ever been to. I just recently had 12 front upper and lower crowns done and he is a master artist when making these crowns. They are much more beautiful than my original teeth. He truly cares for his patients, is a good listener and has the highest standards.

Joanne Owens

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