Diagnostic

• Dental Examination
  As part of a comprehensive exam, the dentist will perform a screening for oral cancer. To start, the dentist will review the patient’s medical and dental histories and ask if there have been any changes to his or her oral health or overall health. The dentist will then carefully check in and around the oral cavity as well as the head and neck area for any of the following signs or symptoms that may indicate the presence of a problem...
• Oral Cancer Screening

Preventive

• Teeth Cleaning
  Tooth decay, also known as dental caries, is one of the most prevalent diseases affecting both children and adults and is second only to the common cold in frequency. According to the World Health Organization 60-90% of children worldwide, and nearly 100% of adults have dental cavities. Although tooth decay is a worldwide epidemic, it is also a condition that is largely preventable with effective oral hygiene practices, a healthy diet as well as routine checkups and professional dental cleanings.
• Fluoride Treatment
  As an added level of protection against dental decay, it is recommended that children receive periodic fluoride treatments as part of a program of preventive dental care. Fluoride is a naturally occurring mineral that helps to prevent cavities by making the hard outer enamel of the teeth more resistant to the acids produced by the harmful sugar processing bacteria in dental plaque. It can also help to remineralize the teeth to reverse incipient decay.
• Dental Sealants
  As part of a pediatric dental program of preventive care, the dentist may recommend the application of dental sealants. These thin, plastic-like coatings painted onto the biting surfaces of the newly erupted permanent back teeth provide your child with an added level of protection through the cavity-prone years. Covering the pits, fissures and grooves in the hard to reach back teeth, dental sealants prevent decay-causing bacteria and food particles from accumulating in these vulnerable areas. Sealants may also be useful in areas of incipient dental decay to stop further damage from occurring.

Restorative

• Fillings
  For many years, amalgam fillings, more commonly referred to as “silver fillings,” have represented the standard of care in rebuilding the form and function of a tooth that has been treated for dental decay. Composed of a combination of metals that include silver, tin, mercury and copper, dental amalgam has both the strength to withstand the heavy forces generated during chewing as well as the durability to retain its integrity over time. Although not as aesthetically pleasing as other types of restorations, amalgam fillings are less likely than some other types of fillings to break or wear down over time.
• Resin Composite
  While in the past, many inlays and onlays were caste from gold; today’s dental inlays and onlays are typically custom made of either the highest grade of dental porcelain or composite resins. In addition to providing an exact match to the color of tooth for a cosmetically pleasing result, inlays and onlays have the distinct advantages of being more durable than other fillings, preserving more underlying tooth structure and actually strengthening the tooth so that it can bear up to 50 to 75 percent more chewing forces.
• Veneers
  Crowns are sometimes confused with veneers, but they are quite different. Veneers are typically applied only to relatively small areas.
• Crowns
  The intraoral scanner provides a far more pleasant office experience for the patient than the conventional methods of taking dental impressions. Compatible with multiple digital systems, the intraoral scanner allows for the seamless and efficient generation of dental models for the custom fabrication of dental prostheses such as crowns as well as orthodontic aligners. With the iTero Intraoral Scanner, the practitioner consistently obtains more precise information for more predictable results and better outcomes of care.
• Bridges
  A fixed bridge replaces a missing tooth or teeth. It is called a fixed bridge because it is not removable. A bridge is a structure, supported by teeth on either side of a space. It spans the gap between teeth, just as a bridge spans a river.
• Dental Bonding
  If a tooth has been significantly damaged by decay or injury or if it is too misshapen, undersized, or darkly stained to be restored with fillings, dental bonding or veneers, a full coverage restoration is typically required. Known as a dental crown or “cap,” a full coverage restoration is custom designed and fabricated by the dentist to fit over the damaged tooth to recreate a healthy and natural appearance and to reestablish the function of the tooth. Beyond restoring the form and function of the tooth, a dental crown serves to strengthen and preserve the underlying tooth so that with proper care it can be maintained for many years.

Endodontics

• Root Canal Treatment
  A root canal procedure is considered one of the most effective methods of saving and retaining a tooth that has been severely compromised by dental decay or injury.

Periodontics

• Periodontal Surgery
  If you're diagnosed with periodontal disease, your periodontist may recommend periodontal surgery. Periodontal surgery is necessary when your periodontist determines that the tissue around your teeth is unhealthy and cannot be repaired with non-surgical treatment. Following are the four types of surgical treatments most commonly prescribed...

Prosthodontics

• Dentures
  A removable bridge, more commonly known as a denture, is a removable replacement for missing teeth and adjacent tissues. It is made of acrylic resin, sometimes in combination with various metals.
• Overdentures
  An overdenture is a removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture.

Implants

• Dental Implants
  Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants.

Oral and Maxillofacial Surgery

• Oral Surgery
• Jaw Surgery
  While most malocclusions will respond to the appropriate orthodontic treatment, some require a combination of orthodontic treatment and orthognathic surgery to improve the skeletal jaw relationships.
• Flap Surgery
  While a surgical procedure known as flap surgery during which the tissue is surgically reflected away from the teeth and bone so that the area can be treated before the tissue is sutured back into place, is typically performed, some practitioners are now using soft tissue laser procedures to reduce pocket depth.
• Gum Surgery
  Gum disease is typically the result of inadequate or ineffective oral hygiene practices that lead to the accumulation of dental plaque, which is sticky film that is colonized by oral bacteria. The harmful bacteria and the products they produce provoke a defensive, inflammatory response in the gums. When this inflammation is not resolved, tissue damage ensues and spaces between the gums and teeth that are known as periodontal pockets develop. As the periodontal pockets deepen, the bacteria become more difficult to remove and the gaps between the surface of the teeth and gums get larger. When pocket depth increases to the point of being beyond the reach of deep cleanings and other conservative methods of care (5mm or more), gum surgery to clean and treat the damage to gums and underlying bone is recommended.
• Tooth Extractions
  There are many dental issues, which can affect the positions of the teeth and jaws that require orthodontic treatment to resolve. A malocclusion may be due to crowding, spacing, problems with jaw development, or the failure of certain teeth to erupt into their proper positions. Harmful oral habits such as finger sucking or tongue thrusting can also cause bite problems as well as the drifting of teeth into the unrestored spaces left by dental extractions or tooth loss. Sometimes, teeth develop in the jawbone facing in directions that prevent them from erupting at all. These teeth are referred to as impacted.
• Bone Grafting
  Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee.) Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum and protect the bone graft and encourage bone regeneration. This is called guided bone regeneration or guided tissue regeneration.

Orthodontics

• Orthodontics

General

• Teeth Whitening
  Whitening of the teeth is performed for patients who desire a brighter smile. Tooth whitening can be performed to reduce discoloration and staining, or simply to provide the patient with whiter, brighter teeth.
• Cosmetic Dentistry
• General Dentistry
  Dr. Demirdjan grew up in Middle Village. Upon completion of his training he had the opportunity to establish his practice and provide dental care in his hometown. It was a dream come true. A graduate of Resurrection Ascension and The Bronx High School of Science, Dr. Demirdjan received his BS from Adelphi University and then attended the prestigious New York University College of Dentistry. Following Dental School Dr. Demirdjan completed a 2 year residency in General Dentistry at The Brookdale University Hospital where he was awarded "Outstanding First Year Resident" and was also selected to be Chief Resident. As a resident Dr. Demirdjan realized he had a particular interest in Dental Implantology and was admitted to the Oral Implantology & Biomaterials Fellowship at The Brookdale University Hospital Medical Center. As an Implant Fellow he spent two years learning about Implant Dentistry, researching, lecturing and publishing under the direct guidance of world renowned implant pioneer Dr. Norman Cranin.