Prosthodontic treatments are complex and meticulous. Though it is up to the prosthodontist to provide treatment that is functional and aesthetically pleasing, it is up to the patient to ensure the final result lasts as long as it is designed to. Like natural teeth and gums, dental prosthetics require ongoing care to safeguard them against discoloration, damage and premature wear. Did you know… Did you know that right now, approximately 15 million people in America have one or more crowns and bridges to replace missing teeth? An estimated 3 million people have dental implants, which represent the fastest growing tooth replacement option in the U.S. In fact, a half million people get dental implants every year and enjoy a success rate of 98 percent. (more…)
Because prosthodontists specialize in the replacement and restoration of the teeth, patients are often referred to them by general dentists or other oral health specialists, such as a periodontist. A prosthodontist carries out complex treatment plans that require accurate diagnostics and exact pre-treatment planning. The diagnostic process guarantees complete precision during the treatment phase, ensuring that patients achieve complication-free results. Did you know… that prosthodontists work closely with other dental specialists to reconstruct their patients’ smiles? There are many reasons that patients require the expertise of a prosthodontist, whether to restore deteriorated teeth, repair mouth traumas, or even provide cosmetic oral enhancements. Frequently Asked Questions What types of conditions can a prosthodontist diagnose? Prosthodontists have a broad understanding of many conditions that affect the mouth and surrounding tissues. You may be referred to a prosthodontist for a diagnostic work up if you have problems such as TMJ, severe snoring, or sleep apnea. A prosthodontist may also treat you if you need reconstructive oral surgery due to oral deterioration or treatment for oral cancer. How will I receive a prosthodontic diagnosis? Prosthodontists have a wide array of tools available that are capable of diagnosing even the most complex conditions. From traditional x-rays and visual examinations to highly advanced digital oral mapping and oral cancer screening technology, your prosthodontist’s goal is to identify the cause of oral deterioration and develop the most effective treatment plan to prevent its progression, restore oral function and aesthetics, and prevent future recurrences of the disease. How do I know if I should visit a prosthodontist for a diagnostic appointment? Prosthodontists specialize in esthetic and reconstructive dentistry. You may benefit from a diagnostic appointment if you want to improve the cosmetic appearance of your smile, have damaged teeth, have missing teeth, are interested in dental implants, experience difficulty when chewing, wear dentures, or need a total mouth makeover/reconstruction. Contact our office today for more information and to schedule an appointment to discuss your symptoms.
Dr. Marshall Fagin, part-time Clinical Professor in Graduate Prosthodontics, was the recipient of the prestigious Frank Stone Award from the Erie County Dental Society, presented to him by classmate Dr. Tom Kenjarski, January 5th following dinner at the Greatbatch Pavillion of the Darwin Martin House Complex. Criteria for selection is based on: Outstanding contributions to the dental profession in Erie County through teaching, patient service, dental research, organized dentistry or community service; Must be a role model for the dental profession, inspiring his colleagues and mentors younger dentists to become all that they are capable of being; Demonstrates a high level of involvement in the dental profession and organized dentistry as well as the local community; and Is an effective communicator for the profession and represents the highest personal standards of integrity, compassion and moral character. Dr. Fagin shared his reflections and beliefs on his passion for his profession, striving for excellence, mentorship to dental students and younger dentists, the rewards of teaching, giving to the community and to organized dentistry, supporting UB’s School of Dentistry, and on the gratification that comes from the letters and hugs of appreciation from patients whose lives have been touched forever by what he and his colleagues create each day. He wanted to be inspirational to his fellow colleagues to ignite their own torch and get involved. This was well exemplied by many examples from Dr. Fagin’s life and his visions for the future. He thanked many who had guided and inspired him, amongst which included UB Professors Dr. Milton Brown and Dr. Jim McMullen, as well as his wife Gail and children Randy and Sheri. THANK YOU TOM. THE BOND I FEEL WITH YOU MAKES THIS EVENING THAT MUCH MORE SPECIAL. GAIL & I RELISH THE FRIENDSHIP WE HAVE SHARED BOTH PERSONALLY AND PROFESSIONALLY WITH YOU AND JOANNE SINCE DENTAL SCHOOL. AND TO HEMANT, CONGRATULATIONS ON A GREAT YEAR. IT’S BEEN A REAL PLEASURE WORKING WITH YOU ON CE PROGRAMS. TO MY FRIENDS AND COLLEAGUES, MANY OF WHOM ARE HERE TONIGHT BEING RECOGNIZED FOR YOUR MANY YEARS OF DEDICATION TO OUR PROFESSION, LET ME CONGRATULATE YOU AND SHARE WITH YOU ALL SOME OF MY REFLECTIONS. I HAVE BEEN FORTUNATE ENOUGH TO HAVE HAD MANY GREAT MENTORS, ALL TO WHOM I AM SO VERY GRATEFUL. I HAVE ALWAYS BELIEVED THAT THE GREATEST GRATIFICATIONS IN LIFE COME FROM GIVING BACK, GIVING OF YOURSELF AND WATCHING OTHERS GROW AND PROSPER FROM IT. I BELIEVE THAT EVERY ONE OF US HAS THE POTENTIAL TO RISE TO THE LEVEL OF ‘MASTERY’ IF WE ARE PASSIONATE FOR WHAT WE DO, COMMITTED TO STRIVE TOWARDS A LEVEL OF EXCELLENCE IN WHAT WE DO, HAVE A WRITTEN VISION OF WHAT THAT IS AND HOW TO GET THERE, AND HAVE MENTORS TO CONTINUOUSLY TEACH US ALONG THE WAY. I BELIEVE ALL OF YOU CAN BE INSPIRATIONAL TO OUR YOUNGER DENTISTS TO LEARN THE REWARDS THAT COME FROM BEING INVOLVED IN ORGANIZED DENTISTRY AND TO ALSO TEACH TECHNIQUES, TREATMENT PLANNING OR THE BUSINESS OF DENTISTRY. I LOVE TEACHING AND GROWING MY COLLEAGUES. THIS KEEPS ME INSPIRED. I AM SO VERY GRATEFUL TO THOSE WHO HAVE TAUGHT AND INSPIRED ME, LIKE MILTON BROWN AND HOWARD S. PAYNE, WHO INSPIRED ME TO GO INTO PROSTHODONTICS, JIM MCMULLEN WHO INSPIRED ME TO GO TO BOSTON UNIVERSITY FOR MY PROSTHODONTIC RESIDENCY AND TO RETURN TO BUFFALO, TO MANY INCREDABLE MENTORS FROM BOSTON WHO SHAPED MY PHILOSOPHY AND INSPIRED MY PASSION FOR EXCELLENCE AND STAYING ON THE CUTTING EDGE, TO WAYNE JARVIS WHO RENEWED MY EXCITEMENT FOR IMPLANT DENTISTRY AND INTRODUCED ME TO CARL MISCH IN 1989. CARL HAS CONTINUED TO MENTOR AND INSPIRE ME TO THIS DAY. TO LOU CIANCIOLA, A FABULOUS PERIODONTIST FROM ROCHESTER AND HERE WITH US TONIGHT ….LOU, YOU HAVE HELPED TO KEEP ME INSPIRED FOR SO MANY YEARS WITH OUR ROCHESTER STUDY CLUB, AND HAS TAUGHT ME SO MUCH ABOUT THE ART OF TEACHING AND FUTURISTIC THINKING. YOU ARE TRULY A GREAT FRIEND AND SO DESERVING OF THIS YEAR’S 7TH DDS’s ‘GREENWOOD AWARD’ THAT YOU ARE BEING HONORED WITH NEXT MONTH. I THANK MANY OF YOU HERE FOR ALLOWING ME THE PRIVILAGE OF SERVING BOTH THE ECDS AND 8TH DDS BOARDS FOR SEVERAL YEARS. I REMEMBER FRANK STONE WELL, WHICH ADDS TO MAKING THIS NIGHT THAT MUCH MORE SPECIAL. ONE OF MY MOST FAVORITE POSITIONS WAS SERVING AS CHAIRMAN OF THE LABORATORY RELATION COMMITTEE, WORKING TO BUILD THOSE RELATIONSHIPS, RECOGNIZING HOW MUCH WE CAN LEARN FROM EACH OTHER. AND CO-CHAIRING CHILDREN’S DENTAL HEALTH MONTH WITH DICK COSTANTINI WAS A BALL, ESPECIALLY THE TIME WE WERE ON THE COMMANDER TOM SHOW WITH OUR KIDS! ANOTHER ORGANIZATION DEAR TO MY HEART IS ALPHA OMEGA DENTAL FRATERNITY. LOCALLY AO SERVES US HERE EDUCATIONALLY, PROVIDES OUR DENTAL STUDENTS AT BUFFALO WITH GREAT LEADERSHIP TRAINING, EMOTIONAL AND DIDACTIC SUPPORT IN SCHOOL, ALONG WITH NETWORKING OPPORTUNITIES FOR RESIDENCIES AND JOBS AFTER THEIR GPR’S. ALL OF YOU …… I ENCOURGE YOU TO FIND THOSE NICHES THAT EXCITE YOU, BUT HOW OFTEN DO YOU THINK ABOUT HOW YOU CAN TAKE ACTION THAT CAN CHANGE THE FUTURE…I REMEMBER WELL THE CHALLENGE OF INTRODUCING ROOT FORM IMPLANT DENTISTRY TO THE DENTAL SCHOOL IN THE LATE 80’S WITH MY GOOD FRIEND JIM MCMULLEN, BEING THOUGHT BY MANY TO BE TOO ‘EXPERIMENTAL’. IT WAS AN UPHILL BATTLE, BUT IN TIME WE GOT IT DONE AND LOOK AT IMPLANT DENTISTRY TODAY. COMPUTERS AND DIGITAL DENTISTRY IS…
Dr. Marshall Fagin, Prosthodontist and team, Williamsville, NY, received the coveted “Eagle Award” in Scottsdale, Arizona from Mercer Advisors, a national practice management company for dentistry. This is the highest award given by Mercer. During the presentation of this award to Dr. Fagin and his team, they were told that their coach sees them as a team fully aligned towards their vision. Dr. Fagin was described as a great leader who consistently illustrated his ability to inspire his team to new levels of accomplishment. Dr. Fagin has established a reputation in Western New York for his excellence in rehabilitative dentistry, cosmetic dentistry and implant dentistry. They were also told that to earn this award, Dr. Fagin’s team efforts helped their practice to grow significantly through difficult economic times. Much of this growth comes from patient and doctor referrals. They act on their vision and have learned that being accountable at many levels leads to better outcomes, creating dramatic results both in life and in the practice.
Click on a topic to learn more. What are Alternative Esthetic Restorative Options for Patients with Limited Budgets? I Need a Facelift and a New Smile. Where Do I Begin? Do I Really Need a Comprehensive Dental Exam? As a Prosthodontic Specialist, What Gives You Passion For Your Work? Dentures With Advanced Periodontal Disease Can Implants Help Me With Orthodontics? Dentures vs. Implants Nervous About Results Saving Chipped, Worn-Down Teeth Periodontal Disease with Bone Loss Getting a Good Color Match for Crowns Challenging Dental Restorations Should I See a Prosthodontist for My Dental Implants? Am I a Candidate for Dental Implants? Teeth Damage from Tetracycline
December, 2007 Our patients have but one regret…Not seeing us sooner! Patient Bill Meehan wrote “…too many of us suffer in silence too long before moving ahead with the appropriate action…I’m really happy with my new smile…it’s nice to feel better about myself and my overall dental health”. As a Prosthodontist, specializing in Cosmetic Smile Makeovers, major Reconstructive Dentistry, and Implant Restorations, Dr. Fagin says “every day renews my passion for providing the best for our patients”.
A prosthodontist performs reconstructive and cosmetic dental treatments that are designed to enhance the appearance and functionality of the teeth. A person who undergoes prosthodontic treatment will typically experience long-lasting results that look natural and restore the patient’s ability to chew and speak normally. (more…)
All-on-4 implants are revolutionizing the way dentists replace missing teeth. For years, patients have been choosing dental implants as permanent tooth prosthetics. But instead of placing as many as 10 implants into the gums for traditional dental implants, all-on-4 implant therapy makes it possible to secure all of the teeth to just four dental implants. Unlike traditional implants, which are placed vertically, all-on-4 implants are placed at an angle, which increases their strength and allows them to better support multiple prosthetics. The benefits of all-on-4 implants are significant, including a faster single-visit implant placement process that is minimally invasive and usually prevents the need for bone grafting. Did you know… that all-on-4 dental implants are placed while you are fully sedated? That means that you will have little or no memory of the procedure; and because there are fewer implants, you are also likely to experience an easier recovery period. When you choose all-on-4 implants to replace your missing or damaged teeth, you will gain a permanent, non-removable solution that looks and functions like a real tooth. In many cases, all-on-4 implants can last for several decades, or even a lifetime. Frequently Asked Questions Am I a candidate for all-on-4 implants? You may be a candidate for all-on-4 dental implants if all or nearly all of your teeth are missing or badly damaged. Implants placed early after tooth loss can help prevent bone atrophy and also reduces the need for bone grafting. To find out more about all-on-4 dental implants, schedule a consultation with your dentist. What should I expect if I get all-on-4 dental implants? Your damaged teeth will be extracted to make room for your new implants. When the time comes to place your implants, you will be asked to avoid eating and drinking the night before and day of your procedure, as you will be fully sedated for its duration. A minimum of four implants will be strategically placed into the supporting bone beneath your gums. The gums will be sutured closed to allow the implants time to fuse with bone and heal. Several months later, you will return to have your tooth prosthetics secured to the implants where they will remain permanently. Will I need to follow any special care instructions after I get all-on-4 implants? Dental implants have a very high success rate, but there are some special care instructions you will need to follow after having them placed. It is normal to experience some pain and swelling after your procedure, though you may treat discomfort with over the counter medications or pain medications prescribed by your dentist. You may also need to rinse the treated area with a special solution several times each day and avoid using a straw. You may also be provided with an antibiotic and a list of temporary diet restrictions that will help you prevent infection.
Dental implants are surgical-grade root devices that support permanent tooth prosthetics that are manufactured to last a lifetime. These artificial roots are anchored in the bone beneath the gums where they become fused into the jaw. A crown is mounted atop the implant for a long-lasting and natural looking smile. Many dentists and patients prefer dental implants because they offer the same function as natural teeth and also help prevent bone atrophy in the jaw. Dental implants may be used to replace a single missing or damaged tooth or to restore an entire smile. Did you know… that approximately 30 million people live with no natural teeth in one or both jaws? But more and more dental patients are opting for dental implants as a means of tooth replacement. The American Academy of Implant Dentistry reports that 3 million people currently have dental implants – a number that is rapidly growing by about 500,000 per year. Modern titanium implants were first developed in the 1950’s, but archeologists have determined that ancient Egyptians and Mayans were the first cultures to implant artificial teeth. Frequently Asked Questions Are dental implants right for me? You may qualify for dental implants if you have missing, broken or severely decayed teeth and are in relatively good overall health. The only way of determining your eligibility for implants is to consult with an oral care provider to identify whether you have adequate bone support and healthy gums that will support the new tooth structure. What should I expect if my dentist and I decide dental implants are right for me? The placement of dental implants is a multi-step process that typically takes between 6 and 9 months to complete. It begins with a surgical procedure during which a titanium rod is placed where a previous natural tooth root once was. The gums are sutured shut over the implant, where is will stay for several months while it heals and begins fusing with the surrounding bone. Due to the nature of implant placement and its average procedure time of between 1 and 2 hours, you’ll be sedated and/or anesthetized for the duration of the treatment. At the conclusion of the healing period, you’ll return to be fitted for permanent crowns and have them placed. What type of post-treatment care will I require? It is normal to experience some discomfort, including bruising and swelling following a dental implant procedure. However, inflammation and pain may be managed with over-the-counter medications, hydrocodone, or codeine. You may be asked to eat only soft foods for approximately 2 weeks until the surgical site heals.
Dental crowns and bridges are custom-fitted tooth prosthetics that are used to replace or restore damaged or missing teeth. Crowns – also known as caps – are fixed over the surfaces of natural tooth structures or dental implants. Bridges are used to fill in the gaps left by missing teeth and are anchored in place by the natural teeth or crowns nearest the empty space. Both crowns and bridges are non-removable and must be cemented in place by a licensed dentist. Patients who get crown or bridges to restore their smiles achieve both the function and appearance of natural, healthy teeth. Did you know… that the Etruscan civilization were the first to use crowns as a means of restoring damaged teeth? In fact, the materials they used – ivory, gold, and bones – were still the standard in dentistry as recently as the 20th century, when porcelain crowns were first invented. Today, crowns and bridges are customized specifically for the patient’s bite and can usually be placed in as little as one or two dental visits. With proper cleaning and regular dental check-ups, crowns and bridges can last many years, or even a lifetime. Frequently Asked Questions Is a crown or bridge right for me? If you have a tooth that is damaged or decayed, but still intact, a dental crown may be right for you. If your tooth is missing, but its former position is surrounded by other tooth structures, a bridge may be the solution for you. Schedule an office consultation to determine whether you could benefit from crowns or bridges. What should I expect when I have my crown or bridge placed? If you are a candidate for a crown or bridge, your teeth will be reduced to ensure a proper fit. An impression will then be taken of your bite and used to fabricate a mold for the crown or bridge. If you are choosing porcelain prosthesis, its color will be matched to the natural shade of your other teeth. If a dental lab is making your crown or bridge, you may be fitted with a temporary restoration until the permanent one is ready for placement. Do I need to follow any post-treatment care guidelines? Your teeth will need time to heal following the crown and bridge placement process, so it is normal for you to experience some sensitivity – especially to hot and cold. Additionally, you may experience soreness in the gums surrounding your restorations, though this is usually manageable with ibuprofen and should subside within a few days.
Millions of people have lost all of their natural teeth, leaving most looking for tooth replacement solutions. Of them, many turn to dentures, which remain one of the most common and affordable dental prosthetics used in modern dentistry. If dentures are a part of your practice, make sure you only use a dental lab you can rely on for quality production, quick turnaround, and an accurate fit. Simply extract any damaged or decayed teeth that remain in a patient’s mouth, and take an impression of the patient’s gum line and the roof of his or her mouth. Then, send the results to our lab for the fabrication process. We will have your patient’s new dentures completed and returned to you for fitting as quickly as possible. Premium Denture Technology We are always learning about new technology and techniques for creating highly functional and more attractive dentures. There are many different materials that can be used to fabricate dentures, and we do our best to ensure a natural look and fit. All of our dentures are made with the patient’s individual anatomy in mind. We never compromise quality for value, because there is no acceptable way to cut corners when it comes to your patients’ quality of life. We aim to create dentures that look and feel as natural as possible, allowing patients the confidence to speak clearly and eat with greater confidence. When you choose our lab for your denture fabrication needs, you are choosing to work with a team of technicians and professionals who are committed to the highest standards of service and accuracy. We work hard to stay at the forefront of restorative dental technology and help lead the industry in efficiency and reliability. Practices that work with us learn to expect fast and dependable results, time after time.
Your smile is the first impression others have of you, so it makes sense that you would want it to be bright, white and healthy. According to the American Academy of Cosmetic Dentistry, more than 99 percent of all American adults believe that a smile is an important asset for social situations. Perhaps that is why so many patients are electing cosmetic dental procedures to improve their smiles and boost self-confidence.Did you know…that cosmetic dentistry is more than just teeth whitening? Your cosmetic dentist is also capable of transforming your smile’s shape, color, alignment, as well as filling in gaps and discreetly restoring decayed or damaged teeth with tooth-colored fillings. In fact, modern advancements in cosmetic dentistry have made it possible for patients to achieve nearly perfect teeth with cosmetic enhancements and restorations that are virtually undetectable to friends, family and peers.Book an AppointmentFrequently Asked QuestionsAm I a candidate for cosmetic dentistry?You may be a candidate for cosmetic dentistry if your healthy teeth have imperfections such as discolorations, rotations or spaces between them that you would prefer to be changed to enhance the appearance of your smile. It is important to recognize that esthetic dental treatments are meant to provide a positive change. If you think cosmetic dentistry is right for you, contact Dr. Fagin today to schedule a consultation and allow us to show you digitally what is possible.What should I expect from my cosmetic dental visit?Due to great strides in dentistry, cosmetic, and restorative dentistry can overlap in a single visit. You can expect Dr. Fagin to discuss health implications, as well as esthetics at your appointment.What types of cosmetic treatments are available to me?There are many types of cosmetic treatments available, from in-office teeth whitening to total smile make-overs. The types of treatments available to you will depend on your overall goals, but may include professional whitening, tooth-colored fillings, bonding, crowns, veneers, dental implants ,or removable restorations.What should I expect after receiving a cosmetic treatment?You will receive special care instructions following your treatment. For example, if you have your teeth whitened you should avoid highly pigmented beverages and foods for several days to prevent staining. On the other hand, a dental implant make-over may require some down time, as well as a temporary, limited diet.
Modern dentistry has made it possible for everyone to enjoy a beautiful, white smile. Many patients choose Lumineers to achieve esthetic goals, as the entire procedure is painless, fast and easy. In fact, most patients get the smile they have always wanted in just two dental visits. Lumineers are very thin and customized patient-by-patient. Each unique set is created to bond directly to natural teeth, leaving as much of the natural tooth structure as possible. There is no pain or sensitivity following placement of Lumineers, and the results are proven to last for more than 20 years. Did you know… that Lumineers are less painful and much less invasive than getting veneers? Patients who get veneers are choosing an irreversible procedure that strips away a significant portion of the natural teeth. Patients require shots to be anesthetized, and many are left with pain and sensitivity. With Lumineers, there are no shots and no drills, and patients get to keep nearly all of their original teeth without having them reduced. What’s more is that Lumineers leave patients with a bright and beautiful smile in just two visits – without any post-treatment pain and sensitivity. Frequently Asked Questions Am I a candidate for Lumineers? Lumineers can be used to treat teeth with gaps or teeth that are discolored, misshapen or otherwise cosmetically unappealing. If you wish you could change the imperfections in your teeth without damaging your natural teeth, Lumineers treatment could be right for you. Call your dentist for more information and to find out if Lumineers are the esthetic solution you’ve been looking for. What should I expect if I decide to get Lumineers? At your first visit, an impression will be taken of your teeth. That impression is used to fabricate Lumineers just for you. Your dentist will ask you to return at a later date, during which time he or she will carefully texturize the teeth in preparation for bonding. The Lumineers will then be bonded to the teeth using a curing light. You’ll walk out of your dental visit with the brand new smile you’ve always dreamed of having. Are there any special instructions for caring for my new Lumineers? Lumineers are made of very thin porcelain. Caring for them does not require a special diet, but it is recommended that wearers avoid biting down on hard objects, such as ice. Like natural teeth, Lumineers are also subject to staining; so avoid repetitious consumption of highly pigmented foods and beverages.
Teeth whitening procedures are used to brighten the appearance of a patient’s smile – sometimes by as many as 5 to 10 shades in a single session. According to the American Dental Association, teeth whitening procedures have become some of the most popular esthetic dental treatments among patients throughout the country, including. Professional teeth whitening services can be performed in an office setting or prescribed for take-home use by a patient. In comparison to over-the-counter teeth whitening treatments, professional whitening uses stronger whitening agents that deliver faster and more effective results. Did you know… that the teeth naturally darken as we age? Furthermore, certain foods, beverages, medications and habits can contribute to a darker, yellowed, or stained smile. However, it is possible to erase years of stains in a single professional whitening session and sustain those results for many years with proper maintenance. According to the American Academy of Cosmetic Dentistry, professional whitening is best maintained by a combination of good oral care and take-home whitening treatments as recommended by your dentist. Frequently Asked Questions Am I a Candidate for Teeth Whitening? You may be a candidate for professional teeth whitening if you are experiencing discoloration, but otherwise have healthy teeth and healthy gums. Schedule a consultation with a dentist to find out if tooth whitening could be right for you. Some patients, such as those who are pregnant or sensitive to whitening agents, may not be candidates for professional whitening. What Should I Expect When I Get My Teeth Whitened? Teeth whitening consists of a thorough cleaning and polishing of the teeth, with all debris carefully removed. Your dentist will then protect your gums before applying a whitening agent to the surface of your teeth. The product will be activated and left on the teeth for several minutes before being washed off with water. Your results will vary according to the natural shade of your teeth and degree of discoloration, but it is normal for patients to experience a lightening of several shades in a single visit. What Type of Post-Treatment Care is Required After Having My Teeth Whitened? It is normal to experience some tooth sensitivity following a professional whitening treatment. You may be instructed to avoid consuming highly pigmented beverages for at least 24 hours to prevent the teeth from becoming stained again. Examples include tea, coffee and wine. Depending on your results and long-term teeth whitening goals, you may also be sent home from your procedure with an at-home whitening kit for later use. At Home Teeth Whitening