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Leonard R. Ciuffreda, Jr., D.D.S., P.A. d.b.a Remarkable Grins Notice of Privacy Practices THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect February 16, 2026 and will remain in effect until we replace it. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law, and to make new Notice provisions effective for all protected health information that we maintain. When we make a significant change in our privacy practices, we will change this Notice and post the new Notice clearly and prominently at our practice location, and we will provide copies of the new Notice upon request. You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice. HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU We may use and disclose your health information for different purposes, including treatment, payment, and health care operations. For each of these categories, we have provided a description and an example. Some information, such as HIV-related information, genetic information, alcohol and/or substance use disorder treatment records, and mental health records may be entitled to special confidentiality protections under applicable state or federal law. We will abide by these special protections as they pertain to applicable cases involving these types of records. Treatment. We may use and disclose your health information for your treatment. For example, we may disclose your health information to a specialist providing treatment to you. Payment. We may use and disclose your health information to obtain reimbursement for the treatment and services you receive from us or another entity involved with your care. Payment activities include billing, collections, claims management, and determinations of eligibility and coverage to obtain payment from you, an insurance company, or another third party. For example, we may send claims to your dental health plan containing certain health information. Healthcare Operations. We may use and disclose your health information in connection with our healthcare operations. For example, healthcare operations include quality assessment and improvement activities, conducting training programs, and licensing activities. Individuals Involved in Your Care or Payment for Your Care. We may disclose your health information to your family or friends or any other individual identified by you when they participate in your care or in the payment for your care. Additionally, we may disclose information about you to a patient representative. If a person has the authority by law to make health care decisions for you, we will treat that patient representative the same way we would treat you with respect to your health information. Disaster Relief. We may use or disclose your health information to assist in disaster relief efforts. Required by Law. We may use or disclose your health information when we are required to do so by law. Public Health Activities. We may disclose your health information for public health activities, including disclosures to: Prevent or control disease, injury or disability; Report child abuse or neglect; Report reactions to medications or problems with products or devices; Notify a person of a recall, repair, or replacement of products or devices; Notify a person who may have been exposed to a disease or condition; or Notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence. National Security. We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to correctional institution or law enforcement official having lawful custody the protected health information of an inmate or patient. Secretary of HHS. We will disclose your health information to the Secretary of the U.S. Department of Health and Human Services when required to investigate or determine compliance with HIPAA. Worker’s Compensation. We may disclose your PHI to the extent authorized by and to the extent necessary to comply with laws relating to worker’s compensation or other similar programs established by law. Law Enforcement. We may disclose your PHI for law enforcement purposes as permitted by HIPAA, as required by law, or in response to a subpoena or court order. Health Oversight Activities. We may disclose your PHI to an oversight agency for activities authorized by law. These oversight activities include audits, investigations, inspections, and credentialing, as necessary for licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws. Judicial and Administrative Proceedings. If you are involved in a lawsuit or a dispute, we may disclose your PHI in response to a court or administrative order. We may also disclose health information about you in response to a subpoena, discovery request, or other lawful process instituted by someone else involved in the dispute, but only if efforts have been made, either by the requesting party or us, to tell you about the request or to obtain an order protecting the information requested. Research. We may disclose your PHI to researchers when their research has been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your information. Coroners, Medical Examiners, and Funeral Directors. We may release your PHI to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also disclose PHI to funeral directors consistent with applicable law to enable them to perform their duties. Fundraising. We may contact you to provide you with information about our sponsored activities, including fundraising programs, as permitted by applicable law. If you do not wish to receive such information from us, you may opt out of receiving the communications. SUD Treatment Information. If we receive or maintain any information about you from a substance use disorder treatment program that is covered by 42 CFR Part 2 (a “Part 2 Program”) through a general consent you provide to the Part 2 Program to use and disclose the Part 2 Program record for purposes of treatment, payment or health care operations, we may use and disclose your Part 2 Program record for treatment, payment and health care operations purposes as described in this Notice. If we receive or maintain your Part 2 Program record through specific consent you provide to us or another third party, we will use and disclose your Part 2 Program record only as expressly permitted by you in your consent as provided to us. In no event will we use or disclose your Part 2 Program record, or testimony that describes the information contained in your Part 2 Program record, in any civil, criminal, administrative, or legislative proceedings by any Federal, State, or local authority, against you, unless authorized by your consent or the order of a court after it provides you notice of the court order. OTHER USES AND DISCLOSURES OF PHI Your authorization is required, with a few exceptions, for disclosure of psychotherapy notes, use or disclosure of PHI for marketing, and for the sale of PHI. We will also obtain your written authorization before using or disclosing your PHI for purposes other than those provided for in this Notice (or as otherwise permitted or required by law). You may revoke an authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing your PHI, except to the extent that we have already acted in reliance on the authorization. YOUR HEALTH INFORMATION RIGHTS Access. You have the right to look at or get copies of your health information, with limited exceptions. You must make the request in writing. You may obtain a form to request access by using the contact information listed at the end of this Notice. You may also request access by sending us a letter to the address at the end of this Notice. If you request information that we maintain on paper, we may provide photocopies. If you request information that we maintain electronically, you have the right to an electronic copy. We will use the form and format you request if readily producible. We will charge you a reasonable cost-based fee for the cost of supplies and labor of copying, and for postage if you want copies mailed to you. Contact us using the information listed at the end of this Notice for an explanation of our fee structure. If you are denied a request for access, you have the right to have the denial reviewed in accordance with the requirements of applicable law. Disclosure Accounting. With the exception of certain disclosures, you have the right to receive an accounting of disclosures of your health information in accordance with applicable laws and regulations. To request an accounting of disclosures of your health information, you must submit your request in writing to the Privacy Official. If you request this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to the additional requests. Right to Request a Restriction. You have the right to request additional restrictions on our use or disclosure of your PHI by submitting a written request to the Privacy Official. Your written request must include (1) what information you want to limit, (2) whether you want to limit our use, disclosure or both, and (3) to whom you want the limits to apply. We are not required to agree to your request except in the case where the disclosure is to a health plan for purposes of carrying out payment or health care operations, and the information pertains solely to a health care item or service for which you, or a person on your behalf (other than the health plan), has paid our practice in full. Alternative Communication. You have the right to request that we communicate with you about your health information by alternative means or at alternative locations. You must make your request in writing. Your request must specify the alternative means or location, and provide satisfactory explanation of how payments will be handled under the alternative means or location you request. We will accommodate all reasonable requests. However, if we are unable to contact you using the ways or locations you have requested, we may contact you using the information we have. Amendment. You have the right to request that we amend your health information. Your request must be in writing, and it must explain why the information should be amended. We may deny your request under certain circumstances. If we agree to your request, we will amend your record(s) and notify you of such. If we deny your request for an amendment, we will provide you with a written explanation of why we denied it and explain your rights. Right to Notification of a Breach. You will receive notifications of breaches of your unsecured protected health information as required by law. Electronic Notice. You may receive a paper copy of this Notice upon request, even if you have agreed to receive this Notice electronically on our Web site or by electronic mail (e-mail). QUESTIONS AND COMPLAINTS If you want more information about our privacy practices or have questions or concerns, please contact us. If you are concerned that we may have violated your privacy rights, or if you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicate with you by alternative means or at alternative locations, you may complain to us using the contact information listed at the end of this Notice. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request. We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services. PRIVACY OFFICIAL NAME AND CONTACT INFORMATION: Privacy Officer Name: Dr. Leonard R. Ciuffreda, Jr. Phone: (732)792-0605 Fax: (732-792-1220) Email: remarkablegrins@gmail.com Address: 215 Gordons Cr Rd #2E Manalapan, NJ 07726 Adopted from the American Dental Association 2026.

Minimal radiation digital dental x-rays in Manalapan, NJ by award-winning dentist Dr. Len Ciuffreda of Remarkable Grins Minimal Radiation Digital Dental X-rays in Manalapan, NJ Incorporating high-end dental technology has maintained the office at the forefront of the profession, and provides state-of-the-art diagnostics that enable you to make the best choices for your dental health care. Early and accurate diagnosis and treatment often results in saving you unnecessary discomfort, time and money by avoiding more extensive treatments. Our advanced digital x-ray system offers this increased diagnostic capability while using extremely minimal radiation – significantly less than traditional dental film. For your additional safety and well being, all patients are protected by a lead apron with thyroid shielding when having x-rays taken.

Accessibility statement General www.remarkablegrinsnj.com strives to ensure that its services are accessible to people with disabilities. www.remarkablegrinsnj.com has invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that every person has the right to live with dignity, equality, comfort and independence. Accessibility on www.remarkablegrinsnj.com www.remarkablegrinsnj.com makes available the UserWay Website Accessibility Widget that is powered by a dedicated accessibility server. The software allowswww.remarkablegrinsnj.com to improve its compliance with the Web Content Accessibility Guidelines (WCAG 2.1). Enabling the Accessibility Menu The www.remarkablegrinsnj.com accessibility menu can be enabled by clicking the accessibility menu icon that appears on the left bottom corner of the page. After triggering the accessibility menu, please wait a moment for the accessibility menu to load in its entirety. Disclaimer www.remarkablegrinsnj.com continues its efforts to constantly improve the accessibility of its site and services in the belief that it is our collective moral obligation to allow seamless, accessible and unhindered use also for those of us with disabilities. Despite our efforts to make all pages and content on www.remarkablegrinsnj.com fully accessible, some content may not have yet been fully adapted to the strictest accessibility standards. This may be a result of not having found or identified the most appropriate technological solution. Here For You If you are experiencing difficulty with any content on www.remarkablegrinsnj.comor require assistance with any part of our site, please contact us during normal business hours as detailed below and we will be happy to assist. Contact Us If you wish to report an accessibility issue, have any questions or need assistance, please contact www.remarkablegrinsnj.com Customer Support as follows: Email: remarkablegrins@gmail.com

Monroe NJ area award winning General Cosmetic Implant Dentistry by Dr Len Ciuffreda voted an Americas Best Dentist Remarkable Grins EMERGENCY DENTAL CARE GENERAL, COSMETIC & IMPLANT DENTISTRY MISSING TEETH? RESTORATIVE DENTAL OPTIONS How can we help you? About Us Monroe, NJ area dental care Thanks so much for visiting our website! With 30 years experience, Dr. Len Ciuffreda has been providing award-winning general, cosmetic, implant & family dentistry in a relaxed, warm & caring environment. Our Manalapan, NJ dental office is conveniently located off of Route 9 to serve the Monmouth County towns of Manalapan, Freehold, Old Bridge, Marlboro, Monroe, Englishtown and surrounding areas. We have great appointment options that fit your schedule - including evening, Saturday, early morning, and daytime appointments! We also participate with most major dental insurance plans. We look forward to meeting you and caring for your dental needs! Call us at 732-792-0605 to schedule an appointment today for dental care in the Monroe, NJ area. Our Services Our Dentists OUR SERVICES Click on a heading below for more information Cosmetic Dentistry Tooth colored fillings, bonding, all porcelain crowns, all porcelain bridges, veneers, dental laminates, in office tooth whitening, at home tooth whitening Implant Dentistry Implant supported crowns, implant supported bridges, implant supported full and partial dentures General Dentistry & Periodontal Care Dental exams, check-ups, cleanings, digital dental radiographs (x-rays), periodontal care, scaling & root planing Options for Missing Teeth Dental Implants, fixed porcelain bridges, partial and full dentures Emergency Dentistry Dental pain, toothache, swelling, pain, infection, cracked / broken teeth Teeth Whitening & Veneers In office tooth whitening, at home tooth whitening, dental laminates / veneers Invisalign The "clear alternative" for adult orthodontic treatment for a beautiful and healthy smile TMJ Disorders & Teeth Grinding Effective, non surgical relief of jaw joint pain, TMJ related headaches, prevention of wear & tooth destruction from grinding Minimal radiation digital x-rays Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist serving the Monroe , New Jersey area Click here to learn more about Dr. Ciuffreda Success Stories Hear what our patients are saying about us: See more great reviews! Contact Us CONTACT US We are open with enhanced infection control protocols to protect your health as we continue to care for your Remarkable Grin! Our Address 215 Gordons Corner Road Suite 2E Manalapan, NJ 07726 conveniently serving the Monroe, NJ area! 732-792-0605 Usual Office Hours Monday 1PM – 8PM Tuesday 1PM - 8PM Thursday 9AM - 5PM Wednesday 9AM-2PM Fridays 9AM - 2PM Saturdays 9AM – 2PM Our Manalapan NJ dental office is conveniently located to care for the dental needs of Monmouth County, including Manalapan, Englishtown, Monroe, Freehold, Old Bridge and the surrounding areas. Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist in Manalapan, New Jersey Click here to learn more about Dr. Ciuffreda

Old Bridge NJ area award winning General Cosmetic Implant Dentistry by Dr Len Ciuffreda voted an Americas Best Dentist Remarkable Grins EMERGENCY DENTAL CARE GENERAL, COSMETIC & IMPLANT DENTISTRY MISSING TEETH? RESTORATIVE DENTAL OPTIONS How can we help you? About Us Old Bridge, NJ area dental care Thanks so much for visiting our website! With 30 years experience, Dr. Len Ciuffreda has been providing award-winning general, cosmetic, implant & family dentistry in a relaxed, warm & caring environment. Our Manalapan, NJ dental office is conveniently located off of Route 9 to serve the Monmouth County towns of Manalapan, Freehold, Old Bridge, Marlboro, Monroe, Englishtown and surrounding areas. We have great appointment options that fit your schedule - including evening, Saturday, early morning, and daytime appointments! We also participate with most major dental insurance plans. We look forward to meeting you and caring for your dental needs! Call us at 732-792-0605 to schedule an appointment today for dental care in the Old Bridge, NJ area Our Services Our Dentists OUR SERVICES Click on a heading below for more information Cosmetic Dentistry Tooth colored fillings, bonding, all porcelain crowns, all porcelain bridges, veneers, dental laminates, in office tooth whitening, at home tooth whitening Implant Dentistry Implant supported crowns, implant supported bridges, implant supported full and partial dentures General Dentistry & Periodontal Care Dental exams, check-ups, cleanings, digital dental radiographs (x-rays), periodontal care, scaling & root planing Options for Missing Teeth Dental Implants, fixed porcelain bridges, partial and full dentures Emergency Dentistry Dental pain, toothache, swelling, pain, infection, cracked / broken teeth Teeth Whitening & Veneers In office tooth whitening, at home tooth whitening, dental laminates / veneers Invisalign The "clear alternative" for adult orthodontic treatment for a beautiful and healthy smile TMJ Disorders & Teeth Grinding Effective, non surgical relief of jaw joint pain, TMJ related headaches, prevention of wear & tooth destruction from grinding Minimal radiation digital x-rays Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist serving the Freehold , New Jersey area Click here to learn more about Dr. Ciuffreda Success Stories Contact Us Hear what our patients are saying about us: See more great reviews! CONTACT US We are open with enhanced infection control protocols to protect your health as we continue to care for your Remarkable Grin! Our Address 215 Gordons Corner Road Suite 2E Manalapan, NJ 07726 conveniently serving the Old Bridge, NJ area 732-792-0605 Usual Office Hours Monday 1PM – 8PM Tuesday 1PM - 8PM Wednesday 9AM - 2PM Thursday 9AM - 5PM Fridays 9AM - 2PM Saturdays 9AM – 2PM Our Manalapan NJ dental office is conveniently located to care for the dental needs of Monmouth County, including Manalapan, Englishtown, Monroe, Freehold, Old Bridge and the surrounding areas. Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist in Manalapan, New Jersey Click here to learn more about Dr. Ciuffreda

Englishtown NJ area award winning General Cosmetic Implant Dentistry by Dr Len Ciuffreda voted an Americas Best Dentist Remarkable Grins EMERGENCY DENTAL CARE GENERAL, COSMETIC & IMPLANT DENTISTRY MISSING TEETH? RESTORATIVE DENTAL OPTIONS How can we help you? About Us Englishtown, NJ area dental care Thanks so much for visiting our website! With 30 years experience, Dr. Len Ciuffreda has been providing award-winning general, cosmetic, implant & family dentistry in a relaxed, warm & caring environment. Our Manalapan, NJ dental office is conveniently located off of Route 9 to serve the Monmouth County towns of Manalapan, Freehold, Old Bridge, Marlboro, Monroe, Englishtown and surrounding areas. We have great appointment options that fit your schedule - including evening, Saturday, early morning, and daytime appointments! We also participate with most major dental insurance plans. We look forward to meeting you and caring for your dental needs! Call us at 732-792-0605 to schedule an appointment today for dental care in the Englishtown, NJ area Our Services Our Dentists OUR SERVICES Click on a heading below for more information Cosmetic Dentistry Tooth colored fillings, bonding, all porcelain crowns, all porcelain bridges, veneers, dental laminates, in office tooth whitening, at home tooth whitening Implant Dentistry Implant supported crowns, implant supported bridges, implant supported full and partial dentures General Dentistry & Periodontal Care Dental exams, check-ups, cleanings, digital dental radiographs (x-rays), periodontal care, scaling & root planing Options for Missing Teeth Dental Implants, fixed porcelain bridges, partial and full dentures Emergency Dentistry Dental pain, toothache, swelling, pain, infection, cracked / broken teeth Teeth Whitening & Veneers In office tooth whitening, at home tooth whitening, dental laminates / veneers Invisalign The "clear alternative" for adult orthodontic treatment for a beautiful and healthy smile TMJ Disorders & Teeth Grinding Effective, non surgical relief of jaw joint pain, TMJ related headaches, prevention of wear & tooth destruction from grinding Minimal radiation digital x-rays Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist serving the Englishtown , New Jersey area Click here to learn more about Dr. Ciuffreda Success Stories Contact Us Hear what our patients are saying about us: See more great reviews! CONTACT US We are open with enhanced infection control protocols to protect your health as we continue to care for your Remarkable Grin! Our Address 215 Gordons Corner Road Suite 2E Manalapan, NJ 07726 conveniently serving the Englishtown, NJ area 732-792-0605 Usual Office Hours Monday 1PM – 8PM Tuesday 1PM - 8PM Wednesday 9AM - 2PM Thursday 9AM - 5PM Fridays 9AM - 2PM Saturdays 9AM – 2PM Our Manalapan NJ dental office is conveniently located to care for the dental needs of Monmouth County, including Manalapan, Englishtown, Monroe, Freehold, Old Bridge and the surrounding areas. Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist in Manalapan, New Jersey Click here to learn more about Dr. Ciuffreda

Restore missing teeth and get the healthy, beautiful and confident smaile you deserve today. Awayd willing dentistry in Manalapan, NJ by Dr. Len Ciuffreda of remarkable Grins. Call us today at 732-792-0605 Options for Missing Teeth in Manalapan, NJ If you are missing teeth, or have failing / non restorable teeth that will require extraction, there are several restorative options that may be appropriate to restore your smile both esthetically and functionally. DENTAL IMPLANTS BRIDGES REMOVABLE PARTIAL / FULL DENTURES DENTAL IMPLANTS Restoration with dental implants is perhaps one of the most predictable and satisfying treatment alternatives available for patients today! Implant restorations may be used to for single or multiple teeth, or even the complete dentition. Options may consist of restorations that are cemented and/or screw-retained (fixed) or can be taken in and out of the mouth retained with various types of attachments (removable) . Providing coordinated treatment together with a dental surgical specialist and best implant dentist Manalapan NJ , Dr. Ciuffreda is able to replace non-restorable or missing teeth with state-of-the-art implant technology that has an outstanding long-term success rate. There are numerous benefits to dental implants : - Restoration of dental implants is routinely an extremely comfortable stage of treatment, almost never requiring dental anesthesia (i.e. “novocaine”). - In comparison to the significant reduction of tooth structure that would need to be removed from adjacent teeth for a bridge, neighboring teeth do not require any drilling or preparation for an implant restoration. - The surgical component of the implant contributes to the preservation of bone in the area by acting as an “artificial root”. Bone in the jaw will otherwise be lost over time without forces acting on it (through a tooth or an implant). Such loss of bone can become a cosmetic or functional concern. - Implant components consist of all non-organic components, such as titanium and porcelain. This of course means that implants are not subject to decay (getting a cavity). - Implants have an outstanding long-term success rate, with some studies reporting as high as 98%. - Implants more closely duplicate our natural biology of having individual teeth supported by a root-type structure, as compared with a bridge where two or more teeth are joined together with a connected tooth or teeth in the middle. The typical procedure for single tooth dental implant restoration: Following the extraction of the non-restorable tooth – with either local anesthesia (“nocovaine”) or under IV conscious sedation – a titanium implant (“artificial root”) will be gently and comfortably placed into the upper or lower jaw by a dental surgical specialist. Generally within 3-4 months the implant will have successfully integrated with the bone and is now ready for Dr. Ciuffreda to begin restoration. The restoration phase is almost always extremely comfortable, almost never even requires a numbing injection, nor is any drilling necessary! At the initial restorative visit , Dr. Ciuffreda will gently remove a cover screw, take some impressions, and replace the cover screw. At the final appointment, the cover screw is again comfortably removed, the implant abutment (or “post”) is placed, and a dental x-ray is taken to be sure it is positioned perfectly. The abutment (‘post”) and crown are then placed. While the abutment is always screw retained, the implant crown may either be cemented to the abutment or fabricated in conjunction with the abutment to be entirely screw retained. Dr. Ciuffreda is highly experienced in dental implant restoration, encompassing single tooth cases to complete upper and lower full mouth implant restorations / reconstructions. BRIDGES Bridges are one treatment option for the restoration of missing teeth (or failing teeth that require extraction) and are comprised of multiple crowns joined together. Teeth on either side of the space are prepared (reduced) which serve as the anchoring points for the restoration. As with single crowns, bridges are most often fabricated of either special all-porcelain materials (such as zirconia) or porcelain fused over high gold content metal (PFM). All-porcelain bridges typically provide the best cosmetic result as they allow for a degree of translucency as with natural tooth structure, and also eliminate the possibility of the “dark line” effect at the gum line that may sometimes occur with PFM bridges. . Dr. Ciuffreda reviews an x-ray of all bridges prior to final placement and cementation to ensure that they are perfectly fitting and provide the best possible seal to the underlying tooth structure. Bridges provide an esthetically pleasing, strong and functional solution to restore spaces due to tooth loss. REMOVABLE PARTIAL / FULL DENTURES Whenever advisable, Dr. Ciuffreda definitely prefers fixed (that is, non-removable) treatment options such as crowns, bridges and fixed implant restorations because of the superior chewing ability that they provide. However, there are instances where partial or full dentures are indicated clinically, such as if there is inadequate bone for a surgeon to place implants or too few remaining good support teeth for a bridge. Additionally, full or partial dentures may provide a less expensive financial alternative, or they may be used as an interim (temporary / transitional) restoration as part of your overall case. Get the beautiful, healthy smile you deserve. Call us today at 732-792-0605 and see how Dr. Ciuffreda can enhance your Remarkable Grin.

Award-winning dental care in Manalapan, NJ by Dr. Len Ciuffreda of Remarkable Grins. Providing compassionate care for your emergency dental needs Emergency Dental Care in Manalapan, NJ Emergency dental care by an “America’s Best Dentist” in Monmouth County NJ Are you currently experiencing a dental emergency, such as - Tooth pain or sensitivity due to recession, fracture or decay - lost fillings or crowns - Periodontal (gum) irritations or abscesses - Tmj disorders / jaw joint pain - Infections - Cosmetic emergencies such as a broken front tooth, lost filling, veneer or crown Regardless of the cause, severity, or type of pain or cosmetic issue you are experiencing we encourage you to contact our office right away at 732-792-0605 so that we may evaluate your problem promptly, address any discomfort, and provide treatment for you as appropriate. Here's some helpful suggestions: 1. Don’t wait until pain or discomfort progresses and becomes severe to make an appointment; and 2. Call us right when our office hours start ( i.e. - don't wait until the end of the day to call!) so that we can offer you more options for an emergency visit!

Sitemap for Remarkablegrins Dr. Len Ciuffreda in Manalapan NJ general cosmetic implant dentist, one of America's Best Dentists and NJ Top Dentists sitemap Home About Dr Cuiffreda Patient Reviews Awards Office Tour General Dentistry & Periodontal Care Cosmetic Dentistry Teeth Whitening & Veneers Snoring & Sleep Apnea Implant Dentistry Options for Missing Teeth TMJ Disorders & Teeth Grinding Dentistry for Children Emergency Dental Care Minimal Radiation Digital Dental X-rays Sterilization, Disinfection & Infection Control Insurance Participation Financing & Payment Options Website Accessibility Search Results

We participate with most major dental insurances! Award-winning dentistry in manalapan, NJ by Dr. Len Ciuffreda of Remarkable Grins. Dental Insurance As of our last website update, we currently participate with the following insurances and programs for your convenience. Please note that our participation status with any of the plans below is subject to change without notice. Please be sure to verify our participation as needed. We do NOT participate with any Medicare / Medicaid plans. – Aetna PPO - Ameritas PPO – Assurant PPO – Careington – Cigna PPO – Connecticut General PPO – Connection PPO – Delta Direct – Delta Premier – Delta PPO – Dental Call – Empire BC/BS Grins Plus – Fidelio – Fortis – Guardian PPO – Horizon Dental Option - Horizon Family Grins - Horizon Family Grins Plus – Horizon Traditional – Humana PPO – MetLife PPO Principal PPO – Protective 200 / access – Qualident – Signature – Unicare PPO300 – United Concordia PPO – Wellpoint (100, 200, 300)

Care for TMJ disorders and teeth grinding in Manalapan, NJ by Award-winning dentist Dr. Len Ciuffreda of remarkable Grins. Call us today at 732-792-0605 TMJ DISORDERS, HEADACHE & TEETH GRINDING in Manalapan, NJ TMJ Disorders The term “TMJ disorders” (also referred to as TMD), as commonly used by patients, represents a broad array of jaw joint, occlusal, and musculoskeletal conditions of the head & neck. As the classification encompasses a wide range of conditions, there naturally are many signs and symptoms of TMD. Some of the more common ones include: – pain in front of the ear – tender or painful jaw muscles – clicking, popping or crunching noises when opening or closing the jaw – limited opening or locking of the jaw - Headaches or general head / neck pain may also be associated with TMJ disorders. (See the section on headaches below.) Such problems require comprehensive evaluation by a dentist with advanced training in this area. In evaluating a patient with symptoms of a potential TMJ disorder, our office combines the results of your medical history / questionnaire, x-rays, and a detailed examination of the head & neck to arrive at your diagnosis. Referral for imaging such as a CT scan, MRI, or iCAT may be indicated. Due to the potentially complex nature of such disorders which often involve many contributing factors, our treatment approach is one of the whole person as a system to restore harmony and balance to your TM joint / head & neck functioning. Common therapeutic approaches may include the use of an oral appliance, occlusal equlibration (adjusting the “bite”), specific jaw exercises, and the use of moist heat. We may also work with other medical specialists depending upon your individual needs, and may advise referrals for evaluating nutritional considerations, , general exercise, lifestyle, work habits and daily living changes, and stress reduction / relaxation suggestions. We have had tremendous success with our integrative, conservative, non-surgical approach to the treatment of our TMD patients. In fact, this ability to provide such profound relief from chronic debilitating pain is one of the most rewarding aspects of our practice! Headache Headache is one of the most common medical complaints of the U.S. population today and actually accounts for millions of lost workdays each year. Due to the wide range of apparent symptoms and presentations of head pain, the International Headache Society has developed a comprehensive classification in an attempt to categorize these disorders. Our experience in treating these disorders has shown that the large majority of patients who complain of unilateral headache (pain on one side) often have a muscular / myofacial (MPDS) cause of their discomfort; and a large percentage of the time are associated with an actual TMJ (actual joint involvement) disorder. The most common (although not the only) location for this type of headache is around or above one eye, travelling up from the neck on the same side. If there is an associated TMJ disorder and/or bruxism (tooth grinding), an oral appliance is usually essential to achieving relief. Such headaches of muscular origin have been quite successfully treated at our office. Coordinated referral to a physical therapist, occupational therapist, chiropractor, or a well trained massage therapist is often highly beneficial. Dr. Ciuffreda has seen numerous patients who provide a history of “migraine.” Frequently these patients have been placed on prescription migraine medication but have had only limited, if any relief. However, upon examination Dr, Ciuffreda frequently finds that they really have a muscular / myofascial type headache often associated with a TMJ disorder and/or bruxism. that can usually be alleviated without, or with minimal medications as discussed above. RED FLAGS OF HEADACHE Not all headaches are “just headaches”. There are certain signs or symptoms that may indicate a serious underlying cause for headache symptoms. If you experience any of the following it would be highly advisable for you to seek medical consultation promptly: – abrupt onset of different or new type of severe headache – “worst headache you have ever had” – new onset of headache if over 50 years old – worsening of a headache over a period of days or weeks – headache worsened or precipitated by exertion – presence of illness, fever, nausea, vomiting, stiff neck – neurological symptoms (different from classic pre-migraine signs) Teeth Grinding It has been estimated that 30% of adults suffer from tooth grinding, or bruxism. Although some people will grind & clench their teeth during the day as well, bruxism generally occurs during stage 2 of sleep. Problems associated with clenching and grinding may include: - unsightly shortening and chipping of teeth - disruption of naturally protective tooth architecture - tooth sensitivity - accelleration of periodontal bone loss in the presence of gum inflammation - loosening of teeth - headache - TMJ disorders The primary treatment for tooth grinding is to fabricate a custom "night guard" so that during the night you will grind on the oral appliance rather than on your teeth. This will not only protect your teeth from wear and distribute biting 7 clenching forces, but it will also decompress your jaw joint promotog overall TMJ health.

Award winning dentistry in Manalapan, Nj by Dr. Len Ciuffreda of Remarkable Grins. Get the beautiful, healthy and confident smile you deserve today! Snoring & Sleep Apnea in Manalapan, NJ Snoring and sleep related breathing disorders, such as obstructive sleep apnea, certainly can be troublesome issues - mostly for your spouse trying to get his/her own good night's rest! However, sleep related breathing disorders are serious medical conditions that have been found to be strongly associated with: HEART ATTACK STROKE HIGH BLOOD PRESSURE GERD / ACID REFLUX DIABETES If you snore, and especially if you feel tired and sluggish during the day and/or have or have had one of the above health issues, please call us today at 732-792-0605 to schedule an initial consultation. Working in conjunction with your physician, it will be determined whether you are only snoring, or if in fact you have a sleep related breathing disorder. We can help you! Only a trained dentist, such as Dr. Len Ciuffreda, can fabricate a specially designed oral appliance that gently repositions your lower jaw, opening up the space in the back of your throat to facilitate more healthy, unrestricted air flow as you breathe during sleep. Oral appliances are well documented to be highly effective in the treatment of snoring and mild to moderate sleep related breathing disorders such as obstructive sleep apnea. They may also be effective in more severe cases when the alternative is not tolerable. So what is the main alternative? CPAP Although CPAP is still considered the "gold standard" for the treatment of obstuctive sleep apnea and is highly effective, many people stop using it either because it is uncomfortable, or it is unacceptable to them from a social perspective. Dr. Ciuffreda in fact never advises switching from CPAP if you are currently using it - AND are doing so EVERY NIGHT . Whether you have been diagnosed and cannot tolerate your CPAP, are investigating options to help with snoring, or are concerned that you may have a sleep related breathing disorder, call us today to take the first step towards a healthier night's sleep. You, and your spouse, will be glad that you did! Obstructive sleep apnea occurs when there is a collapse of the soft tissue at the back of the throat, effectively stopping breathing and oxygen intake until the brain arouses your body enough to cough and gasp for air. It is like being choked repeatedly throughout the night. Get the restful, healthy ssleep you deserve. Call us today at 732-792-0605