
Dr. Len Ciuffreda
Award-winning General, Cosmetic & Implant Dentistry
215 Gordons Corner Road Ste 2E
Manalapan, NJ 07726
Serving the Manalapan, Monroe, Freehold, Old Bridge, Marlboro, Englishtown and surrounding areas
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- Best Dentist | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
Award winning dentistry in Manalapan, Nj by Dr. Len Ciuffreda of Remarkable Grins. Get the beautiful, healthy and confident smile you deserve today! Remarkable Grins Smile Club Under construction - call our office at 732-792-0605 for details!
- Best Dentist near me | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
Award winning General Cosmetic Implant Dentistry by Manalapan NJ Dentist Dr Len Ciuffreda voted an Americas Best Dentist Remarkable Grins Selected again as one of America's Best Dentists About Us Welcome! At Remarkable Grins we believe that: 1. Our patients deserve the very best dental care; 2. Our patients are not only having an appointment for an examination or for a dental procedure - they are having a comprehensive dental care experience; and 3. We deeply value the long term relationships that develop with our patients. 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. Our Services Our Dentists OUR SERVICES Click on a heading below for more information I need a dentist near me for: 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 No insurance? No problem! Join the Remakable Grins Smile Club for high quality dental care and preventative services at an affordable, discounted rate 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 in Manalapan, New Jersey 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 & Phone Usual Office Hours 215 Gordons Corner Road Suite 2E Manalapan, NJ 07726 732-792-0605 Monday 1PM – 7PM Tuesday 1PM - 7PM Thursday 9AM - 5PM Wednesday 9AM - 2 PM Fridays 9AM - 2PM Saturdays 9AM – 2PM "A dentist near me:" 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.
- Best Dentist Emergency | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
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!
- Best Dentist Children | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
Award-winninng dentistry by Dr. Len Ciuffreda of Remarkable Grins in Manalapan, NJ providing compassionate dental care for children and adults Dentistry for Children in Manalapan, NJ Finding the right dentist to care for your child is important. Although general dentists are trained to treat patients of all ages, not all dental offices are comfortable in providing pediatric dental care. At Remarkable Grins, we enjoy seeing families with children, so most often you can have the convenience of your family’s dentistry provided at one location. This also helps to make your children’s visits even more affordable by avoiding generally higher specialist fees. When complex pediatric dental issues arise, we have an excellent relationship with outstanding pediatric and orthodontic dental specialists to provide the care your child may need. Providing a positive childhood dental experience and encouraging good oral health habits will greatly help set the course for your child’s dental health into adulthood. We strive to make your child’s visit fun and enjoyable, hoping to establish regular office visits and good home care as a lifelong routine. Of course a visit to the “treasure box” or getting one of Dr. Ciuffreda’s famous fossil shark teeth to take home always ends things on a good note! Over the years we have had the privilege of watching many of our pediatric patients grow up before our eyes, go off to college, get married, and start families of their own. We look forward to you and your children becoming part of our dental family!
- Best Dentist near me | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
Award- winning cosemetic dentistry in Manalapan, NJ by Dr. Len Ciuffreda of Remarkable Grins. Repeatedly selected as one of America's best Dentists and the recipient of the David B. Kriser Award for Compassion. Cosmetic Dentistry in Manalapan, NJ Tooth colored (“white”) fillings / bonding Smaller areas of tooth decay are usually restored with fillings. Dr. Ciuffreda almost exclusively uses tooth colored, bonded filling material (also known as “composite”) for these procedures. One aspect of cosmetic dentistry that Dr. Ciuffreda finds particularly rewarding is when he is able to blend a bonded filling into a tooth so that you can’t even tell that a restoration was done at all. The advantages of bonded fillings include : - (as the name implies…) actual bonding of the restoration to the tooth - most times the ability to do a much smaller restoration, thereby conserving natural tooth structure - outstanding esthetics. All Porcelain Crowns Crowns involve the reduction of more tooth structure and may be warranted for several reasons, including: - inadequate remaining tooth structure - fractured (cracked) teeth - following endodontic (root canal) therapy - cosmetic enhancement. All-porcelain crowns typically provide a beautiful, natural 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 traditional porcelain fused to metal (PFM) crowns. At Remarkable Grins. our all porcelain crowns are most often fabricated of state-of-the-art, high-strength and highly esthetic all-porcelain materials such as zirconia and e-max. Dr. Ciuffreda reviews an x-ray of all crowns prior to final placement and cementation to ensure that they are perfectly fitting and provide the best possible seal to the underlying tooth structure. All Porcelain 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, All-porcelain bridges typically provide a beautiful, natural 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 porcelain fused to metal (PFM) bridges. At Remarkable Grins, our all porcelain bridges are most often fabricated of state-of-the-art, high-strength and highly esthetic all-porcelain materials such as zirconia . Dr. Ciuffreda reviews an x-ray of all crowns 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. Porcelain Veneers (Laminates) Porcelain veneers, otherwise known as laminates, are thin shells of porcelain that are most commonly used for cosmetic enhancement. The amount of tooth reduction is much less than that of a crown, and this restoration provides an optimal level of translucency to achieve a natural looking, beautiful smile. Veneers are not as strong as crowns, and are often not indicated following rooth canal therapy, or for teeth with large fractured or decayed areas. Get the beautiful, healthy smile you deserve. Call us today at 732-792-0605 and see how Dr. Ciuffreda can enhance your Remarkable Grin.
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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
- Best Dentist near me | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
Our warm, relaxing and modern dental office is designed for your safety and comfort. Award-winning dentistry in Manalapan, NJ by Dr. Len Ciuffreda of Remarkable Grins Office Tour
- Dr Len Ciuffreda | Best Dentist near me | Manalapan NJ | Remarkable Grins
Award-winning Manalapan dentist Dr. Len Ciuffreda of Remarkable Grins has been repeatedly selected as one of America's best Dentists. Meet Dr. Len Ciuffreda Compassionate General, Cosmetic, Implant & Family Dental Care in Manalapan, NJ At Remarkable Grins we believe that: 1. Our patients deserve the very best dental care; 2. Our patients are not only having an appointment for an examination or for a dental procedure - they are having a comprehensive dental care experience; and 3. We deeply value the long term relationships that we develop with our patients An “America’s Best Dentist” in Monmouth County NJ Dr. Len Ciuffreda is a graduate of New York University College of Dentistry (1995), where he attended under a full academic scholarship after earning his B.S. with honors in Biology from Bucknell University . He made Dean’s List all four years, graduating near the top of his class, and was inducted into Omicron Kappa Upsilon, the National Dental Honor Society . Dr. Ciuffreda was credentialed as a Diplomate of the American Academy of Pain Management in 1999. The National Consumer Advisory Board has recognized Dr. Ciuffreda as one of “America’s Best Dentists” for cosmetic, implant and family dentistry. He has also received national recognition as one of “America’s Top Dentists” for general and cosmetic dentistry by the Consumers’ Research Council of America, and the distinctions of a “New Jersey Top Dentist” and “Monmouth Health and Life Top Dentist” for general dentistry. Dr. Ciuffreda is the recipient of numerous awards, including the David B. Kriser Award for Compassion, the ASDA Award of Excellence, the Pierre-Fauchard Award, the Arthur N. Caplin Award for Removable Prosthodontics, and the American Academy of Oral and Maxillofacial Radiology Award. He has been honored by inductions into Sigma Xi, the Scientific Research Society and Phi Sigma, the Biological Research Society. His research has been published in the Journal of Clinical Dentistry. Dr. Ciuffreda is proud to be a member of OSAP, the Organization for Safety, Asepsis and Prevention which is dedicated to education, research, service, and policy development to promote safety and the control of infectious diseases in dental healthcare settings, and earned his certificate for completion of the OSAP-DALE Foundation DENTAL INFECTION PREVENTION AND CONTROL PROGRAM. Our patients' safety is his top concern! Maintaining active membership in the American Dental Association and Academy of General Dentistry , Dr. Ciuffreda stays current with the latest advances in dentistry by consistently attending post-graduate dental courses and training. He regularly participates in the Forum for Advanced Dental Studies and holds certificates for completion of the Mid-Atlantic Dental Implant Prosthetic Series, the Golden Study Club Implant Series; and the NYU, UMDNJ, and Institute of Advanced TMJ Studies programs in TMJ & Orofacial Pain Disorders. Outside of dentistry, Dr. Ciuffreda holds a Masters in Biblical and Theological Studies from Dallas Theological Seminary, was ordained to the Gospel ministry, and is on staff at Cornerstone Church in Howell, NJ. He enjoys music (guitar, cajon and alto sax) , Civil War history , astronomy, spending time with his family and friends, and is a Snoopy / Peanuts and John Wick fan.
- Best Dentist | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
Award-winning implant dentistry in Manalapan, NJ by Dr. Len Ciuffreda of Remarkable Grins. Restore failing or missing teeth with strong, natural looking dental implants. Get the healthy, beautiful and confident smile you dererve! Call us today at 732-792-0605 Implant Dentistry in Manalapan, NJ 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. Get the beautiful, healthy smile you deserve. Call us today at 732-792-0605 and see how Dr. Ciuffreda can enhance your Remarkable Grin.
- Best Dentist near me | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
Read our outstanding patient reviews to see why Manalapan dentist Dr. Len Ciuffreda of Remarkable Grins has been repeatedly selected as one of America's Best Dentists! Call us today at 732-792-0605 Patient Reviews We deeply value the long term relationships that develop with our patients It's not often you look forward to going to the dentist, but Dr. Ciuffreda, Cindy, and the staff always make the trip to the dentist a fun and friendly one. Not only is Dr.Ciuffreda a skilled dentist, but I also enjoy our conversations about things outside the world of teeth. Highly recommended! - Howard Yang By far the best dentist I have ever had. Dr Ciuffreda does his work with careful diligence, as unto the Lord, and treats each patient as if he was working on Jesus' teeth. He answers every random question I have (such as, what are cavity fillings made of?) and allows me to make my own choices based on comfort level (like my hated of feeling numb; he lets me forego the Novocaine).He's such a gentle dentist that I personally prefer it. The whole staff makes you feel comfortable and at ease. Extremely clean, warm, and professional. You'll love this dentist. - Katie Murphy Imagine this ... I have a pretty significant dental phobia, and, yet, I'm giving Dr. Ciuffreda FIVE stars. If that isn't a resounding endorsement, I don't know what is! He made it clear to me years ago that he completely understands my phobia, and any time I've had a procedure done he has both reassured me and shown amazing compassion. Best of all his skill set and talents are equal to his kindness. The office staff members are fantastic and always make me feel right at home. For having to see someone only a couple times a year, I can honestly say I consider Dr. Ciuffreda a friend. And it still amazes me to this day that I still feel this way, given that anyone with a phobia naturally tends to run FROM what scares them (and that natural instinct is still there for me at the onset of each visit). But ... because of who he is, I am able to face my fears, handle any procedures, and leave the office each time with a beautiful smile on my face :) I am SO grateful. - Ginger Asher Dr Len and staff truly know how to put you at ease. I had a simple procedure done, they made it almost enjoyable! (c'mon it is still the dentist) Dr Len is very good at his craft, he is caring, gentle and very thorough. I recommend him to everyone and my family and I will continue to see him for many years to come. - Marc Ambrose Remarkable grins is an amazing dentist! We all know going to the dentist can be a scary thing no matter what age you are, but Dr. Ciuffreda and Cindy and staff are all so amazing! They make you very comfortable from the moment you walk in the door. He also specializes in pain free dental work. He does such a great job each and every visit. I have never walked out if Dr. Ciuffreda's office not satisfied with the work. I have been seeing Dr. Ciuffreda for probably the past ten plus years and he never disappoints and Cindy is also amazing she is an absolute pleasure! - Alison Pezzi A visit with Dr. Ciufredda and staff actually makes going to the dentist a pleasure. They are always warm, pleasant, and it is always pain free. - Maria Erichsen I have been going to dr. Len C. for few years now. He is very good at what he does, he is the best dentist I ever had and his staff is very friendly and professional. - Yelena Bykova I have been going to Dr. Ciuffreda for 16 years and he never disappoints. Everyone in the office is very friendly and inviting. He is very specific and detail oriented, and has taken great care of my teeth. I highly recommended if you are in a need of a dentist. - Brianna Stoute I found Remarkable Grins a few years ago when I was looking for relief from TMJ disorder pain. Dr Len and staff are compassionate, caring and take the anxiety out of dental visits. - Melissa Vaccaro Dr. Len is a great dentist!! He is caring and very compassionate!! He is very thorough with his patient's needs and gives options of how to proceed!! - Kathleen Drake
- Best Old Bridge Dentist | Old Bridge NJ | Remarkable Grins | Dr Len 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
- Best Dentist near me | Manalapan NJ | Remarkable Grins | Dr Len Ciuffreda
Award-winning gneral, cosmetic and implant dentistry in Manalapan, NJ by Dr. Len Ciuffreda of Remarkable Grins. repeatedly selected as one of America's Best Dentists. Call us today at 732-792-0605 to get the healthy, beautiful & confident smile that you deserve! General Dentistry & Periodontal Care in Manalapan, NJ Routine checkups and cleanings Regular dental checkups and cleanings, along with good home care, are the cornerstone of optimal dental health. Dr. Ciuffreda always schedules an hour for a new patient examination; during which time we will review your medical and dental history including any particular issues or concerns you may have, perform an oral cancer screening, take and review a set of digital radiographs (x-rays), and conduct a full soft tissue/periodontal (gums) and hard tissue (teeth) exam. Dr. Ciuffreda then will review his findings with you, discuss different treatment options, and take whatever time is needed to thoroughly answer your questions about your treatment plan. Most times you will also receive a professional tooth cleaning (prophylaxis) at this visit. Dr. Ciuffreda will recommend a frequency for you to return for regular checkups and cleanings based upon his findings. Generally speaking, we advise seeing our patients at least every 6 months to maintain excellent oral health. Periodontal Care Periodontics is dentistry dealing with diseases of the gums and other structures around the teeth. There is a growing body of research that demonstrates a relationship between periodontal disease and systemic health issues. Periodontal Disease encompasses a progressive range of conditions that has its beginnings as gingivitis – inflammation of the gums surrounding the teeth as a result of bacteria and plaque buildup. Chronic inflammation of the gums can then result in deterioration and loss of the bone that supports the teeth, and ultimately lead to tooth loss. Dr. Ciuffreda is passionate about maintaining the periodontal health of his patients because that is the foundation for any other dental treatment. Initial treatment of periodontal disease most often involves scaling and root planning, otherwise known as “deep cleaning.” This involves gently numbing the region to be treated, and removing plaque and calculus underneath the gum line. Dental Fillings Smaller areas of tooth decay are usually restored with fillings. Dr Ciuffreda almost exclusively uses tooth colored, bonded filling material (also known as “composite”) for these procedures. The advantages of bonded fillings include (as the name implies…) actual bonding of the restoration to the tooth; most times the ability to do a much smaller restoration, thereby conserving natural tooth structure; and of course outstanding esthetics. One aspect of cosmetic dentistry that Dr. Ciuffreda finds particularly rewarding is when he is able to blend a bonded filling into a tooth so that you can’t even tell that a restoration was done at all. Crowns Crowns involve the reduction of more tooth structure and may be warranted for several reasons, including inadequate remaining tooth structure, following endodontic (root canal) therapy, or for cosmetic enhancement. Crowns are most often fabricated of either special all-porcelain materials (such as zirconia and e-max) or porcelain fused over high gold content metal (PFM). All-porcelain crowns 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 PFMs. Dr. Ciuffreda reviews an x-ray is taken of all crowns 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 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 is taken of all crowns 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. 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 isroutinely 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. Full & Partial Removable 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. Root Canal Therapy Root canal (endodontic) therapy is generally indicated when the nerve of the tooth becomes compromised by decay, irreversibly irritated / inflamed, or becomes necrotic (dies). What is often confusing to patients is that teeth that may require root canal therapy are not always painful, but they certainly can be. After making sure the patient is numbed comfortably, root canal therapy involves the removal of the tooth nerve/pulp, cleaning of the canal(s), and filling / sealing of the canals. Following endodontic therapy restoration with a crown is almost always indicated for structural stability and restoration, as the absence of the internal blood vessels within the tooth now leave it dry and brittle, thus more susceptible to fracture. Get the beautiful, healthy smile you deserve. Call us today at 732-792-0605 and see how Dr. Ciuffreda can enhance your Remarkable Grin. Routine checkups and cleanings Periodontal care Dental fillings Crowns Bridges Dental implants Full & partial dentures Root canal therapy