Austin Smile Creations – Austin Dentist Blog

A blog about implant dentistry, cosmetic dentistry, general and family dentistry and a healthy living.

Archive for Westlake Hills reconstructive dentist

Laser Away! Westlake Premier Dentist Introduces New Technology for More Comprehensive Approach to Dentistry for His Patients.

Technology is one hundred percent a language we speak in this twenty-first century. It advances and we adapt and evolve with it as a society. While it remains somewhat controversial, in medicine, technology has proven advantageous. Whether learning the benefits of certain advancements or to discontinue those systems and methods, learning happens. At Austin Smile Creations it is critically important to Dr. Gotun and his team to invest their skills in technology that ultimately delivers comprehensive, high quality dentistry while advancing patients closer to optimal health. Recently, Dr. Gotun and the Austin Smile Creations team invested in a laser to offer that more dynamic, comprehensive approach to dentistry for patients.

A little bit about lasers though, they’ve been used for diverse applications outside the medical world, though many people identify lasers with hair removal and eye surgery in medicine. Excitingly, dentistry itself is becoming more involved with lasers because of the benefits it provides. “It’s amazing how effective a laser procedure is when treating soft tissue abnormalities and periodontal disease in my practice, while synonymously providing no discomfort to patients and increasing healing time tremendously,” says Dr. Gotun. And when considering comfort level in dentistry, little to no discomfort is a thumbs up for patients. So, the success this practice has seen with their newly adopted laser has been substantial.

Below are before and after photos taken for a frenectomy performed with a laser in December 2013. In this particular case, the patient needed the frenulum removed due to the strength of it pulling on the gingivae essential for a future bridge or implant. The Austin Smile Creations team always follows up with patients to check the success of their work shortly after procedures are completed (it’s a major part of their philosophy in patient care). In this case, aforementioned patient came back three weeks after the procedure for a check. As seen below, the patient had completely healed without any bleeding involved, any post-operative medication needed, very slight numbing during the frenectomy required, and no discomfort or change in lifestyle the day after the procedure.

 

Before: 12/9/13                     After: 12/9/13                  3 weeks after: 1/2/14

“If we can obtain these types of results within a few weeks and offer patients treatment options that no longer cause any discomfort during a procedure nor post-operative, you can guarantee it’s a win in my practice,” Dr. Gotun claims. From a dentist who has been practicing for over thirty years, staying current and evolving with new technology has been and will remain to be a testament to this practice’s success. Take note.

Why Cosmetic Dentistry at Austin Smile Creations? It’ll Change Your Life.

The more I learn working for a Master Dentist at Austin Smile Creations in Westlake, TX, the more I see why cosmetic dentistry the way Dr. Gotun approaches it not only makes sense, but literally changes patients’ lives. And I mean literally. I’ve been a bit skeptical in the past about a smile actually changing a person’s life, but I’ve been lucky enough to see the transformation in person. Forget about the level of quality we provide at Austin Smile Creations for a second, cosmetically changing a patient’s smile automatically boosts their confidence and they often don’t even realize it.

At Austin Smile Creations we gauge this transformation by studying a patient’s body language. We are heavy on greeting every patient with a smile, so we notice when patients don’t smile and, yes, we take note of smiles, non-smiles and compensated smiles. This past week we started on the provisional crown phase for a patient, consisting of reconstructing his entire upper arch. Side note, this patient told us at the beginning of this transition he will be our hardest patient to convince that new teeth will make a difference in his life. By the way, we get a lot of these. Prior to creating cosmetic work of this magnitude for this patient, he rarely ever smiled. After we completed seating the provisional crowns, we had the patient come back to get feedback about functionality, aesthetics, and review post-op care instructions. This is all part of the provisional phase of treatment. We never complete the final phase of crowns without proper diagnostics, and provisional crowns allow for any changes. All so we can make sure we hit perfection for the final crown phase or as Dr. Gotun likes to say, we hit Bingo! Needless to say, when this patient walked through the door, he walked through the door with a smile. And we noticed. After all, we’re in the teeth business. I won’t go into all the other details about non-verbal changes the patient exhibited, but in three days the change was obvious and pretty significant.

In thirty years of cosmetic dentistry, Dr. Gotun can attest to how much cosmetic work changes patients’ self-esteem, gets them out of pain, and has a residual effect that ultimately emulates one concept: patients are all together happier. It’s why we love cosmetic, reconstructive, diagnostic dentistry. It not only inspires and motivates us, but we get to witness the quality of our service firsthand through patient satisfaction. We finish patients and we help them get healthy. And that is the biggest reward.

A Failed System. Why Doesn't My Insurance Pay For This?

Given the current trend with the American healthcare system taking a drastic change, insurance is undoubtedly the hot topic among Americans. We have briefly discussed this trend previously, but have yet to dive into what insurance means within the dental world. More specifically, what it means for a practice like Austin Smile Creations where a whole body approach to optimal dental health means choosing an almost solitary journey and certainly a journey away from what insurance considers the dental standard.

Unlike many practices and dentists, Dr. Tor Gotun and the Austin Smile Creations‘ team choose a path that is far above dental insurance standards. There are not very many general practices that are adding bone, titanium mesh plates, and membranes to generate growth of new, healthy bone, so patients can plan to keep their teeth for a lifetime (or at least the most biocompatible and structurally compatible prosthetics available to their natural teeth- implants). Even the most necessary of procedures that allow patients to keep their teeth and therefore sustain a quality of life that cannot be compared, many dental insurances won’t even consider covering.

We must then explore what are dental insurance companies’ standards? Since there aren’t any regulations on how insurance companies decide on reimbursement levels, there is no way of knowing what they will actually pay until a claim is submitted and an explanation for that claim in sent back to the provider. Think of one dental insurance company. One dental insurance company has hundreds of plans underneath it’s umbrella. Now, take twenty-three large dental insurance companies, hundreds of third party, smaller insurance companies that link themselves to several of the large companies, hundreds of plans that an employer has the option to pick from, and hundreds of different guidelines for 10,000 different dental codes. To say in the least, it’s a mess and clearly meant to confuse it’s consumer- the patient. Consider everything outside of actually extracting teeth is optional. This is what dental insurance companies believe, an archaic principle. It applies to eighteenth century folks who didn’t have the technology and education available that we have at our fingertips today. So if everything except extracting a tooth is optional, it would make sense that dental insurance pays the least expensive alternative treatment, like a composite (white) filling at an amalgam (silver filling) rate. It would make sense that they have age limits, exclusions, pre-existing conditions, deductibles and annual maximums for the year. On one end, patients who need several major procedures performed to improve or even sustain a quality of life, the expense becomes mostly out of pocket for the patient. On the other end, patients who only need minor work and routine cleanings, end up paying a higher premium than what’s actually used at their dental office. Either way, insurance companies make money.

What we do different at Austin Smile Creations is that we have chosen to be of service to each patient. Patients have individual needs for treatment and therefore have highly specialized and individual treatment plans. If insurance weren’t in the business of making money, they would understand the medical necessity for procedures that dentists like Dr. Gotun provide: allografts, autografts, PRP, PRGF, sinus lifts, and bone augmentations to name a few. The Austin Smile Creations’ team knows the quality of dentistry they provide to each patient, and such, continue on this uphill battle against insurance companies standards. And we continue on this journey, refusing to accept an unacceptable standard of care.

Austin Smile Creations Introduces an Interview with a Master Dentist.

There are not very many opportunities an individual gets to speak or even work with one of the best in their line of work. It’s an even rarer occurrence to sit down every day and witness their thought processes. At Austin Smile Creations in Westlake, TX, we have that rare opportunity to not only work beside, but to have a close relationship with a true dental guru: Dr. Tor Gotun. But then we need to answer the following to obtain any credibility in that statement, how can anyone label another as the best? We could very well consider Dr. Gotun’s richness of qualifications to validate such a bold statement. Imagine 30,000 hours of continuing education beyond a Doctoral Degree, a 99% success rate in surgically complicated dental procedures, holding the title of a Master in the Academy of General Dentistry, mentoring and teaching some of the best in the dental field, genuinely caring and therefore individualizing each patient’s treatment plan, and persistently reading dental literature. In all this busyness, Dr. Gotun took the time to sit down with the Austin Smile Creations’ team and answer a few questions we had.

ASC Team: Dr. Gotun, what do you think sets your practice and you as a dentist apart from most other dentists out there?

Dr. Gotun: Let me start by saying there is nothing necessarily wrong with how other dentists practice, I just choose to practice differently. I take what I like to call a whole body approach to dentistry. The thing about it is that teeth are not independent of themselves. The body is a system in which all parts have the potential to affect other parts. An infection in your heart will eventually flow to other parts of the body. The same is true for teeth. I look at the body as a whole and how I can achieve the best results for each individual given their needs, medical and anatomical boundaries, and dental history. I collect so much information on a patient through accurate diagnostics that my ability to predict success and carry it out is exceptionally high.

ASC Team: What has kept you motivated to practice dentistry for 30 years?

Dr. Gotun: The medical field is not only a rewarding field to be in because you get to help people feel better and achieve a result they may not have ever imagined, but it’s also ever-evolving. It never gets old. There is always something else to read, try, see, participate in, and perfect. It’s my passion. It’s hard to describe because it’s in my bones, and truly something I love to do. Some people never find that passion. I am lucky to wake up every day and do what I love.

ASC Team: One more question Dr. Gotun, what made you choose not to specialize in the dental field, say a periodontist or an oral surgeon?

Dr. Gotun: It’s funny you all ask that, since most people think a general dentist doesn’t perform to the level of care as a specialist or may not know the extent of what a specialist may know. I never specialized because I am able to practice all forms of dentistry from crowns to periodontal surgeries, oral surgery to treating temporomandibular disorders, and orthodontics to endodontic therapy. It keeps my work interesting, as well as allowing me to provide a service unparalleled to my patient base where they can receive treatment all in one place.  

While Dr. Gotun’s accent can be intimidating at first, he is clearly a dentist who candidly cares about quality dentistry in an industry that claims anything besides extracting teeth are optional. Dr. Gotun is a dentist that visualizes dentistry in his dreams and thrives on perfecting his own technique. Such passion and conviction certainly set the standard high, keep his staff alive, his patients satisfied, and his practice thriving.

Reconstructive Dentistry. Austin's Best Cosmetic Dentist in Westlake 78746.

Working many years within the dental profession we notice smiles at Austin Smile Creations. Then again, don’t most people notice a smile or non-smile for that matter? Not only do we notice everyone’s smile, we are oftentimes extremely critical of our own. After all, we’re bombarded with images of beauty in this society every way we look. The most fantastic thing about working with Dr. Gotun is because he has the ability to completely reconstruct a smile to near perfection, as a team, we get to be a part of those life-changing moments with patients. And believe us when we say it’s life-changing.

We are in the healthcare profession, but we also consider ourselves esteem boosters, creative artists, and flawless visionaries. Reconstructing smiles is not a teeth-in-a-day process, because it’s literally impossible and much too risky (but they sure have the advertising down, don’t they?). Our multi-disciplined approach requires patience and commitment, but the results are unparalleled. We have seen patients get promotions in their line of work, change their outlook on life, find their soul mates, and just turn into all-around happier people when their smiles are made new.

We offer everything here at Austin Smile Creations from root canal therapy to periodontal treatment and maintenance to sinus lifts, implants, treating temporomandibular disorders, and complete smile makeovers. We provide excellent payment options to our patients, so you are able to invest in a smile you want and need. We ask you to regard your smile as an investment. After all, the more you smile the happier, healthier, more attractive, and confident you become!

Cosmetic and Restorative Dentistry. Implants.

There are many situations that can lead you to loosing teeth. As much your dentist and the whole dental team preach good oral hygiene, it is not always the only answer as there are many other reasons that cause various periodontal conditions. As a result tooth extraction is quite common due to poor dental health and gum disease. Leaving the missing tooth space empty may not sound too serious, but the consequences of not filling in the space from the missing tooth can include:

* The teeth adjacent to your missing tooth can change position to fill the gap;
* The loss of your missing tooth’s root can cause your jawbone to shrink, making your face appear prematurely older; and,
* A missing tooth in the front of your mouth can affect your smile and your self-confidence.

In many situations, a dental implant is the most pleasingly aesthetic solution for replacing the missing tooth. An all-ceramic dental crown or dental bridge, secured to a dental implant, provides a complete and beautiful solution for improving your smile. A dental implant takes the place of the missing tooth’s root and helps prevent the above consequences.

Dental implants are both a cosmetic solution as well as an absolute necessity in some cases to restoring a healthy functional bite. It can dramatically improve your quality of life, as well as boost your self confidence and your desire to be around people. It is a permanent solution that is worth the investment. Many adults choose this option, since due to the evolution of new technologies and materials it is now a very predictable and relatively easy procedure, that is very different from what it used to be just a few years ago.

Here are some answers to frequently asked questions about implants from our implant supplier NobelBiocare.