Many have a perception that the best cosmetic dentistry can only be found in New York City. This may be the case for some, however there is no need to travel to New York since it is available right in our backyard. Dr. George Tsangaroulis—our skilled cosmetic dentist in Greenwich—has had the privilege of training under the doctor who co-developed and patented the concept of Etched Porcelain Laminate Veneer Technology, Dr. John R. Calamia, whose research led to the placement of the earliest recorded porcelain veneer in 1982. Dr. Calamia is now the Director of Aesthetic Dentistry at New York University College of Dentistry. As a dental student at NYU, Dr. Tsangaroulis was chosen by Dr. Calamia as one of a select few to participate in a dedicated Honors Program for Aesthetic Dentistry and received an Achievement Award due to his skillful artistry and dedication. As a current active member of the American Academy of Cosmetic Dentistry, Dr. Tsangaroulis has since continued to train with Dr. Calamia, as well as other nationally and internationally recognized Cosmetic Dentists.
Veneers are thin, translucent porcelain laminates that are bonded to the outer surfaces of the front teeth. Veneers are used to alter the size and shape of teeth. For example short or narrow teeth can be modified to longer, wider more natural looking teeth. They can also be enhanced by adding different contours, corners and edges, which can either rounded or more rectangular to give a more youthful appearance or a more masculine/feminine appearance. Veneers also eliminate the appearance of gaps, crooked teeth or chips, and can effectively conceal darker teeth and intrinsic natural stains acquired during childhood. These include tetracycline staining and fluorosis, or enamel demineralization which can often occur after wearing orthodontic braces. Dr. Tsangaroulis will always present multiple options for cosmetic enhancements, so that patients can make informed, education decisions. In fact many times he believes veneers are not necessary at all, coinciding with his principle of practicing Responsible Cosmetic Dentistry. He always takes a conservative approach, and he may simply recommend Invisalign® and teeth whitening to straighten and brighten the smile (if the patient is happy with the size and shape of their teeth), or direct composite instead. In addition, many dentists may suggest multiple veneers to create a more “uniform” appearance. Again, this may not be necessary. With Dr. Tsangaroulis’ skillful, artistic abilities, he can match 1 or 2 porcelain veneers precisely to the adjacent teeth by incorporating exact color translucency characteristics that appear completely natural. This can save unnecessary time and expenses for the patient.
If Invisalign® is not an option, bonding is a more economical alternative to veneers. However, veneers have many advantages: They are extremely durable and more resistant to chipping than bonding. They can last for many years with proper care and maintenance. Veneers are significantly more resistant to staining than bonding. In fact, veneers stain less than natural tooth enamel. Gum tissues tolerate porcelain well because of its smooth surface and “feather-edge” margins contacting enamel.
Dr. Tsangaroulis is a perfectionist, but his biggest concern is that he wants the patient to not only be pleased, but also ecstatic about their new smile. He is extremely meticulous and makes the process seamless and very interactive. At the first visit, he will provide a digital photo simulation and “trial smile” for your teeth in order for you to visualize the end result without any commitment. This way you can see for yourself what is possible. Everyone is strongly encouraged to give their own feedback. You will be given an opportunity to provide your own assessment when you will be wearing your temporary veneers for 2 weeks while the laboratory is fabricating the permanent porcelain veneers. And finally, at the last visit Dr. Tsangaroulis recommends to bring along a friend or family member, and allows plenty of time for you to look in the mirror chairside when the veneers are “tried in” before they are permanently inserted. Patients are always thrilled at how natural and lifelike their new smile appears! It does not end there. Thorough instructions are given on home care and maintenance and Dr. Tsangaroulis utilizes rare special pastes and gels during routine hygiene visits that prevent damage and significantly increase the longevity of the veneers.