Our Dental Services
Filling
Fillings are used to restore small holes, chips or decay within teeth. First, the tooth is properly prepared to retain the filling. The tooth is then restored with a composite resin, which is a white or tooth colored filling material and shaped to mimic each patient’s unique bite and arch form.
Bridge
A bridge is used to replace one or more missing teeth. The teeth on either side of the missing tooth/teeth are prepared for crowns and one solid piece of porcelain is cemented to replace the missing tooth. Once the bridge is cemented in the patient’s mouth, it is fixed in place and not removable.
Root Canal
A root canal may be needed if decay or bacteria reaches the pulp of the tooth and cause an infection. The inflamed pulp (nerve) will be removed and the inside of the tooth is cleaned and disinfected. The tooth is then filled and sealed so that after this treatment any pain or discomfort the patient may have been feeling due to the decay is relieved. Root canal treatments can be virtually painless and only take about as much time as a filling!
Crown
A crown (or cap) is used when a filling is not strong enough to protect a tooth from the force of a patient’s bite. If a tooth has a large filling, breaks, or is missing significant tooth structure, a full porcelain crown will be placed to ensure the natural tooth underneath will be protected.
Typically, if a tooth has had a root canal, a crown will be placed to protect the tooth from
fracturing due to the loss of tooth structure.
Veneers
Veneers are ½ or ¾ crowns that can be used for patients who wish to change the appearance
and esthetics of otherwise healthy teeth.
A small amount of tooth structure is removed and a solid piece of porcelain is cemented on one side of the tooth.
Extraction
If a tooth is fractured, has decay beyond repair or an infection, a patient may elect to have the tooth removed. Depending on the patient’s plan moving forward, a bone graft may be placed to maintain the integrity of the surrounding bone and enhance future replacement of the extracted tooth.
Partial/Complete Dentures
If a patient is missing some or all of their teeth, a partial or complete denture may be recommended. This typically involves a few quick appointments to make sure it fits perfectly to the patient’s anatomy when delivered. Patients have the ability to insert and remove dentures themselves. It may be recommended that dentures are used in concert with dental implants to increase the retention, stability and functionality of the prosthesis.
Dental Implants
Dental implants are the preferred and most predictable treatment for replacing a missing
natural tooth. A titanium screw is placed in the patient’s jaw. A porcelain crown is then placed on the implant to restore proper function and esthetics of the missing tooth. The implant placement is digitally designed and guided to ensure proper placement and the procedure typically takes about 30-45 minutes.
Meet dr. fabiano
DDS
A little bit about your dentist...
Stephen Fabiano, DDS is an experienced dental practitioner providing a broad spectrum of
dental care including cosmetic dentistry and implants. Dr. Fabiano graduated from SUNY
Buffalo School of Dental Medicine in 2016 and completed a General Practice Residency at
Denver Health Medical Center in 2017. Among regular continuing education, in 2023
Dr. Fabiano also attended the Dental College of Georgia at Augusta University and is licensed in
New York State to administer intravenous sedation. He is a member of the American Dental
Association (ADA), The New York State Dental Society (NYSDS) and the Eighth District Dental Society.
Dr. Fabiano grew up in Amherst and has a strong connection to the WNY community. He
attended St. Joseph’s Collegiate Institute and D’Youville College for his undergraduate studies
prior to dental school. Outside of the office Dr. Fabiano loves spending time with his friends,
family and especially his daughter Gianna.
FAQ
Is it going to hurt?
Our goal is to make each visit to the dental office as quick and painless as possible. Each patient is different and we cater to those individual needs when it comes to appointment preparation and anesthesia. Regardless of the procedure, there is no reason why your dental visit can’t be a comfortable one.
Do I really need
x-rays?
Dental x-rays are an integral part of diagnosis in the dental field. According to ADA guidelines, bitewing (or cavity check) x-rays should be taken every two years, and panoramic x-rays should be taken every five years. Luckily, advances in digital technology in the dental field have led to increased safety and ensured that the exposure to radiation is relatively low. These routine images help diagnose dental issues early so that they can be corrected as conservatively as possible.
Do teeth really need Fluoride?
Fluoride helps to protect teeth and prevents tooth decay, especially in children. When
administered at the recommended dose, fluoride is perfectly safe and has virtually no side effects. Proper fluoride use can reduce tooth decay by 40-60%.
How often do I
need to go?
Cleanings done at the dental office should be done every 6 months. Even for those who brush
and floss every day, the hygienist can get into hard-to-reach places to remove plaque and tartar that everyday maintenance cannot remove.
does diet affect
my teeth?
Diet has a direct effect on the health of the teeth and gums. Diets that are high in sugary foods
or drinks can make a person more at risk for tooth decay and gum disease. Additionally, drinks that are very acidic like soda or coffee can also wear through tooth enamel and cause decay. A well balanced, nutrient-rich diet is recommended for healthy teeth and gums.
Are silver fillings safe?
Dental amalgam has been used for fillings since the 1800’s and has been extensively
researched. Despite the mercury content in amalgam, no health disorder illness has ever been found to be linked to it. The FDA, CDC and World Health Organization all view dental amalgam as a safe material.
Why do my gums bleed when I floss?
Bacteria, plaque and tartar along your gumline lead to irritation and inflames the gum. When
you attempt to remove the buildup with brushing or flossing, your swollen and inflamed gums
will start to bleed. If the gum bleeds when you floss, it could be a sign you have gum disease.
I haven’t been to the dentist in a while. What do I need to do?
Whether it’s been 6 months or 6 years, the first step towards a healthier smile is through a comprehensive exam at the dental office. With a cleaning, x-rays and examination, a treatment plan will be created that caters to your goal of a healthy, happy smile. No matter what the circumstances, there are always options.
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