Dr. Esrawi has years of experience as a General, Implant and Cosmetic Dentist. Dr. Esrawi holds two oral and maxillo-facial surgery externships through Harvard University and Louisiana State University. He is a member of the American Academy of Cosmetic Dentistry having passed the written board examination. Dr. Esrawi is also a member of the American Dental Association, American Academy of Implant Dentistry, International Congress of Oral Implantologist, DOCS-Oral Sedation Dentistry and many other professional organizations.
In addition to a full time clinical practice, Dr. Malek Esrawi is an Assistant Clinical Professor for the department of Restorative Dentistry at Tufts University School of Dental Medicine, where he graduated Summa Cum Laude, ranked number one in his graduating class, and was inducted into the membership of the prestigious National Dental Honor Society – Omicron Kappa Upsilon.
Dr. Esrawi treats his patients with excellent care. He has successfully placed and restored hundreds of dental implants. He received the “Nobel Mentor” certificate from Nobel Biocare™ that recognized Dr. Malek Esrawi as a contributing doctor to improved patient outcomes and aesthetics through the teaching and mentoring of dental professionals in the placement and restoration of dental implants.
Having performed over one hundred extreme makeover full mouth reconstruction cases that transformed patients’ smiles to those of Hollywood stars in only two to three visits, Dr. Esrawi is considered to be one of the most experienced dentists in the field. He has earned over 30 continuing education certificates in all aspects of dental procedures.
Dental implants are prosthetic replacements for missing or severely damaged teeth. Tooth implants provide patients with a natural-looking appearance. They are the gold standard for smile makeovers and dental restoration. If you have lost one or more teeth to fractures or are suffering from gum disease or tooth decay, this procedure could finally give you back your beautiful smile.
WHY CHOOSE DENTAL IMPLANTS?
Implants can be used to fully restore teeth that are too badly damaged or decayed for repair with a filling, a porcelain inlay/onlay or a crown.
A dental implant restores normal chewing and biting ability. Most patients who receive their implants from our Boston, MA office can resume a normal, healthy diet that includes a wide variety of foods after treatment is complete.
Tooth implants offer a conservative solution compared to a traditional bridge. Only the tooth that is being replaced is affected. The teeth on either side of the missing tooth are not ground down and capped.
Patients can opt to have one or several teeth replaced with implants. They can also support dentures. These implant-supported dentures tend to be more stable and comfortable than those held in place with adhesive.
Replacing a missing tooth with an implant helps prevent other teeth from shifting out of alignment over time. Keeping teeth straight and even promotes better oral care. It makes proper brushing and flossing easier, which reduces the risk of cavities and gum disease.
Since the prosthetic tooth is load-bearing (you can bite and chew with it), an implant may also help limit further jaw bone loss in the treated area.
Long term success rates with implants range from 95-100%. Some patients enjoy their dental implants for life with no need for replacement or repair.
Unfortunately, dental bondings, composite resin fillings (tooth colored fillings) and old crowns cannot be bleached. Fillings that have discolored indicate that they are either leaking or have secondary decay, so it is best to replace them. A better choice may be to replace them with porcelain laminate/veneers for longer lasting results. Remember; only replace these fillings after bleaching in order to match the new improved color of your teeth.
It depends on many factors including your diet, the original color of your teeth, and your personal habits like smoking, drinking red wine, etc. Also darker teeth will need more than one whitening session to achieve the desired result. What’s most important is what you do for maintenance. Professional office visits are not enough. You must incorporate an effective maintenance regimen at home such as using whitening toothpaste which is specifically designed to non-abrasively remove surface stains like coffee, tea, tobacco and red wine, as well as remove plaque and bacteria. Also use the touch up kit given by Dr. Esrawi to keep bleached teeth at their whitest.
First of all, the cause of the dark tooth must be determined. It could be due to an earlier trauma to the tooth or previous root canal treatment. In such a case external teeth whitening treatments may not help. Dr. Esrawi may try internal bleaching which may take several sessions. If not, consider dental bonding, porcelain veneers, or capping the tooth to mask the darkness.
Teeth may be sensitive during the week following the in–office bleaching. This can be dramatically reduced by using Sensodyne toothpaste to brush your teeth the week prior to and the week following the bleaching process. Also, Dr. Esrawi may recommend fluoride treatment following the bleaching process.
Dental bonding is a plastic tooth colored (composite) resin material that is molded onto your teeth and hardened with a blue light. It is usually done in one visit. Little tooth reduction and usually no anesthesia is required.
The disadvantages of dental bonding are:
1. They stain over time, may chip and may need to be replaced more often.
2. Porcelain veneers are thin layers of stacked porcelain that are fabricated in the lab and bonded to teeth.
3. It usually takes 2 visits. Little tooth reduction and some anesthesia are required.
4. Porcelain veneers are stronger than dental bondings and less prone to staining.
There are several ways to correct it. Dr. Esrawi may advice Dental Bondings, Veneers or Orthodontics. Again, seek the advice of your dental health professional to choose the procedure that’s best for you.
In the past, Silver or amalgam fillings were extensively used. They are not tooth colored, stain teeth over time and healthier tooth structure may have to be removed to retain them since they do not bond to your teeth. Also, since they are a alloy of silver with mercury, there is a risk of mercury poisoning. Now, depending on the extent of decay and amount of tooth structure that is lost, Dr. Esrawi may advise composite (tooth colored fillings) or porcelain inlays or onlays. Since tooth colored fillings bond to your teeth, there is no need for removal of healthy tooth structure.
With the advent of laser dentistry, treatment can be done very easily and painlessly in most cases. Tissue sculpting (gingivectomy) is done in adjunct to any required cosmetic work to achieve beautiful, healthy smile.