Dentist in Newburyport
Portside Family Dental
7 Brown Square
Newburyport, MA 01950
(978) 462-4590

Services

From cosmetic dentistry to full-mouth rehabilitation, our practice is equipped to handle all of your dental needs. To help you understand more about our office, we have included brief descriptions of some of our most common services on this page.

All-on-4®

This remarkable technique requires only 4 implants in either the upper or lower jaw to support all of the replacement teeth for that dental arch. All-on-4® typically involves only one surgery to place all of the implants, avoids the need for additional bone grafting procedures, and provides the instant gratification of a full set of temporary teeth immediately on the same day as the initial procedure. As a permanent fixed replacement for all of the teeth, the All-on-4® dental implant technique achieves unprecedented results with a minimal number of dental implants and surgical procedures, thereby making it an appealing cost-effective solution for permanently replacing a full set of teeth. Once post-surgical healing is complete and the All-on-4® dental implants have fully integrated with your jawbone, the temporary bridge is permanently replaced by your customized final bridge. These new permanent replacement teeth are completely secure and stable and function in a similar fashion as natural teeth.

All-on-6®

A high-tech alternative to traditional dentures, the All-on-6 technique creates a comfortable and stable full set of upper and/or lower teeth using six strategically placed specialized dental implants. While conventional removable dentures can effectively replace a full complement of lost or missing teeth, All-on-6 dental implants provide a fixed and permanent method of reestablishing a complete set of teeth. This restores to patients the sense of having their own teeth and offers an improved quality of life as they can once again eat and speak with confidence. With All-on-6 dental implants the need for messy denture adhesives or having to take one’s dentures out to clean and sanitize them is eliminated. The replacement teeth are cared for in very much the same way as a set of natural teeth.

Botox

BOTOX® Cosmetic is a simple, nonsurgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA). One 10-minute treatment—a few tiny injections—and within days there's a noticeable improvement in moderate to severe frown lines between the brows, which can last up to 4 months. Results may vary. BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time. In 2005, almost 3.3 million procedures were performed with FDA-approved BOTOX® Cosmetic.There’s only one BOTOX® Cosmetic. Talk to your doctor to see if BOTOX® Cosmetic is right for you!

Bridges & Dentures

A bridge may be used to replace missing teeth, help maintain the shape of your face, and alleviate stress on your bite. A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support. There are two basic types of bridges. A fixed bridge which remains in your mouth at all times and is supported by your natural teeth. Removable bridges (partials and full dentures) are removed from the mouth several times a day for cleaning and rest on the gum where the missing teeth are being replaced.

Crowns & Caps

The terms dental crowns and caps are synonymous. Crowns are typically used to restore a tooth's function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth. Crowns are also used to attach bridges, cover implants, or to prevent a cracked tooth from becoming worse. Crowns also serve an aesthetic use, and are applied when a discolored or stained tooth needs to be restored to its natural appearance. Crowns are fabricated in a laboratory and are made either of porcelain baked onto a metal substrate, all-porcelain, or many of the new ceramic materials that have been developed.

Dental Fillings

Traditional dental restoratives, or fillings, include gold, amalgam, porcelain, and composite. With the advent of the newest technologies in dental science, today's state-of-the-art restorative materials include ceramic and the latest composite materials. These materials are not only strong and durable, but restore the look of natural teeth and are very aesthetically pleasing.

Dental Implants

If a tooth is extracted or missing for some other reason, it is now possible to replace it using dental implants. An implant is like a new tooth made of metal and porcelain that looks just like your natural tooth. It's composed of two main parts: One part is the titanium implant body that takes the place of the missing root, and the second part is the tooth-colored crown that is cemented on top of the implant. In addition to tooth replacement, implants may be used to anchor dentures, especially lower dentures that tend to shift when you talk or chew. For patients with removable partial dentures, implants can replace missing teeth so that you have a more natural-looking smile.

Dentures

Whether from disease, malnutrition, genetic disorders, or an accident sometimes it is necessary for an individual to have some or all of their teeth extracted. While this can be devastating, partial or full dentures can be fabricated to restore an attractive smile, provide needed support for normal facial contours and reestablish a highly functional occlusion.

A denture consists of natural looking artificial teeth set in a supportive base. It may be fabricated to replace either a small group of teeth, an entire upper arch, an entire lower arch, or used to restore both dental arches.

A complete denture refers to the replacement all of the teeth in a dental arch. It can be inserted either of two ways. It can be inserted some weeks after the extraction sites and all of the surgical procedures have had a chance to heal, or as an “immediate” denture placed the same day the last remaining teeth are extracted. Although an immediate denture offers the advantage of not having to go without teeth for any period of time, it can require multiple adjustments as the tissues remodel and heal following dental extractions or other surgical procedures.

In situations where some sturdy teeth remain, partial dentures can be fabricated. Partial dentures can achieve adequate retention and stability by having clasps on the teeth surrounding the edentulous areas.

In some cases added stability for the dentures can be provided by strategically placed implants.

Dermal Fillers

Dermal fillers are used for facial aesthetic treatments and are injected into the skin. They are designed to reduce the appearance of wrinkles, reshape cheeks by contouring and creating volume, and to revitalize the skin.

What is a Dermal Filler?

Dermal fillers are made from Hyaluronic acid which is a substance that naturally exists in your body. Hyaluronic acid is a sugar molecule that exists naturally in all living organisms. The amazing thing about a Dermal Filler is that it is able to bind to water and can act as a lubricant and shock absorber where ever it is injected into the body, even joints. It is also help transport nutrients and water in skin, giving you healthier and more nourished skin. Why I should have a filler treatment done?

Dermal filler injections provide an easy way to reduce the appearance of wrinkles, smooth the skin and give a more youthful appearance. The result of a single treatment can be seen instantly and can last for around 6 to 9 months. Dermal filler injections can give a natural looking result, and does not affect facial expression. As your face changes with time, dermal fillers allow you to control you looks subtly as you age.

Dermal fillers can be used to smooth away facial lines and wrinkles, create fuller lips and shape facial contours, such as cheeks and chin, and revitalize the skin.

Digital Radiography

Digital radiography utilizes computer technology and digital sensors for the acquisition, viewing, storage, and sharing of radiographic images. It offers several advantages over the older traditional film based methods of taking x-rays. The most significant of these advantages is that digital radiography reduces a patient’s exposure to radiation. Other benefits are that images can be viewed instantly after being taken, can be seen simultaneously as needed by multiple practitioners, and can be easily shared with other offices. Digital x-rays are also safer for the environment as they do not require any chemicals or paper to develop.

An electronic pad, known as a sensor is used instead of film to acquire a digital image. After the image is taken, it goes directly into the patient’s file on the computer. Once it is stored on the computer, it can be easily viewed on a screen, shared, or printed out.

Emergency Treatment

Dental emergencies can come about in any number of ways. Your discomfort may be due to an injury to the oral facial area, the acute flare up of a longstanding problem, or the result of the sudden onset of seemingly inexplicable pain. Whatever the case may be, urgent dental care is needed to provide you with relief and to avoid any further consequences to your oral health or function, as well as your overall well being.

There are many reasons to seek emergency dental care, including severe toothaches, chipped or fractured teeth, a dental abscess, impacted teeth, loose or broken fillings, lost or dislodged crowns, broken dentures and more. While the pain of a toothache is one of the more common reasons that patients come to our dental office for emergency dental care, we also promptly treat emergencies that are not necessarily painful like crowns that have been dislodged and broken dentures that leave embarrassing gaps in one’s smile.

Whether your dental emergency is painful, if it affects the appearance of your smile, or if you suspect that an infection is present, contact our office immediately for care. We will make every effort to see you as promptly as possible.

Extractions

When tooth removal is necessary, we can perform simple extractions using local anesthesia.

Gum Treatment

Periodontal treatment methods depend upon the type and severity of the disease. Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth. If the disease is caught in the early stages of gingivitis, and no permanent damage has been done, one to two regular cleanings will be recommended. You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings. If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended. If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths.

Initial Oral Examination

Your first visit at our office is very important in establishing your oral health baseline. We will perform a complete oral examination which includes an oral cancer screening, periodontal evaluation, an analysis of your occlusion (bite) and a thorough examination of your teeth, their supporting structures and of the oral anatomy.

Invisalign®

Consider Invisalign to get the beautiful straight teeth you've always wanted - without braces. We will be happy to discuss whether Invisalign would be an appropriate treatment for you.

Invisalign uses a series of invisible, removable, and comfortable aligners that no one can tell you're wearing. These retainers are worn 23 hours a day and are changed every two weeks. Invisalign is made with 3-D computer imaging technology and has been proven effective in treating many orthodontic cases that previously required braces.

Juvederm

Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). However, as you age, sunlight and other factors can reduce the amount of HA in your skin. This lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth. Using a dermal filler such as Juvederm is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds. It is a simple way to restore a more youthful and vibrant appearance.

Laser Dentistry

One of the significant advances in modern dentistry has been the development of dental laser technology. Today, dental lasers are being increasingly used to treat tooth decay, periodontal disease, perform biopsies or the removal of oral lesions, to cure restorative (filling) materials, as well as to activate in-office teeth whitening systems.

Dental lasers combine laser energy with water and air to safely cut and shape target soft or hard tissues in the mouth. Laser energy precisely cuts through tooth structure by exciting the water molecules in the tooth. It operates without direct contact to the tooth without heat, vibration, or pressure thereby minimizing the discomfort of the procedure and the need for dental anesthesia. In addition dental lasers can reduce anxiety for patients fearful of dental work, minimize post-operative bleeding and swelling, and preserve healthy tooth structure during the removal of decay.

While dental lasers may be an excellent treatment option in some situations, they cannot be used for every dental procedure.

Metal-free crowns (ceramic crowns)

When the natural structure of a tooth has been extensively damaged or compromised due to dental decay, damaged fillings, root canals, or habitual clenching or grinding of the teeth, a dental filling may not be adequate for its repair. In such cases, dental crowns, also commonly referred to as caps, can be placed to effectively restore the natural integrity, function and appearance of the affected tooth.

Out of all of the materials that are available today for this type of full coverage restoration, metal-free crowns, also known as all ceramic crowns, offer most lifelike and biocompatible results. Strong and durable, ceramic crowns are lighter in weight than dental crowns that incorporate a metal substructure and are also kinder to the surrounding soft tissues. Furthermore, ceramic crowns present no problems for individuals with sensitivities to various metals. Since they are fabricated of the highest grade of dental ceramics, ceramic crowns most closely approximate the natural translucency of your own teeth.

Custom modeled for the optimal health and aesthetic of a patient’s smile, ceramic crowns can also be indicated for an array of dental treatments, ranging from the cosmetic restoration of discolored teeth, to the coverage of a structurally damaged tooth, dental implant, or as the supporting ends of a dental bridge.

Oral Cancer Screening

It is important to find oral cancer as early as possible when it can be treated more successfully. An oral cancer examination can detect early signs of cancer. The exam is painless and takes only a few minutes. Your regular dental check-up is an excellent opportunity to have the exam. During the exam, your dentist or dental hygienist will check your face, neck, lips, and entire mouth for signs of cancer.

Pediatric Dental Care

We take pride in creating and maintaining beautiful and healthy smiles for our younger patients in an environment that is lighthearted and fun. We focus on establishing oral health habits that last a lifetime, with education and prevention as our primary tools.

Periodontal Treatment

Periodontal disease damages the surrounding soft tissues and bone that support the teeth. It is predominantly caused by the accumulation of bacteria, mucus and other particles in the form of plaque or tartar that sit between the teeth and the gums. Periodontal disease can range in severity from a simple gum inflammation, known as gingivitis, to a more serious inflammation of the periodontal tissues. Left untreated periodontal disease can result in significant tissue damage and eventual tooth loss.

The problem with periodontal disease is that often the progression is painless. As a result the affected individual may not be aware of an ongoing disease process. This is why it is so important to recognize the signs of the earliest stage of periodontal disease, which is gingivitis. The symptoms of gingivitis typically include red, swollen and bleeding gums. Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen, and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.

Left untreated, gingivitis can escalate into periodontitis. However, there are other factors that can contribute to the escalation of periodontal disease, including smoking, genetic tendencies, and unchecked diabetes. In either case, when periodontal disease has progressed to a more advanced stage there is usually clinical and radiographic evidence of damage to the bone and soft tissues supporting the teeth. Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. This may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.

Restylane

Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). However, as you age, sunlight and other factors can reduce the amount of HA in your skin. This lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth. Using a dermal filler such as Restylane is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds. It is a simple way to restore a more youthful and vibrant appearance.

Root Canal Treatment

We use an advanced technique which allows us, in many cases, to complete your root canal treatment in just one visit and makes the root canal experience much more comfortable and predictable. This technique enables us to determine the length of the canal without x-rays, control the cleaning of the canal with a fast, smooth and quiet rotary instrument and rapidly fill the canal.

Sedation Dentistry

Sedation dentistry offers individuals with general anxiety about going to the dentist or fears about a specific dental procedure the opportunity to have a stress free and more comfortable experience. Utilizing safe and controlled sedation techniques prior to the dental procedure the patient is eased into a state of complete relaxation. This eliminates any discomfort, pain, and preoperative anxiety that may be associated with a particular dental visit. With sedation dentistry patients typically feel more at ease post-operatively as they have little or no memory of the actual moment-to-moment dental procedure.

Sleep Apnea Appliances

As a member of the American Academy of Dental Sleep Medicine, Dr. Merabi provides oral appliance alternatives to the CPAP machine. A restful sleep awaits. Medical insurances can be billed for this device. If you have already had a sleep study and either cannot tolerate or do no want a CPAP machine, this is an effective alternative. If you can't stand that CPAP machine, call today.

Teeth Whitening

Using our in-office laser bleaching system, we will be able to make your teeth whiter and brighter in one 1 hour visit. You can also choose our easy at-home applications which provide outstanding results in a matter of days.

The Preventive Program

Both natural teeth and teeth with restorations survive best in an oral environment that is clean and where proper oral hygiene is maintained. Our dental hygiene program is designed to help prevent new cavities, preserve teeth that have been restored and manage periodontal disease. At the initial visit with our hygienist, oral hygiene instructions are reviewed and are reinforced at subsequent recall visits.

Veneers

A veneer is a small, thin piece of porcelain that fits directly on the front surface of the tooth, forming an airtight bond around the tooth, and making the tooth the shape and color you desire.

Porcelain veneers, sometimes called tooth veneers, can be used to correct both color and shape problems and make for a great smile makeover.

Would you like to have that “Hollywood” smile? Then, Veneers might be the answer for you. If you are looking to have the smile you have always wanted, come see us at Portside Family Dental, and we will evaluate your teeth. If your teeth are a little crooked, this might be fixed with Invisalign braces. If your teeth are chipped, this might be fixed with bonding or tooth colored fillings. If your teeth are stained externally due to coffee, tea or smoking, this might be fixed with Teeth Whitening. But, if your teeth have a combination these factors or the staining present on your teeth is more of an internal stain (i.e. Tetracycline, enamel issues, fluoride intake) then you may be a great candidate for Porcelain Veneers.

Overview of Tooth Veneers

Often an alternative to crowns, veneers are very thin pieces of specially-shaped porcelain or ceramic that are glued over the front of your teeth. They are the cure for teeth that are severely discolored, chipped, have small holes or pits, misshapen or crooked, or for the correction of unwanted or uneven spaces. Unlike crowns, veneers won't require the dentist to remove much of the tooth itself. Veneers are created from an impression taken in your cosmetic dentist's office. Your custom veneer is then glued directly onto your tooth. Typically costing less than crowns, veneers won't stain, making veneers a very popular solution for many people seeking that perfect smile. Strong and very durable, veneers are often the best treatment options to correct specific cosmetic issues.

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