Sat - By Appointment
June 23, 2016
Cosmetic dentistry is rapidly moving beyond the realm of celebrities. More and more consumers believe emulating a superstar smile is the key ingredient to social and professional success. Thanks to cosmetic dentistry, particularly veneers, these people can attain the smile of their dreams.
Ceramic porcelain veneers give people a healthy, natural-looking smile. Dentists often recommend them to enhance esthetics, restore tooth structure and function, and correct some orthodontic problems. During the last 20 years, tremendous innovation and improvement in veneer technology has led to greater predictability and success rates, as well as lower costs. This combination of quality and low cost has fueled consumer interest.
Pressed ceramic veneers also allow for more subtle color nuances and luminosity, which make them more natural looking. One brand in particular, MicroDental’s MAC Veneers™, led the way and is currently the leading pressed ceramic brand on the market.For many years, ceramic veneers were fabricated with porcelain layers painted on to build up structure. This created a feldspathic porcelain veneer, which was the only veneer available until 15 years ago, when some of the more advanced labs began a new fabrication technique. The new technique actually cured the veneers under heat and extreme pressure, and resulted in a different kind of porcelain – pressed ceramic, which is twice as strong and long lasting as the older, thinner feldspathic veneers.
As veneers have evolved, others have emerged, such as the ultra-thin variety that claimed no prep was needed. However, these veneers have not caught on for many reasons – they do not last as long, they cannot effect dramatic color shifts, and they cannot change the shape of teeth. Dentists now must choose primarily between feldspathic and pressed ceramic veneers.
FabricationThis leads to the question, “Which veneer works best?” Based on popular opinion, the clear choice is pressed ceramics. However, some dentists still use feldspathic systems almost exclusively, and others prefer them in certain situations. While I’m sure there are many reasons, I suspect that some dentists are traditionalists used to working with feldspathic veneers who simply haven’t educated themselves about pressed ceramics. But up-to-date dentists select different systems in different situations because they’ve done their homework, and have reasons for each choice. This article addresses some of those reasons.
Feldspathic veneers are created the same way today as they were 20 years ago. They are fabricated from quartz type porcelain on a platinum foil or refractory die. Ceramicists use a wet brush and jar of porcelain powder to paint layers onto a model and then bake it in a porcelain oven. Since each application of porcelain is very thin and shrinks when heated, the process is repeated many times to obtain the proper contour. Ceramicists can lay in different colors at each stage to create the desired look.
Pressed ceramic veneers are made much differently. They are fabricated by waxing a tooth to the desired contour, investing it, and melting out the wax. They are then injected with a lucite-based molten porcelain and given constant hydraulic pressure to press in additional material as the porcelain cools and shrinks, hence the name pressed ceramic. The process is similar to fabricating gold, and results in a porcelain ingot that fills out the desired contour in a single color. Ceramicists can then create more natural, less-uniform coloration by cutting back the ingot and painting customized colored porcelains in various areas of the tooth. The cut-back procedure reverses the gradual build-up method associated with feldspathic fabrication.
Pressed ceramics come out ahead in these areas commonly used to evaluate veneers:
Strength – Pressed ceramic porcelains are at least two times stronger than feldspathic. This is because the material is cast under heat and constant pressure, which increases the tightness of the particles and makes the material much denser. Consequently, pressed ceramic restorations are far more durable and resistant to fracture.
Versatility – The inherent strength of pressed ceramic porcelain supports a much larger range of treatments and restorations than feldspathic material. For example, dentists can use it in bridges without a metal substructure. Whereas feldspathic porcelain usually requires a metal substructure for back-of-the-mouth restorations, dentists can use pressed ceramic material in full-mouth reconstruction without any metal. Since it is much harder to match porcelain-fused-to-metal crowns with feldspathic veneers, the all-ceramic option allows dentists to create a more natural looking uniformity of optical properties among the teeth. Today’s patients are more informed and frequently ask for metal-free restorations; pressed ceramic systems allow dentists to provide these for the entire mouth.
Wearability – Pressed ceramic porcelain is less abrasive to opposing teeth than feldspathic porcelain. Numerous studies show that feldspathic material is far more aggressive against natural dentition and causes significantly greater wear and damage. Pressed ceramic porcelain is much closer in abrasiveness to natural tooth enamel.
Predictability of results – Technicians trained in pressed ceramic waxing, casting, and cut-back techniques can apply their skills with consistent results. Comparatively, feldspathic methods are much less predictable and susceptible to human error. The results depend largely on the ceramicist’s artistic abilities and are usually less precise. In either case, it is important that dentists choose a laboratory with highly qualified technicians. MicroDental’s experienced technicians specialize in veneers and work on more restorations than individual dentists, so they understand how teeth should be prepared to achieve a certain look.Fit – Pressed ceramic veneers generally fit better than feldspathic. When fabricating a feldspathic veneer, the technician repeatedly adds layers and fires them in the oven, which causes the porcelain to shrink and warp. On the other hand, pressed ceramic veneers are waxed to ideal at the beginning and then cast, so it is easier to obtain a much tighter marginal integrity and fit. With a better fit, bonding requires less resin luting cement and a minimal cement thickness. This makes restorations stronger.
With all of the advantages of pressed ceramic restorations, one has to wonder why anyone would use feldspathic veneers. The most common argument for feldspathic veneers is that they require dentists to remove less tooth structure. While this is true, the difference – .3 mm vs. .8 to 1.0 mm – is not as great as feldspathic proponents claim. Generally, skilled dentists need not remove more than .5 to .6 mm when prepping for pressed ceramic veneers.
Dental students learn to adhere to a conservative principle: remove only as much tooth structure as necessary. This is certainly sensible, but “necessary” is a relative term and is frequently determined by what will satisfy the patient, as long as that’s possible and does no harm. Patients usually want bright smiles with well-formed teeth that look real. They also want their expensive restorations to last for a reasonable time, ideally the rest of their lives. By these standards, .3 mm represents no critical limit. Overly cautious dentists who observe this limit can easily under-prep for feldspathic veneers. For example, if a dentist removes only .3 mm, then applies extra layers of porcelain to mask the yellow in existing teeth, the veneers may look bulky and artificial. But if the dentist anticipates this problem by removing more tooth structure, he or she might as well use pressed porcelain.
It’s not clear if saving a minimal amount of tooth structure ever justifies feldspathic veneers – especially since pressed is stronger, less abrasive, better fitting, more natural looking, and longer lasting.
Another common argument is that traditional layering allows artistic ceramicists to create veneers that are more natural than the finest pressed porcelains. This reason is due to the thinness of feldspathic material. Since the layers are very thin, ceramicists can allow what’s attractive in existing teeth to shine through, then mask flaws and enhance colors without creating a painted-on look. On the other hand, technicians who use pressed ceramics can’t exploit the natural appearance of an existing tooth. They must start with a fully contoured ingot in a uniform shade, then render the ingot more natural with cut-back techniques. Some dentists believe this disadvantage can’t be overcome, and recommend feldspathic veneers when natural beauty is the primary concern.
Here are three points about natural beauty that are contrary to the view of dentists who favor feldspathic veneers:
- Saying that the natural appearance of feldspathic porcelains can’t be matched by pressed ceramic veneers is questionable. Virtually any color or optical property that can be achieved through feldspathic layering can be mimicked by pressed ceramic cut-back methods. While ceramicists can’t use these techniques to exploit the actual color of existing teeth, they can match that color, if that’s what the dentist and patient want.
- Oftentimes, this isn’t what dentists and patients want. If traditional layering techniques exploit the color of existing teeth, the veneers will be darker than what most patients envision. Although they say they want natural smiles, they also want smiles that are whiter. They want teeth with the same range of gradations and optical properties, such as fluorescence, opalescence, opacity, and translucency, with more brightness and whiteness. Technicians can easily press a ceramic ingot in the middle of this range, and then use a spectrum of shades to create a customized and natural looking color.
- Finally, one should distinguish between the initial results of veneer placement, and what those results might look like in five years. A feldspathic placement lets the color of an existing tooth shine through, while the veneer is subject to shade shift over time. Human teeth change color as people age. The nerve canal in the center of a tooth shrinks, and the yellow and brown dentin fills in, darkening the tooth. If feldspathic veneers allow the existing tooth structure to shine through, the veneers will darken as well – so much so that patients may need to have them redone in as few as five years. Hence, the putative virtue of feldspathic veneers – their inherent translucency – turns into a vice over time. Pressed ceramics almost never change shade.
Based on these arguments it is obvious that pressed ceramic porcelain makes the best veneers. It consistently delivers beautiful, natural-looking smiles, which makes patients happy, and happy patients are a dentist’s best marketing tools.
Dr. Christopher Pescatore lectures worldwide on state-of-the-art esthetic procedures, techniques, and materials. A graduate of the University of Medicine and Dentistry of New Jersey-New Jersey Dental School, he holds a U.S. patent for a nonmetallic post system to restore endodontically treated teeth. Dr. Pescatore has a full-time practice in Danville, Calif., dedicated exclusively to esthetic dentistry.
Share With Your Friends:
I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and...
Eugenia Aulov-Volchek (Sunny Isles Beach, FL)
The receptionist goes above and be on for the customers. Excellent service the doctor treats you with all his attention feels like I’m right at home and explain everything detailed....
Sophie Garcia (Royal Palm Beach, FL)
You are the best guys! You definitely make me smile more :) Thank you sooooo much! Olga Aksenova ❤️
Olga Axenova (Hallandale Beach, FL)
The atmosphere in this office is beyond believe, I instantly felt comfortable with Dr Dimitiri and his assistant Yuri. They work great together. I had 6 veneers put in and...
Ruslan Gahramanov (Sunny Isles Beach, FL)
I are retired dentist and visit dr Gorbatov,s office like a patien for dental works. We graduate the same school New York university and l can tell you the dr...
Shmuil Aronovich (Hallandale Beach, FL)
I had a procedure done by Dr. Gorbatov, it was amazing, I didn't feel anything, he has very gentle hands and techniques and I didn't even feel the shot! I...
Jessica Y Montero (West Palm Beach, FL)
Been going here forever and they do an excellent job with all your dental needs and even with cosmetic dentistry as well!
Lauren Harris (Lake Worth, FL)
Very helpful and amazing response time! Found them on Instagram and I'm happy I did!
Cece Esk (Hollywood, FL)
Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every...
John Kern (Hollywood, FL)
Dr. Gorbatov is an outstanding dental surgeon and professional in every sense of the word. He and his entire staff are wonderful--- by far the most knowledgeable and compassionate of...
Salt&Light (West Palm Beach, FL)
Great staff I was nervous but they made me feel at ease. I am confident that they will give me the smile that I airways wanted. The receptionist personality is...
Uuggh uggh (West Palm Beach, FL)
I’ve been coming here for almost 10 years now and can surely say that the customer service provided is one of the best in town. Make sure to be nice...
Hype Kay (Royal Palm Beach, FL)
Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.
Lina Lobo (Greenacres, FL)
I want to say that I never write reviews. However I have to say that this dentist center is amazing! From the moment you enter you feel like family. Everyone...
Lisa Jerkins (Wellington, FL)
This is IT!!!! As good as it gets!!! If you want a celebrity smile call his number.
Jacob F. (Miami)
I have been going to Dr Gorbatov at A Center For Dental Excellence for many years now and their use of "Excellence" isn't just a marketing ploy and they definitely...
Lawrence F. (Lake Worth, FL)
High-level professionals. Thank you, Dr. Gorbatov. I'm going to recommend your clinic to my friends. With best regards!
Vlad Shishko (Sunny Isles, FL)
S u p e r b ...Immaculate dentistry! I was impressed with a GREAT attention to details! His work is truly an ART and priceless! Everyone in the office is...
Gordana Skracic (Aventura, FL)
What a great experience at the dentist!! I wish I had found these guys years ago, maybe I wouldn't be so afraid of the dentist. Thought I needed a root...
Craig Balsam (Wellington, FL)
A Center for Dental Excellence is fantastic. They’re understanding and extremely competent. Not only is the dental care itself excellent, but their quality of caring about their patients is unparalleled....
Haylee J (Aberdeen, FL)
Good quality office, and dental work.
Igor Gonchar (Hallandale Beach, FL)
I was very fortunate to find Dr. Gorbatov right when I had a major issue with an old crown that fell off and led to a major infection just a...
Octavian Miron (Aventura, FL)
Thank you personally and from the bottom of my heart for the kindness and consideration you showed my mom, Catherine the other day! ?
Patrizia Rondelli (Hollywood, FL)
Jessica at the front has helped me tremendously and the Dr has made the large amount of work that I have had done painless
Celeste Clossin (Wellington, FL)
Wonderful facility and staff, very professional.
(Sunny Isles, FL)
Love the staff and great service!!
Rebeca Saravia (Dania Beach, FL)
Entire office & staff is very accommodating and attentive to all your needs. The dentist was very nice and professional and really took the time to explain to me everything...
Tiffany D. (Hollywood, FL)
When I first found this office I was terrified of the dentist and I had constant anxiety when seeing dentists. Now I look forward to cleanings and my anxiety is...
Hayley Kaplan (Wellington, FL)
Very professional nice staff great service.
From the minute I walked in the dr Gorbatov office till the and of my treatment I was pleasantly surprised with professionalism and care of Dr and his staff. I...
Anna (Hollywood, FL)
Thank you doctor for my beautiful smile!
V V (Hollywood, FL)
I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over...
Lyn F (Wellington, FL)
Excellent service , friendly & professional !!!
Mauricio Bonifacio (Sunny Isles, FL)
Very professional office. Good dentist.Clean dental office
Anna K. (Hollywood, FL)
Thank you Dr. Gorbatov for the great experience, your gentle touch and quality work you have done on my teeth. I have been very pleased with your professional, yet personable...
Irina D. (Port Orange, FL)
I have lived and worked all over North America. One of the greatest challenges of relocating is finding the best dental practice. "Center For Dental Excellence" was recommended to me...
Gregory Sutton (Wellington, FL)
Hello, Dr.Gorbatov is truly THE BEST ,so please just forget about all the rest! I truly witnessed MIRACLE IN MAKING!!! My sister now have a MOVIE STAR SMILE! Thank you...
Valnea Del Bianco (Hallandale Beach, FL)
Awesome service. Highly recommended
Iliana Gonzalez (Royal Palm Beach, FL)
This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always...
Yuriy Gorobets (Hallandale Beach, FL)
Dr. Gorbatov is an excellent dentist whose main priority is making sure his patients are comfortable and get the best dentistry he can offer. He provides an attentive service, and...
Natallia Harbacheuskaya (Hollywood, FL)
Very happy with quick service, suggestions & prices. Will be a repeat customer
Jaclyn Franceschini (Fort Lauderdale, FL)
Great service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!
Ellen Zlobinskiy (Hallandale Beach, FL)
Noel Reyes (Lake Worth, FL)
Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping...
Burke Crump (Wellington, FL)
Painless, professional and efficient. Dr Gorbatov is great!
Suzanne Wilt (West Palm Beach, FL)
Benjamin R. (West Pam Beach, FL)
Incredible how I was just taking my mother to her dentist appointment to me ending up becoming a patient, Jessica greeted me with such warmth and compassion and immediately noticed...
Aracelis Figueroa (Wellington, FL)
I switched my dentist because i was dissatisfied with their service and decided to go to Dr.Gorbotov's office for my wisdom tooth extraction. I never thought I would see the...
Oleg Solovey (Sunny Isles, FL)
I finally found a great dentist who does its all, root canals, caps, and implants. I needed major work on my mouth all at once, although it was expensive because...
Diane O’Brocki (Loxahatchee, FL)
I had a great experience with Dr. Dmitry Gorbatov. He was able to save my tooth from getting a root canal. All the staff was really nice, and attentive. I...
Arthur R. (North Miami Beach, FL)
Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They...
Christine (Orlando, FL)
The dentist is very friendly and gentle during procedures.
Sofie M (Sunny Isles Beach, FL)
For me, dental work always came with the presumption of pain and discomfort. That's why it was always very difficult to get any recommended work done, because all I'd have...
Iry T. (Hallandale Beach, FL)
I feel I have the best care possible under Dr. Gorbatov and his team. His work is top quality and because of him I know my teeth and the health...
Alex P. (Fort Lauderdale, FL)
Had an amazing experience. Staff was very caring and nice. They are very honest
Billie Selinsky (Wellington, FL)
Had a great experience with Dr.Gorbatov, he is really professional and doing great his job always with a smile)) Definitely recommending him
Tanya Kusiumova (Sunny Isles Beach, FL)
Since me and my wife moved to Florida from Nj several years ago, we were looking for good dentist, the one we can trust. We tried a few but were...
Tatiana Lapushchik (Hollywood, FL)
Very high professionalism, excellent atmosphere and responsiveness of employees have made this business one of the best. A well-functioning team led by one of the best professionals of the US...
Lili Ivanova (Sunny Isles Beach, FL)
First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?
Evelyn Garcia (Greenacres, FL)
I went to the office to get teeth cleaning! The receptionist was overwhelmed with something, but she was the sweetest. My dental hygienist did great job, made sure I feel...
Elizaveta C. (Miami, FL)
Very impressed with Dr. Gorbatov's ethics. He truly cared about my situation, the fact that I was from another city and had limited time off of work to address my...
Tatiana Safonova (Sunny Isles Beach, FL)
I always have a great experience when I come here, the staff is wonderful and I would not change my dental office for anything in the world.. Jessica is amazing...
Shiloh Robinson (Wellington, FL)
This is the best dentist in the world who really cares about each and every patient and makes your smile look perfect! After visiting the new office you will be...
Kseniia Dursinova (Sunny Isles, FL)
My experience was great.Doctor is very professional.I really recommend.The best place to go for your dental.
Olga Meverden (Sunny Isles Beach, FL)
Very good cleaning
Riley Purdy (West Palm Beach, FL)
I have been having a lot of issues with my teeth for quiet some time, including broken molars and bad procedures at other dental facilities. I came to Dr. Gorbatov...
Felix Spengler (Miami, FL)
Dr. Gorbatov is an excellent dentist. I went to several other dentist and they all wanted to do a root canal, but Dr. Gorbatov was able to save my tooth....
Arthur Rubinovich (Sunny Isles, FL)
I have been with the dentist for a few years now and love the care I receive. You are taken care of from the front desk person, through your visit!...
Juan Rodriguez (Greenacres, FL)
I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank...
Farron Ann (Wellington, FL)
Absolutely amazing. Jess and Jessica at the front made me feel so comfortable and helped me conquer my fear of the dentist. The office is clean and welcoming I completely...
Hayley Kaplan (Wellington, FL)
Love Dr. Gorbatov! He is skilled, professional, thorough, nice, and always keeps me comfortable. The assistants and office staff are great too. I highly recommend Dr. Gorbatov!
fannabl (Hallandale Beach, FL)
No teeth fell out mid cleaning. 10/10
Erik Purdy (West Palm Beach, FL)
I had been looking for a dentist for a few months and I was referred to Dr. Gorbatov and I can certainly see why. I've always been a little skeptical...
Jazlyne Jimenez (Hallandale Beach, FL)
The dentist fit me in last minute when my normal dentist was unavailable I tried them on the recommendation of a friend after I broke a veneer and had 3...
Mark Krawiec (Hollywood, FL)
Dr. Gorbatov placed an implant for me, I am extremely happy with the result, I had absolutely no pain during the procedure after few month doctor put a crown, looks...
Sergey Kasatkin (Sunny Isles Beach, FL)
I have been going to this office now for the past 3 years. From Jessica working the front, to having my teeth cleaned, and both Drs. working on my teeth,...
Joanne Purdy (Wellington, FL)
I would like say that this office is at the TOP of my list. The staff is awesome, it is very clean and you made at home as soon as...
Jazlyne Jimenez (Lake Worth, FL)
I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental...
Teresita Camacho (Lake Worth, FL)
Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been...
Sofia Rodriguez (Hallandale Beach, FL)
I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly...
ML GG (Aventura, FL)
Excellent Service! Friendly, Clean and Prompt!
Deidre Reid-Thomas (West Palm Beach, FL)
I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly...