Questions and answers.

A dentist who has completed three additional years of accredited specialty training after dental school, focused on restoration, replacement, and esthetic design of teeth. One of nine ADA-recognized specialties, built for implants, crowns, bridges, veneers, and full-mouth reconstruction.

A dentist completes four years of dental school (DDS or DMD). A prosthodontist adds three years of residency in advanced restorative dentistry — seven years total. In complex cases, a prosthodontist plans the final outcome first and engineers backward, rather than deciding procedure by procedure.

For routine cleanings, simple fillings, and basic care, your regular dentist is the right call. For complex cases — implants, multiple crowns or bridges, veneers, full-mouth reconstruction, or anything where opinions disagree on the right approach — prosthodontic training is built for exactly that.

No. 'Cosmetic dentist' isn't a recognized specialty — any dentist can use the title. 'Prosthodontist' is board-recognized with three years of accredited residency. Prosthodontists do a lot of cosmetic work, but the specialty also covers functional rehabilitation, full-mouth reconstruction, and complex implant cases.

We focus on restorative and specialty work, so cleanings are typically coordinated with a general dentist or hygienist. Some patients keep their existing general dentist for routine care and see us for specialty cases. Others have us coordinate everything.

Our specialist consultations are scheduled for 45–60 minutes. The diagnostic portion includes a 3D scan and a bite check. The conversation happens sitting upright, not while you're reclined. Longer than a typical dental consultation on purpose — good decisions get made with more time, not less.

Bring whatever paperwork you have — X-rays, treatment plans, quotes from other offices, notes, even photos of your own teeth. If you don't have any of that, come anyway. We have everything on-site for a full diagnostic workup.

Yes. Many patients bring a spouse, an adult child, or another family member, especially for longer consultations or complex treatment discussions. Multiple sets of ears in the room makes for better-informed decisions. If you'd prefer the conversation in Russian, just let us know when you book.

Yes. After your consultation you receive a written treatment plan with locked-in pricing on every line, yours to keep regardless of whether you schedule the work. Many patients use it to think it over, get additional opinions, or shop further. That's expected and welcomed.

Yes — that's specifically what our Specialist Second Opinion Session is built for. Bring whatever you have — quotes, X-rays, written plans — and the doctor reviews them in the context of his own diagnostic workup. You leave with one coherent specialist read and a written plan of your own.

New patient consultations are typically booked 1–2 weeks out. If your situation is urgent — acute pain, recent extraction, a milestone date you're trying to hit — let us know when you call and we'll work to find a sooner slot.

Yes, we accommodate urgent cases when we can. If you're calling outside office hours with an emergency, leave a detailed voicemail and we'll respond first thing the next open day. For severe pain, swelling, or trauma that can't wait, please go to the nearest hospital emergency room first.

A lot of our patients are. Anxiety is one of the most common reasons people cancel appointments or talk themselves out of going in. The conversation portion of every appointment happens sitting upright before any clinical work, and we tell you what we're going to do before we do it. If you've been hurt by dentistry before, that history is information we want.

Yes. Options range from oral sedation (a pill taken before your appointment) to deeper sedation for more involved procedures or higher anxiety. The right approach depends on what's being done and how you'd prefer to experience it. Discussed during your consultation.

You're not alone, and you're not in trouble. Many of our patients haven't seen a dentist in years — cost, fear, or prior disappointment. The first visit is about understanding what's happening in your mouth and writing a plan. Nothing major happens that day unless you choose for it to.

Local anesthesia for anything where discomfort would otherwise be expected, with sedation available on request. Most patients describe modern procedures as significantly less painful than they'd braced for. We walk through what to expect for your specific procedure before we begin.

Absolutely. If you need to pause, signal us — we stop. Long appointments aren't a test of endurance.

A single implant typically starts at $4,000 for a straightforward case — healthy jaw, no bone grafting, standard materials. Cases involving grafting, multiple implants, or premium materials run higher; full-arch solutions are priced separately. Your consultation includes a written plan with locked-in pricing for your exact case.

Properly placed and well-maintained, an implant can last 25 years or more — often a lifetime. The titanium post outlasts the crown on top; crowns are typically replaced every 10–15 years. Failures come more often from inadequate planning or poor hygiene than the technology itself.

The procedure is performed under local anesthesia, with additional sedation available if anxiety is a factor. Recovery is similar to a tooth extraction — manageable with over-the-counter pain medication, most discomfort resolving within a few days.

A well-made porcelain veneer typically lasts 10–20 years. Actual lifespan depends on the original design, the bonding, and your bite — patients who grind at night often shorten the lifespan unless a nightguard is part of the plan.

A veneer covers only the front surface of a tooth, used primarily for cosmetic improvement. A crown covers the entire tooth, used when the tooth needs structural restoration — significant decay, fracture, root canal. Veneers preserve more original tooth structure; crowns replace more of it.

Coordinated rebuilding of multiple teeth — sometimes the entire mouth — to restore both function and aesthetics. Usually a combination of crowns, bridges, implants, and veneers, designed as one cohesive plan. Common causes: severe wear, multiple failed restorations, or bite collapse compounding over years.

Full-mouth reconstruction typically ranges from $25,000 to $90,000, depending on how many restorations are needed, the materials, and whether implants are involved. Your consultation includes a written plan with locked-in pricing for your specific case — one exact number, not a range.

For some cases, yes. 3D scanning and in-office milling let certain crowns be designed, milled, and bonded in a single visit. For more complex cases, a two-visit lab-fabricated crown produces a better long-term outcome. Which approach is right depends on the specific tooth.

Yes. We offer both in-office whitening and take-home whitening systems. Whitening is most effective when planned in coordination with any restorative work — we typically whiten first, then match veneers or crowns to the new shade.

We're out-of-network with most dental insurance plans. You pay us directly and we provide everything you need to submit for reimbursement. Many PPO plans reimburse a meaningful portion of specialty care. We can estimate what your plan is likely to cover before you commit.

Most of our patients pay out of pocket. We offer transparent pricing with written treatment plans and work with third-party financing partners for patients who'd prefer to spread payments over time. No coverage required.

Yes. We work with several third-party financing partners that offer 0%-interest plans for qualified applicants. We can discuss specific options during your consultation once we know what treatment is being considered.

As part of your consultation, we provide a written treatment plan with locked-in pricing. You can take that plan to your insurance provider — or call them with us — to get a clear answer on what they're likely to reimburse before any work begins.

Yes. Health Savings Account and Flexible Spending Account funds can be used for most of our services. Bring your card and we'll process it directly.

Our new-patient consultation is $147 — the Specialist Second Opinion Session. That covers a 3D scan, a 40-point bite check, a written treatment plan with locked-in pricing, and a smile preview. If you start treatment within 90 days, the $147 is credited toward it. Real specialist plans take real work — that's why they're not free.

A 45–60 minute consultation with the prosthodontist for patients who've received treatment plans elsewhere and want a specialist's read. Includes a 3D scan, 40-point bite check, review of your prior X-rays or quotes, a written plan with locked-in pricing, and a smile preview. $147, credited toward treatment if you start within 90 days.

A 45–60 minute consultation with the prosthodontist, a full 3D scan, a 40-point bite check, review of your prior X-rays or treatment plans, a written plan with locked-in pricing yours to keep, and a smile preview. Retail value over $1,675 — packaged at $147 because most patients who come for a specialist opinion start treatment with us.

Only with your written permission, and only if you want us to. Most second-opinion consultations don't require any contact with prior providers. We're working from the records and information you bring us.

That happens and it's expected. You leave with everything you came for — a written plan, locked-in pricing, a 3D scan you can take elsewhere, and a specialist's read. Many second-opinion patients use the plan as reference when they continue with their original dentist or shop further.

If you choose to start treatment with us within 90 days of your Specialist Second Opinion Session, the $147 is credited against the cost of that treatment. The credit is applied automatically when treatment is scheduled. After 90 days, the credit expires.

Yes. Bringing prior plans is one of the most useful things you can do. The doctor reviews them as part of the consultation and points out where his specialist read agrees with the other plan, where it differs, and why.