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Facial Esthetics – The Framework | New York, NY

Using facial landmarks to dictate tooth position can enhance esthetics and conserve tooth structure.

By Michael Apa, DDS

In order to create individual smiles that compliment patients’ facial features and enhance their overall facial beauty, clinicians can adopt a technique that uses facial landmarks to dictate tooth position. This method not only can enhance the esthetics, it can also ultimately allow the practitioner to be more conservative in tooth reduction.

Where Symmetry Comes In

To understand this type of procedure, it helps to have a general understanding of the word “beauty,” which is defined as the phenomenon of the experience of pleasure through perception of balance and proportion of stimulus. In short, something is perceived as beautiful when some type of harmony or balance exists. During the last decade of cosmetic dentistry, “smile design” has focused mainly on modifying the position and restoring the teeth of patients seeking a better-looking smile.1 This approach became the foundation for laboratories and practitioners communicating in the design process. It also resulted in perfectly symmetrical smiles’ being duplicated for each individual patient. However, if carefully analyzed, it is apparent that patients’ faces are not symmetrical,2 and that delivering or creating complete symmetry in an asymmetrical environment creates a disharmony that can be easily visualized. Therefore, it is of utmost importance to analyze the facial features or “the frame” in which the smile is being created. Within this process, the objective is to design the smile creating symmetry with features and, in a sense, tying the features of the face together by balancing them with the smile.

The challenge for educators in this situation is teaching something that is abstract in a clinical, methodical way. It is important to understand that esthetic dentistry combines both an artistic component along with a comprehensive dental approach.

Finding the Frame

The first instinct of practicing clinicians is to see the smile. The first exercise in these types of cases is to back up and see the progression of development that has occurred. The idea is to find the frame within which the smile belongs, then focus on parameters of smile design, and finalize by looking at individual tooth form.3 The parameters guiding the facial analysis are the horizontal plane, vertical plane, the relation of thirds of the face, and the strong side versus the weak side (Figure 1). These elements provide the frontal framework of the smile. In essence, the clinician should be able to visualize the proper incisal plane that the gingival plane should be paralleled to, the axial inclinations, the position of the teeth in the lower third of the face, and the angulation of the buccal corridor. Upper lip support, lower lip relation, and the occlusal plane all influence sagittal reference, and two characteristics of the smile that are best visualized in the sagittal dimension are overjet and incisor angulation. Finally, the clinician should focus on the oblique plane, which provides reference to the smile arc and orientation of the palatal plane.4 Diagnostically, the practitioner should consider the three-dimensional position of the smile, then use a knowledge of smile design and tooth proportion to finish creating natural esthetics.

Reference Points

Clinicians should orient themselves with a vertical and horizontal plane of reference. Those who have painted, sculpted, or sketched are aware of the need for perspective in space. This is referred to as the “Facial T” (Figure 2). Attractiveness results from a general sense of parallelism and symmetry between structural facial features, because parallelism is the most harmonious relationship between two lines.5 The interpupillary line represents the horizontal perspective that guides evaluation of the incisal plane, gingival margins, and the position of the maxilla (Figure 3Figure 4Figure 5). It should be noted that the interpupillary line is not always the only reference that can be used, because there are situations in which patients may have an asymmetrical position of the eyes. In this case, a second reference, which is perpendicular to the facial midline, can be used.6 The vertical element is the facial midline bisecting the center of the face and extending through the bridge (nasion) of the nose and philtrum. This midline becomes reinforced by the direction and axis of the dental midline. If the dental midline cannot be coincident with the facial midline, it is best to anchor the smile by creating the midline vertical. Severe discrepancies may indicate orthodontic movement (up to 2 mm off the facial midline).7,8 The facial midline aids in evaluating the location and axis of the dental midline along with mediolateral discrepancies in tooth position.

Next, the clinician should consider the growth and development of the patient to determine how to treat the anterior esthetics. The upper third of the face is the area bordered by the base of the hairline—or beginning of wrinkling of the forehead—to the top of the brow. The top of the brow to the base of the nose is the middle third, and the base of the nose to the base of the chin is considered the lower third. This evaluation will reveal any abnormalities in anterior facial height (Figure 6). As ramus length varies, both anterior facial height and tooth display vary. Not only can this determine the need for periodontal surgery or orthodontic movement, it also defines the buccal parameters of the buccal corridor. A short ramus with normal posterior eruption results in an obtuse gonial angle, or the “long, narrow face.” The patient may develop either an anterior open bite, which would indicate a combination of orthodontics and or prosthetics, or excessive gingival display, which would indicate maxillofacial surgery or hard-tissue crown lengthening and prosthetics. Conversely, decreased anterior facial height is due to a long ramus, an acute gonial angle, and results in inadequate maxillary tooth display and a “square face.” This can be treated orthodontically or restoratively. Again, these are generalizations, and each case has its own set of parameters. What is important to remember is that people’s faces are not symmetrical from right to left. The gonial angles are influenced by the strength of the masseter muscle—the stronger the masseter muscle (strong side), the more acute the gonial angle. From a frontal view, this creates an angle that should parallel the canine, premolars, and molars—which comprise the buccal corridor. Starting from the condyle to the pogonion, the canine and buccal corridor should parallel this angle in order for the teeth to “frame” the face. If the incisal tips of the canines or premolars are hanging over the lower lip, it means the teeth have been built out too far buccally; conversely, if there is too much negative space, the smile has not been built out enough. An important point, however, is to understand what building the smile out does to a patient’s face: It essentially widens, or gives horizontal prospective to, the lower third of the face. Women who have lost sufficient cheek fat can have a “smile lift,” which, in essence, gives the illusion of fuller cheeks. Understanding what the buccal corridor does is very powerful in creating the desired look.

In determining the guidelines from a sagittal reference, there are three factors to consider: upper lip support, lower lip relation, and the occlusal plane. Upper lip support is determined by the gingival two thirds of the maxillary central incisors. This is important in understanding the necessary changes to be made to the upper lip, if any. Lip incompetence is caused when the centrals are tipped too far facially; conversely, when the teeth are retruded, the upper lip falls over the teeth and becomes thin at the vermillion border. The second thing to note is where the incisal third of the maxillary centrals will lie; they should be just short of the wet-dry border of the lower lip. Finally, the occlusal and incisal edges of the occlusal plane should coincide with the Camper’s plane, which extends from the inferior border of the ala of the nose to the superior border of the tragus of the ear.

Once clinicians have established a three-dimensional framework, they can begin applying these principles to determine how to restore the patient’s smile.

Case Presentation: Patient Evaluation

A 29-year-old woman who had had an implant placed previously in the No. 7 site discussed her desire for overall improvement in her smile. After analysis of her face, it was determined that it was fairly symmetrical (mesofacial).9 The left gonial angle was lower than the right, making the patient’s left side the “strong side,” and the right the “weak side” (Figure 7). Upon radiographic examination, a large Class III composite restoration was seen between the anterior teeth mesially and distally. Clinical examination revealed a resin-bonded fixed partial denture (FPD) over the implant in site No. 7, bonding on tooth No. 10, and mild wear on the canines.

Treatment Plan and Preparation

The treatment plan recommended to the patient was to restore teeth Nos. 4 through 6 and teeth Nos. 8 through 13 with porcelain laminate veneers and site No. 7 with an implant-supported porcelain-fused-to-metal (PFM) crown.

The clinicians located the midline by finding the patient’s facial midline and relating it to her dentition. Next, they identified the interpupillary plane and related the gingival and incisal planes to it (Figure 3Figure 4Figure 5). They continued to find all of the facial parameters noted above until the framework for the smile was found. Once this was achieved, they moved into performing the dental analysis. In this particular patient, the desirable “golden proportion” seemed to be significantly off in the anterior central and lateral incisors, while the canines and premolars seemed to need minimal adjustment.10,11 To address the soft-tissue heights, which were also quite irregular, the clinicians planned to achieve gingival harmony through manipulation with a diode laser (Figure 8 and Figure 9).12,13 To establish the implant contact point, they needed to measure to the crest of bone from the mesial and distal—4.5 mm to 5 mm from the crest of bone to the contact point is needed to re-establish papillary growth.14,15 Note that prior to beginning any case, this exact “mental” diagnosis is performed to determine tooth position. The authors then prefer to mark up the mouth to do a quick mock-up in flowable composite (LuxaFlow™, Zenith/DMG, www.dmg-america.com) to achieve final shape. This is done prior to anesthesia, and it provides the practitioner with an accurate idea of what can be achieved; it can also be used as a preparation guide for proper reduction (Figure 10 and Figure 11).16

The most important factor with a mock-up is to follow smile design as a guide, but be able to see where the facial planes play a role in tooth position. The first step is to get the central incisor position vertical and centered with the facial midline. By altering line angles in teeth, it is possible to change the axial inclination, altering both gingival zenith and axial inclination. Incisal length and facial-lingual position are evaluated to determine if adjustments are needed. The laterals, in this case, were used to offset the centrals to create natural embrasure. Tooth No. 7 was rotated in a mesial-lingual direction to create a natural embrasure as well as raise the contact point to a more apical position for papillary regeneration. Tooth No. 10 was set back slightly to the lingual, again, simply to create a natural esthetic appearance. The canines and premolars were mocked up to parallel the planes of the strong and weak sides. Once the clinicians were satisfied, an alginate impression, which would serve as a provisional stent, was taken.

The teeth were then prepared using the mock-up as a guide for reduction. The clinicians used a feldspathic ceramic, which can be feathered to approximately 0.2 mm. This demonstrates that bulk reduction for material is not always the important issue. It is rather an understanding of initial tooth position and desired tooth position, along with stump shade and desired shade, which dictates preparation. Some controversy may exist as to the minimum thickness of porcelain laminate veneers.17 Studies have shown that a minimum thickness of 0.2 mm is needed for each shade change.18 As always, initial arch form preparation was done first, followed by soft-tissue recontouring (Figure 12Figure 13Figure 14), and, finally, final margin placement.19 Once these steps were completed, the provisional material (bis-acryl) was placed into the alginate stent and allowed to partially set for 1 minute. It is important to note that a thin layer of glycerin must be placed on the teeth first to inhibit polymerization. The provisionals can be pulled from the mouth and evaluated for thickness of material to see if the proper amount of reduction has been accomplished. After verification, final impression, and an accurate bite registration, the preparation shade and facebow were taken. The provisionals were then trimmed and temporarily bonded in place using the “spot-etch technique” and flowable resin (Figure 15 and Figure 16).20

The patient is always brought back the following day to go over the provisionals to check the occlusion and esthetics. In this case, minor adjustments were made and records were then completed to relay to the laboratory. Final measurements of the central incisors were taken, as were a full digital set of photographs, alginate impressions of the temporaries, and a bite registration. The goal is to provide as much information to the ceramist as possible to make it easier to replicate the shape, contour, and detail of the temporaries in the ceramic. The authors have found that a proper set of provisionals can eliminate a lot of the guesswork in communication between patient, doctor, and ceramist. While the shape of the smile three-dimensionally is a major factor in creating natural smiles, it is also important to consider color and texture. Some may say that this is the job of the ceramist, but it is crucial to be able to guide the ceramist in relaying the correct color and texture. Understanding the medium being used and having a sense of the spatial arrangement of the face guides the proper positioning of the smile.

To complete this case, the restoration was then inserted and the tissue around the implant was given 2 months to heal properly before any adjustments were made. Minor occlusal adjustments and nightguard therapy were performed to ensure longevity of the restorations (Figure 17Figure 18Figure 19Figure 20).

Conclusion

Following simple principles regarding the special arrangement of the face can guide the clinician in providing more natural smiles with less tooth reduction. The authors have found that offering this type of treatment requires that practitioners educate their patients in color and form. While patients may be initially resistant to “imperfect perfection,” when executed properly, it provides the ability to mimic nature. The end result is a proper reduction rather than over-reduction, and a smile that looks like the one the patient was born with.

Acknowledgments

Dr. Apa would like to thank Jason Kim, CDT, of Oral Design for the ceramic work in this case, and Albert Ambriz, DDS, for his research assistance on this article.

Contact Aesthetic Advantage at 212-794-3552 to register for our courses today or visit www.aestheticadvantage.com to learn more about CAD/CAM veneers and crowns.

Aesthetic Advantage proudly serves New York, Atlanta, Florida, Chicago, Pennsylvania, Boston, Rhode Island, California, South Carolina and all surrounding areas.

A Miracle of Collaborative Giving | Northridge Dentist

Dental ContinuumThe Aesthetic Advantage team is built up of several incredible dentists from all over the world, and one being Dr. David Ward, DMD. Dr. Ward and his team, along with others, gave a very special patient the gift of hope with a smile makeover.

Roger came in a on an ordinary day in March 2011 to discuss his desire for an improved smile. After their introduction and greetings, Dr. Ward could sense Roger was a bit uneasy and asked about his health and medical information. Roger then proceeded to tell Dr. Ward that he has recently seen his doctor for a medical problem and they suspected cancer. Roger then quickly became upbeat and wanted to talk more about his hope to have a better smile.

After discussing Roger’s goals and desires for his smile, they discussed his budget for the treatments. Due to financial constraints Dr. Ward wouldn’t be able to complete the full plane of crowns and veneers, but they agreed on a staged treatment over a period of time. Nonetheless, Roger left happy, chatting it up with Dr. Roger’s team.

A few weeks later Roger returned to the office, just not as upbeat – more serious. In tears, he told Dr. Ward he had been diagnosed with stage IV liver cancer and esophageal cancer. At that point Dr. Ward asked if he would like to prolong treatment, and he opted not to. After Roger left, Dr. Ward talked with his coordinator and decided that maybe they could help Roger in some way…Click here to read about how a smile makeover gave Roger hope!

Call Aesthetic Advantage in New York, NY at 212-794-3552. Visit the website to learn more at www.aestheticadvantage.com.

Aesthetic Advantage also proudly serves New York, London, Palm Beach, Manhattan, England, Florida, and surrounding areas.

Using Visual Technology for Case Presentations | Northridge Dentist

One of the most critical skills a dental professional must learn is to be compassionate to their patient’s dental fears or hesitations when it comes to dealing with necessary dental procedures. They are unaware of what is going on inside their mouth – all they know is that there is pain in there somewhere and they would like you to fix it. It is your job to put their minds at ease in the most basic way possible. One of these ways is to SHOW them what is going to happen through the use of visuals. If they can see what is going to happen and you address all of their questions and concerns, the procedure will go much smoother than if you explain things with technical jargon.

Dr. Albert Neff, Senior Clinical Instructor for Aesthetic Advantage in New York, NY has published the following article on the use of digital photography for case presentations.

“Case presentations that use visual technology can become the integral component of success for the modern-day practice. Our patients must be able to clearly see their existing conditions, understand treatment recommendations, and visualize the anticipated results before they can accept and approve treatment. Historically, dentists have used complicated dental terminology, x-rays, and study models to communicate a proposed treatment plan. Patients were expected to accept recommendations without being able to visualize the anticipated results. Patients often left the dental office confused about treatment recommendations and uncertain about the final outcome.”

Continue reading the article by clicking here.

If you are interested in visual technology used for case presentations, contact Aesthetic Advantage at 212-794-3552 to register today! Or visit www.aestheticadvantage.com for additional information.

Aesthetic Advantage proudly serves New York, Atlanta, Florida, Chicago, Pennsylvania, Boston, Rhode Island, California, South Carolina, North Carolina and all surrounding areas.

Clinical Instructor Biography: Dr. George Kirtley

Dr. George E. Kirtley is presently the only dentist in the State of Indiana to be accredited by the American Academy of Cosmetic Dentistry. Dr Kirtley is also accredited by the British Academy of Cosmetic Dentistry and at the time of writing is the only dentist in the world to be an accredited member of both the British and American Academy of Cosmetic Dentistry. He is a member of the American Dental Association and the Academy of General Dentistry. Dr. Kirtley has the distinct honor of being a March 1999 inductee into the GenR8Next Dental Hall of Fame for his work in smile dentistry. In 2001 he was recognized by nationally syndicated More Magazine as one of America’s top 10 cosmetic dentists.

Dr. Kirtley is the team dentist for the NBA Indiana Pacers. He is a product research consultant for dental product companies and a teacher and instructor for the Aesthetic Advantage Programs at New York University, NYC; West Palm Beach Atlantic Coast Research Center, West Palm Beach, Florida; and University of Kentucky, Lexington, Kentucky. As part of his professional instruction, he is also a national lecturer and author of cosmetic dentistry articles published in the leading dental journals: Dentistry Today and Contemporary Esthetics.

His staff is trained with advanced dental techniques to give patients a beautiful smile, often in just two appointments, in a comfortable environment. With state-of-the-art video imaging, he can perfect and preview your ultimate smile prior to beginning dental procedures.

With techniques such as bonding, veneers, contouring, bleaching and reconstruction, changes can be made to create dramatic aesthetic improvements in his patients’ appearance. His goal is to give you the smile you deserve.

Academic Affiliations

  • American Dental Society
  • American Academy of Cosmetic Dentistry
  • British Academy of Cosmetic Dentistry
  • Academy of General Dentistry

Lectures

  • October 20, 2016, NYU College of Dentistry, International
  • December 2016, New York Dental Forum
  • Aesthetic Advantage – Rosenthal Institute at NYU College of dentistry
    October 21, 22 and November 18, 19 2016
    April 7, 8 and May 12, 13 2017

Contact Aesthetic Advantage at 212-794-3552 to register for our courses today or visit www.aestheticadvantage.com to learn more about health issues affected by oral health.

Aesthetic Advantage proudly serves New York, Atlanta, Florida, Chicago, Pennsylvania, Boston, Rhode Island, California, South Carolina and all surrounding areas.

Clinical Instructor Biography: Dr. Dean Vafiadis

Dean VafiadisAesthetic Advantage is extremely proud to have Dr. Dean Vafiadis, a highly successful aesthetic dentist, as one of the many senior clinical instructors leading our Aesthetic Continuing Education Courses.

Dr. Dean Vafiadis received his dental degree and prosthodontic specialty training at the New York University College of Dentistry, and is currently the Director of the Full-Mouth Rehabilitation CE course at New York University (NYU). Dr. Vafiadis is a lecturer and senior clinical instructor at the Aesthetic Advantage Course in the Rosenthal Institute of Aesthetic and Implant Dentistry. He also lectures nationally and abroad for New York University’s Continuing Education department. He’s instructed over 7,000 dentists with over 500 programs over the past 14 years.

One of his many accomplishments includes being the founder of the New York Smile Institute in New York. New York Smile Institute is an educational center, full-service laboratory and learning facility, as well as a private location for a multi-specialty practice for aesthetic and implant dentistry. He’s currently the Program Director of the Full-Mouth Rehabilitation CE program at NYUCD, and also lectures the Continuing Education program there.

Dr. Dean Vafiadis is a proud member of the:

  • ACP
  • AO
  • AAID
  • AACD
  • ADA

Most of Dr. Dean Vafiadis’ patient base includes celebrities, sport figures, fortune 500 company executives, producers, writers and directors in the film industry, executives in the fashion industry and world-renowned chefs & restaurant owners.

For information on enrollment in the longest running and most respected hands-on seminar of its kind, contact Aesthetic Advantage in New York, NY at 212-794-3552 today! Or visit www.aestheticadvantage.com to learn more about our clinical instructors.

Aesthetic Advantage proudly serves New York, Atlanta, Florida, Chicago, Pennsylvania, Boston Rhode Island, California, North Carolina, South Carolina and surrounding areas.

A Miracle of Collaborative Giving| Publications

477787597The Aesthetic Advantage team is built up of several incredible dentists from all over the world, and one being Dr. David Ward DMD. Dr. David Ward and him team, along with others, gave a very special patient the gift of hope and a smile makeover.

Roger, a patient of Dr. David Ward’s, came in a on an ordinary day in March 2011 to discuss his desire for an improved smile. After their introduction and greetings, Dr. Ward could sense Roger was a bit uneasy and asked about his health and medical information. Roger then proceeded to tell Dr. Ward that he has recently seen his doctor for a medical problem and they suspected cancer. Quickly after telling Dr. Ward, Roger quickly became upbeat and wanted to talk more about his hope to have a better smile.

After discussing Roger’s goals and desires for his smile, they discussed his budget for the treatments. Due to financial constraints Dr. Ward wouldn’t be able to complete the full plane of crowns and veneers, but they agreed on a staged treatment over a period of time. Nonetheless, Roger left happy, chatting it up with Dr. Roger’s team.

A few weeks later Roger returned to the office, this time not as upbeat and more serious. In tears, he told Dr. Ward he had been diagnosed with stage IV liver cancer and esophageal cancer. At that point Dr. Roger asked if he would like to prolong treatment, and he opted not to. After Roger left, Dr. Ward talked with his coordinator, and the decided that maybe they could help Roger in some way…Click here to read the full article on how a smile makeover gave Roger new hope!

If you are interested in continuing your dental education, contact Aesthetic Advantage at 212-794-3552 or visit learn more about the Aesthetic Advantages and our Faculty.

Aesthetic Advantage proudly serves New York, Atlanta, Florida, Chicago, Pennsylvania, Boston, Rhode Island, California, North Carolina, South Carolina, and all surrounding areas.

Clinical Instructor Biography: Dr. Michael Apa | New York, NY

At the young age of five, Dr. Michael Apa knew that he wanted to make a career in dentistry. After graduating from NYU School of Dentistry, Dr. Apa achieved in many areas such as teaching a NYU, lecturing extensively in the U.S. and abroad, and has contributed dental health articles to New York Times and CNN. Dr. Apa is a member of Journal of Implant & Advanced Clinical Dentistry (JICAD), The American Dental Association (ADA), American Academy of Cosmetic Dentistry (AACD) and the Academy of General Dentistry (AGD). He is also one of our extremely talented senior clinical instructors here at Aesthetic Advantage.

Today, Dr. Michael Apa is also a partner at the Rosenthal-Apa Group in New York City, which is practice that specializes in non-invasive dentistry. In fact, Dr. Apa has developed a new approach to aesthetic dentistry called Facial Aesthetic Design, also known as FAD. The FAD approach stems from his ability to transform an entire face into a more attractive whole by re-contouring a smile with porcelain veneers. He discover that his technique could overcomer features like a crooked nose, thin upper lip, frown lines or hollow cheeks by the artful sculpting of a new smile. Dr. Apa has also mastered the skill of making porcelain veneers look more natural and undetectable overall.

For more information about our faculty and instructors here at Aesthetic Advantage call 212-794-3552 or visit our website at www.aestheticadvantage.com learn more about our faculty.

Aesthetic Advantage proudly serves New York, Atlanta, Florida, Chicago, Pennsylvania, Boston, Rhode Island, California, North Carolina, South Carolina, and all surrounding areas.

Clinical Instructor Biography: Dr. Alvin Neff | New York, NY

cosmetic-dental-coursesDr. Alvin Neff’s passion for dentistry started at an early age in high school. Upon graduating Rogers High School with honors 1975, he next attended the University of Arkansas where he also graduated with honors 1979. Shortly after graduating, Dr. Neff was then accepted to LSU School of Dentistry, where he also graduated with honors.

In 1983, Dr. Neff became one of the first dentists in the country to utilize porcelain veneers. His expertise in aesthetic dental treatments eventually lead him to become one of our Senior Clinical Instructors here at the Rosenthal Institute’s Aesthetic Advantage Continuum in 1997. Dr. Neff is committed to staying up to date by completing over 2,000 hours of post-doctoral continuing education courses. He stays active in many organizations, including studying under the leading cosmetic dentists worldwide. He has also lectured for the ADA and AACD at educational seminars.

Dr. Neff resides in Beaver Lake and enjoys spending time with his family. He’s also a competitive water-skier, and the Neff’s find themselves enjoying the excitement of being on the water, while also appreciating each other’s company on the weekends.

For more information about our faculty and instructors here at Aesthetic Advantage call 212-794-3552 or visit www.aestheticadvantage.com.

Aesthetic Advantage proudly serves New York, Atlanta, Florida, Chicago, Pennsylvania, Boston, Rhode Island, California, North Carolina, South Carolina, and all surrounding areas.

Getting to know our Faculty – Dr. Jay Lerner | New York, NY

Dr. Jay Lerner
Senior Clinical Instructor
Dr. Jay Lerner

A Graduate of the Columbia University School of Dentistry, Dr. Jay Lerner has maintained a private practice in Palm Beach Gardens since 1983, focusing on comprehensive restorative and aesthetic dentistry. He is a member of The American Dental Association, The Florida Dental Association and The Academy of Cosmetic Dentistry. He is a clinical instructor with The Rosenthal Institute at New York University, Palm Beach Community College and the Eastman Dental Clinic in London, England.

In addition, Dr. Lerner has published numerous articles in Dentistry Today, Contemporary Esthetics and Dental Products Report, and lectures in the field of aesthetic dentistry, both nationally and internationally. By completing over 200 hours each year in expanding his education, he maintains an exceptional expertise in the latest dental procedures and technology.

Dr. Lerner’s Academic Affiliations include: American Academy of Cosmetic Dentistry, Florida Dental Association, and American Dental Association

Contact Dr. Lerner by-  Office Phone: (561) 627-9000,  Email: lernerlemongello@aol.com or visit his website at www.lernerlemongello.com

To learn more about Aesthetic Dentistry and further your dental education, contact Aesthetic Advantage in New York to enroll in their state of the art dental continuum. Call today at 212-794-9600 or visit our website.

Aesthetic Advantage also proudly offers classes in London and Palm Beach.

 

Getting to know our Faculty – Dr. Larry Rosenthal | New York, NY

Dr. Larry Rosenthal

Larry Rosenthal, DDS is a New York-based dentist who has built an international reputation for his expertise in aesthetic dentistry. He completed his residency at Montefiore Hospital and graduated from New York University in 1972. Dr. Rosenthal is an accredited member of the American Academy of Cosmetic Dentistry. He is Director of the Aesthetic Continuum at The Advanced Aesthetic Program at The Rosenthal Institute at New York University, The Palm Beach Community College and the FMC/Eastman Dental College in London. Expounding his philosophies, experience and expertise in aesthetic dentistry, Dr. Rosenthal extensively lectures, publishes and teaches throughout the country. Profiled on television, radio and in many leading publications such as Vogue, Town & Country, W, Elle, Glamour, Forbes, The New York Times and the Wall Street Journal, he spreads the word about his excitement for aesthetic dentistry and the powerful impact it can have on his patients’ lives.

Dr. Rosenthal is on many advisory. Dr. Rosenthal is also the Director of Aesthetic Advantage Inc., a company dedicated to continuing education with hands-on courses and dental educational products. Dr. Rosenthal maintains a private practice with his partner Dr. Michael Apa in New York City The Rosenthal Apa Group. He believes that improving his patients’ smiles, through conservative cosmetic dental techniques, has a positive and powerful impact on their overall appearance and self-confidence.
In honor of Dr. Rosenthal, The Rosenthal Institute for Aesthetic Dentistry at New York University College of Dentistry is the nation’s first comprehensive program to train dentists in the burgeoning field of aesthetic dentistry. This 8,500 square foot state-of-the-art facility houses 15 treatment areas, a 52-seat amphitheater, a conference room with remote broadcast capabilities and a large laboratory with a demonstration area. A beautiful lobby leads to an elegant, wood-paneled reception area. The Rosenthal Institute provides a coordinated approach to the study of aesthetic dentistry. Students will develop clinical skills in current and emerging techniques in aesthetic dentistry, such as etched porcelain restorations and other techniques to whiten teeth and smooth out the lines of the face. The Rosenthal Institute will also foster research in aesthetic dentistry and will make a beautiful, natural-looking smile within reach of all adults by providing affordable patient care.

Learn more at www.aestheticadvantage.com
To book Dr. Rosenthal for your speaking engagement please contact Jackie at (212) 794-3552 or jackie@rosenthalapagrp.com

To learn more about Aesthetic Dentistry and further your dental education, contact Aesthetic Advantage in New York to enroll in their state of the art dental continuum. Call today at 212-794-9600 or visit our website.

Aesthetic Advantage also proudly offers classes in London and Palm Beach.