Strengthening Weak Tooth Enamel

Strengthening Weak Tooth Enamel

Your tooth enamel is the hard, outer layer of your teeth that protects against decay and daily abuse. Tooth enamel is stronger than bone — but it isn’t immune to damage.

As your enamel erodes or becomes weak, you may become more sensitive to hot and cold drinks and food. This is because weak tooth enamel essentially exposes the nerves in your teeth.

Once tooth enamel has been damaged, it can’t be restored. You can’t rebuild tooth enamel, but you can strengthen it with better lifestyle choices and cosmetic dentistry procedures. Here’s what you should know about enamel erosion and how we can help.

What Causes Enamel Erosion?

Enamel typically becomes eroded as bacteria produce acids that wear it down. This can also be caused by lifestyle choices such as:

  • Consuming soft drinks and fruit drinks. Soda is high in citric acid and phosphoric acid that seep into the pores of the enamel.
  • Having continual acid reflux or GERD, which causes acidic damage to the enamel.
  • Constant dry mouth. Saliva washes away bacteria and protects the enamel from acid, so if you’re not producing enough saliva your enamel may not be as protected.
  • Eating a high starch and high sugar diet. The bacteria in your mouth feed on starch and sugar and produce an acidic byproduct which can lead to enamel erosion.
  • Nightly friction from teeth grinding and other wear and tear can wear away enamel.
  • Daily poor brushing habits. How you brush your teeth may contribute to enamel loss if you brush too often or too hard.

While it’s true that you can’t rebuild or replace enamel, your dentist can help repair the worn enamel and restore the appearance and function to your teeth. There are several procedures that may be a good option, depending on the severity of the enamel loss.

Options for Strengthening Enamel & Restoring Appearance of Teeth Due to Weak Enamel


  • Tooth Bonding. One of the most popular cosmetic procedures is called tooth bonding, which is ideal for mild cases of erosion. Tooth bonding involves applying a special tooth-colored resin that’s bonded to the tooth. Bonding can be effective at fixing a chipped tooth, improving the appearance of discolored teeth, and essentially creating “false” enamel to strengthen tooth enamel before it erodes further.
  • Dental Veneers. If only the enamel on the front surfaces of your teeth has become damaged, we may recommend dental veneers. Veneers are very thin pieces of porcelain that are cemented to the front-facing surfaces of the teeth. Dental veneers are basically custom-made shells that improve the appearance of your teeth and protect you against the consequences of worn enamel. Once the veneers are bonded to your teeth, they can change the length, size, shape, and color of your teeth.
    Due to his years of experience in cosmetic dentistry, Dr. Mishaan is an expert at using procedures like dental veneers to carefully craft a beautiful smile that fully compliments you.
  • Porcelain Crowns. Finally, porcelain dental crowns may be recommended if your enamel is very damaged or your teeth are severely misshapen, discolored, or require extensive dental work. A crown serves as a cap that covers a damaged tooth completely.

Unfortunately, most people do not give their tooth enamel much thought until it’s gone. Dental procedures like tooth bonding and veneers can be a permanent solution to address weakened enamel while restoring a bright, beautiful smile.

If you are concerned about enamel loss and are in New York City, contact our office today to schedule your appointment and discuss your treatment options with leading cosmetic dentist Dr. Mishaan.

Can Teeth Repair or Regrow Themselves?

Can Teeth Repair or Regrow Themselves?

can teeth repair themselves

Whether you’ve broken a tooth due to a fall or lost a tooth from disease, you may be asking yourself, “can you regrow teeth?” or “can teeth grow back?” It may sound silly, but we’ve come across many people who ask these questions! Understanding this topic can help ensure that your dental health is well-maintained throughout the years.

Can Teeth Repair Themselves? Here’s The Simple Answer

When your teeth are cracked or chipped, or the enamel is damaged, the simple answer is that they are not going to regrow themselves.

Your teeth are different than your skin and do not regenerate. You probably know that when you get a cut, the skin should eventually grow back. Teeth, however, do not operate in the same fashion because they are not made of living tissue. Due to this, you will need to seek out the help of a cosmetic dentist to see what options are available to repair your teeth.

But What About “First and Second” Teeth Sets?

Humans are actually born with two sets of teeth. This is why children have the ability to regrow teeth when they lose their first set of teeth and their adult set eventually grows in. However, once that second set of adult teeth are in, you can’t grow another set naturally.

In other words, as an adult, if your teeth are damaged or one or more of them has fallen out, regrowth is not going to happen on its own. In most situations you are going to have to get your chipped or cracked tooth fixed professionally so that the damage doesn’t become worse.

Why You Shouldn’t Use Over-the-counter Methods

While it may be tempting to stop by the local drugstore and grab an over-the-counter dental repair kit or similar product, we do not advise this. Some of these products may seem like a convenient idea, but keep in mind that they are not designed specifically for your condition or any underlying problems you may have that has contributed to your chipped, cracked or lost tooth.

Scheduling an appointment with a professional is a much better idea than using over-the-counter repair kits. By visiting a skilled cosmetic dentist like Dr. Mishaan, you are getting the benefit of a professional diagnosis and treatment plan, which increases your odds of a speedy recovery.

How Cosmetic Dentistry Can Help

Cosmetic dentistry services are varied and depend upon your specific needs. This specialty is really the best for dealing with damaged teeth and enamel problems as there are several available options.

At your appointment Dr. Mishaan will discuss all of the available options and provide a treatment plan. For example, there are dental veneers, dental crowns, or fillings to help repair the problem.  Depending on where your damaged tooth is located, you may need to have one or more of your teeth bonded using a tooth-colored composite, which will completely restore the appearance of the tooth.

When Dr. Mishaan is finished with your procedure, you will never be able to tell there was an issue. In addition, we will walk you through your options and discuss the best solution to your problem. We will also discuss how to prevent further damage to your teeth to avoid these issues in the future.

The Bottom Line

In general, unfortunately adult teeth cannot regrow or repair themselves. Fixing your smile requires the help of a professional in the field. We encourage you to schedule an appointment with Dr. Mishaan today and start loving your smile again.

Is Invisalign a Permanent Solution?

Is Invisalign a Permanent Solution?

is invisalign a permanent solution

With so many options for straightening the teeth these days, we understand that going through the process can feel both overwhelming and confusing. In fact, you may think that all braces involve those little metal brackets that were popular in the not-too-distant past.

While metal braces still exist, Invisalign braces are now the more popular choice, especially amongst professionals in NYC who want to look their best while at work and play! The clear Invisalign braces make them far more discreet than traditional metal braces; most times people can’t even tell you’re wearing them.

Learning more about Invisalign can help you to understand what these braces do and whether or not they offer a permanent solution for straightening your teeth.

Understanding Invisalign

Whether you’re looking into adult braces or getting ones for your kids, this type of straightening method is as the name implies. While metal brackets are visible on the front of teeth, Invisalign structures are virtually invisible.

People of all ages tend to worry about what they will look like after having this dental procedure done, and the good news is that wearing Invisalign braces doesn’t really change one’s appearance. It’s unlikely that anyone would even be able to tell that you’re wearing this invisible set!

The initial suggestion that your bite may need correcting usually comes from your general dentist, who then recommends that you see an orthodontist or Cosmetic Dentist like Dr. Mishaan, who can prescribe this treatment option. Here in our NYC office, we are actually able to both recommend and treat with Invisalign, saving you an extra step!

Invisalign can be used to straighten the teeth, or it may also serve as a tool for helping individuals with an overbite or an under-bite. Treating an irregular bite can be an important cosmetic treatment that not only helps you look your best, but preserves the health of your jaw and bone structure.

The only way to know for sure what you qualify for is to have an appointment with an Invisalign specialist. Dr. Mishaan can guide you toward the best plan for your mouth.


As with virtually any procedure, we understand that you probably want to know how long the treatment is going to last.

So now for the main question: Is Invisalign a permanent solution?

The short answer is that yes, the purpose of Invisalign braces is to provide you with straight teeth for life. However, it’s not quite that simple.

Think about your teeth right now. If you are seeking any type of orthodontic treatment, they are likely crooked in some capacity. While Invisalign helps straighten them, if you do not properly care for your teeth and the Invisalign structures while wearing them. In other words, imagine that the doctor prescribed you medicine but you never took it. It wouldn’t work!

So, let’s learn more about Invisalign treatment and about proper care in order to ensure the long-term success of wearing these invisible braces.

Caring For Your Invisalign Braces

Back when people almost always wore metal brackets for these types of issues, they had many restrictions placed on them. For example, they could not eat certain types of food. Invisalign’s invisible structures generally come with fewer rules, restrictions and suggestions; however, in order to get the most out of wearing the braces, you need to follow the information that you’re given. Failure to do so could interfere with the tool’s ability to permanently straighten your teeth.

Don’t Skip Your Dental Visits & Follow-ups

During your time wearing these structures, you’re going to need to schedule check-ups with your dentist or orthodontist, or Dr. Mishaan if you’re planning to visit our dental office here in NYC.

If you constantly skip your appointments or entirely disappear until the time comes to have them removed, you are decreasing the chances that the invisible units will permanently straighten your teeth.

We always recommend that our patients make sure to keep up with the appointments until the dentist (or orthodontic specialist if you’re going elsewhere) tells them that the treatment is complete.

Wear Your Retainer

When the structures are removed from your teeth, you are probably going to get an Invisalign retainer. This practice is certainly a common one in the field of orthodontics and cosmetic dentistry.

Dr. Mishaan, an Invisalign specialist, is then going to give you instructions about wearing the retainer. For example, you may need to wear it all day at the beginning and then slowly start wearing it for shorter periods of time each day. It’s also possible that you will need to wear it for only portions of the day from the start. Situations vary from one another. What’s important here is that you do exactly what the orthodontist/dentist says in order to optimize the possibility of long-term success.

As you can see, the answer to the question of whether or not Invisalign is a permanent solution is really that it depends on your commitment and care to the treatment! Yes, this procedure is designed to be one that will provide you with permanent results. However, in order to get those results, you need to make sure that you are caring for your mouth.

As a team, we find that our patients and Dr. Mishaan can work together to craft the perfect mouth and smile.

If you’d like to learn more about Invisalign, contact our office today. Dr. Mishaan and our staff would be happy to review your options with you and see if Invisalign may be right for you.

Know the Differences Between Teeth Whitening, Bleaching and Cleaning

Know the Differences Between Teeth Whitening, Bleaching and Cleaning

Most people know about professional cleaning and what it involves – cleaning the teeth and removing plaque. However, many people may not realize that there is actually a subtle difference between teeth whitening and bleaching because the bleaching process is similar to, but not exactly the same, as the whitening process.

Learn more about the similarities and differences between these three popular procedures.

What is Professional Teeth Whitening?

Teeth whitening is the process of whitening several shades of your natural teeth. It’s designed to remove yellow stains that are caused by plaque along with certain foods like coffee or tobacco. Whitening removes the brown spots or yellow stains that are stuck on teeth for years.

The whitening process is classified as either surface whitening or bleaching. The most basic whitening occurs at the surface level of teeth above the enamel, and this is achieved by brushing the teeth using toothpaste. The second type involves the use of a specialized, adapted bleach compound used specifically for teeth whitening. This compound penetrates deeper, allowing for a whiter look to teeth. This is what you’ll find at many professional dental offices.

The myth about professional whitening is that it’s fast and completed in 30 minutes or less. To get the optimal results though, it’s actually a multi-step process that starts with the careful examination of the teeth. Dentists review the patient’s dental history and take X-rays to look for damaged areas. They observe the teeth and gums up close to make sure that everything is healthy before treatment.

At Midtown Dental, Dr. Mishaan actually uses a specialized teeth whitening service, called Zoom! whitening. This procedure uses a combination of light and a whitening gel to quickly and safely whiten your teeth in just one visit.

teeth whitening bleaching smile

What is Teeth Bleaching?

Teeth bleaching is the same as whitening, except it includes the use of dental-grade (which is safe for your mouth!) bleach. To many dentists, bleaching is the strongest, most effective method of creating the whitest look on teeth. The teeth are bleached when they are whitened beyond their natural color.

Hydrogen peroxide is the most common ingredient used in bleaching gels and strips. Since bleaching can be slightly more harsh on your teeth than traditional whitening methods, it’s important to work with an experienced professional to determine whether bleaching is right for you.

Our office in New York uses a procedure called Brite Smile, which is a safe and effective teeth whitening and bleaching solution. Dr. Mishaan prefers this method because it does not usually cause post-op sensitivity on the newly bleached teeth like some other procedures do, and is a perfectly safe way to achieve optimal results.

Routine Teeth Cleaning

In general, professional teeth cleaning is a preventative dental service that involves removing dirt and debris from the teeth without any focus on the aesthetics. Dentists can professionally clean teeth that will still remain yellow afterwards. At our office, we tell our patients that annual cleanings are necessary to maintain good dental health; however, we recommend whitening strictly as a cosmetic dental service.

During cleanings, dentists like Dr. Mishaan focus on removing plaque using the scaling and root planing technique. They also clean the gums and look for any early-to-advanced signs of gum disease. They take X-rays of the teeth and look for cavities, which may lead to the recommendations of dental fillings.

Whitening or bleaching the teeth is done solely to improve the appearance of teeth. In contrast, cleaning is done to improve the functions of teeth and gums. Dentists also look for signs of diseases and other imperfections in the mouth, and may suggest referrals to oral surgeons if there are significant problems.

Dentistry has gotten more complicated over time, and so many dental procedures are now available. If you plan to visit the dentist at all, it’s still important to know what separates one procedure from another. In this case, knowing the difference between teeth whitening and bleaching can be helpful because these two terms are mistakenly used interchangeably.

At Midtown Dental, Dr. Mishaan provides professional cleaning and whitening services to those in NYC. With his expertise in Cosmetic Dentistry, we’re confident that you’ll walk away with a better looking smile for years to come. Contact us to schedule a consultation.

The Difference Between Invisalign & Traditional Braces

The Difference Between Invisalign & Traditional Braces

Invisalign, or invisible braces, have become exceedingly popular over the years due to them being practically invisible while still working to straighten teeth. At our office in NYC, Dr. Mishaan actually prefers them over traditional braces, and is an expert at using Invisalign to craft the perfect smile.

The beauty of Invisalign is that the aligners are made from flexible plastic which can be removed when eating and you will usually receive different aligners during the course of your treatment. This ensures that your teeth continue to straighten out and remain comfortable while wearing the braces.

There can be many benefits when choosing Invisalign over braces. If convenience, comfort and appearance are important to you, then this option might be for you!


What is the Difference in Appearance When Wearing Invisalign vs. Traditional Braces?

The main difference when it comes to Invisalign braces and traditional braces is the fact that nobody can even tell you are wearing them!

Metal braces contain things like buttons, bite ramps and brackets and although your teeth may look beautiful afterwards, a mouth full of metal can be exceptionally unsightly. With a practically invisible tray, your professionalism at work will not be jeopardized (not to mention if you are at social functions and parties as well).

traditional metal braces

Convenience of Aligners vs. Braces

Another element that makes Invisalign braces different from braces is that you can remove your trays. Braces are cemented onto the teeth and can only be taken off when treatment is complete. You also need to pay exceptional attention to cleaning your teeth every single day when wearing braces. With Invisalign aligners, you can take them right out when brushing your teeth and they are easy to disinfect or clean using the proper solution.

The invisible trays are immensely easy to maintain because you take them out when you eat or drink anything and with braces, components like buttons, bite ramps and brackets can break or become damaged and require you to make an appointment to see your doctor immediately. They can also get things like food or bacteria stuck in them and it can be difficult to remove. With aligners, the only maintenance is taking them out before eating and soaking them in warm water to clean them.


Average Treatment Time With Invisalign

Not only are the invisible trays more comfortable, removable and more convenient, but they can also straighten your teeth faster than mental braces. They can also fix and treat a wide variety of issues such as over or under bite, overcrowded teeth, cross bite, open bite or gap teeth.

The average time for Invisalign treatment is only around 6 to 18 months and they only need to be worn 22 hours a day. With traditional braces, the average time span is approximately two years!

Treatment with braces can not only take a long time but they can also be painful or awfully uncomfortable while Invisalign is reported to be a lot more pleasant feeling and if they are bothering you too much, you can always remove them and take them out.


How Does Invisalign Work?

These clear plastic aligners work by being custom fit to your teeth and they gradually shift your teeth because you wear each tray for 22 hours throughout the day.

When you first have a dental consultation, Dr. Mishaan will perform an examination to determine the overall condition of your teeth and gums. If the dentist concludes that you have periodontal disease or cavities, those issues will be taken care of first to ensure your teeth are healthy enough to be moved and shifted.

If Dr. Mishaan determines Invisalign to be the right option for you, you will then get impressions made and your personal trays will be made. It can take up to a year of treatment and wearing the aligners, but each case is different and length of time can vary on a case-by-case basis. Visits to get new trays are typically every 4 to 6 weeks.

In addition, Invisalign retainers will be recommended once you finish treatment. Although the retainers are not required, teeth can shift back to the original position if you do not wear them. Dr. Mishaan’s ability to craft the perfect smile using Invisalign is second to none, but it’s important that dentist and patient work together to ensure the best results!

It is our goal at Midtown Dental Group to help you look and feel your absolute best and our leading dentist, Dr. Mishaan, can determine exactly how to get you there with his experience and expertise. Contact our office today to schedule a free Invisalign consultation.

Midtown Dental Group

241 West 37th Street
New York, NY 10018
(212) 764-7226

130 East 63rd St, Suite 1A
New York, NY 10065
(212) 764-7226

1158 Broadway, 3rd Floor
New York, NY 10001
(212) 764-7226

20 E 46th St. Suite 803
New York, NY 10017
(212) 764-7226

3605 Ave. S, Brooklyn,
New York, NY 11234
(212) 764-7226


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