Have You Been Properly Probed?

By Dr. David Pereira

Probing; It’s a dental thing. It is one of several diagnostic techniques that dentists use to diagnose the oral habits of our patients. Most dentists relate probing to the medical equivalent of taking your blood pressure. When was the last time you went to see your doctor for an annual check up and they didn’t take your blood pressure? Hopefully the answer to that question is never. Yet, in dentistry probing is often skipped due to perceived time constraints. So what is probing? It is when your dentist or hygienist measures the depth between the tooth with a periodontal probe measuring a minimum of 6 locations along the edges of the tooth. Why is that? It is how we diagnose for periodontal disease. All patients who come to Greenwich Cosmetic Dentistry have annual periodontal evaluation and that includes probing.

You might ask, why should I care Doc? That’s easy; probing is the main diagnostic tool to diagnose the clinical attachment level. What is that you say? The Clinical Attachment level is the amount of space between where the tooth and the connective tissue meet. This measurement ranges from the theoretical 0 millimeters to the more serious 10 plus millimeters.  That means that the space between the top of the gum line and the bottom of the pocket that attaches to the tooth is able to be measured.

Ok, that’s great, so what does that even mean?

Well, people lose teeth for a variety of reasons, however the three most common reasons are

  1. Cavities
  2. Periodontal disease
  3. Trauma

By measuring or rather probing on an annual basis we are able to monitor changes in the clinical attachment level of your dentition, if caught early there are several options available to try and prevent the periodontal condition from getting worse.

So, what is normal?

Good Question. Traditionally dentists prefer lower numbers. Numbers between 0-3 are good, when you go above 4, then we need to start thinking about treatment options. These options include treatments such scaling and root planning, selective application of local antibiotics and possibly bone grafting, among others. However, all these options can be potentially avoided by a regular visit to our office with regular cleanings and annual periodontal evaluations including probing.

So, if your dentist is not measuring your probing depths, maybe its time to change to the holistic care that is offered at Greenwich Cosmetic Dentistry. What are you waiting for?


Whitening Strategies in todays dental office

By Dr. David Pereira

Do you smoke cigarettes or cigars? Drink coffee or tea? Do you love red wine? Have you been doing these for awhile? Sometimes regular dental cleanings can only go so far. A nice white smile is something that is perfect for everyone. It’s the ideal accessory to every social event. The tooth whitening options available in today’s market have a large range. Radio advertising claims of bright white teeth using baking soda and we have seen those Facebook advertisements claiming a white result with special formulations of unknown agents. Then there is also the grocery store approach of white strips from the toothpaste manufacturers, however none of those approaches have the clear, consistent results that a board certified dentist can deliver.

When you decide that what you want is a healthy white smile then a reservation at Greenwich Cosmetic Dentistry is what you need. Our Doctors, Gerald Cohen and David Pereira, utilize the most up to date products available to get you a nice healthy white smile. In as little as 30 minutes we can get you several shades whiter,  getting rid of those bothersome teeth stains that have been there for years. We also give our patients the ability to choose from different whitening options including in office express whitening and long term at home whitening.

Many of our patients contact us before big life events such as weddings, births, engagements or any other photographed family event. When you want to look your best, don’t forget to include a nice white smile. At Greenwich Cosmetic Dentistry we love to say that you are never completely dressed without a beautiful smile. Give our office a call to schedule your visit.

We can be reached at 203-869-2659.

A Bite Out of History


George Washington wore dentures because he had lost one tooth after another to extraction. He suffered from toothaches all his adult life, and his famous quick temper may have been the result of this pain. By the time of his inauguration in 1790, Washington had only one tooth, his lower left bicuspid. A hole in his lower denture allowed this natural tooth to stick out. When it was time for Washington to sit for his presidential painting, the artist, Gilbert Stuart, thought that his dentures were too short, making his cheeks and lips look sunken. He padded Washington’s cheeks and lips with cotton to restore the natural lines to his face. But instead of looking better, Washington has an overstuffed, grandmotherly appearance in his portrait. Reprinted with permission from “Toothworms and Spider Juice: An Illustrated History of Dentistry” – Loretta Frances Ichord, Millerbrook Press.

implant retained dentureThank God we live in the 21st century and have modern dentistry with custom designed dentures and  Implant retained dentures.

Call (203) 869-2659 – Greenwich Cosmetic Dentistry now for your free denture consultation!