Restorative dentistry

Restorative procedures turn that frown upside down. This method of teeth restoration aids in protecting overall oral health while enhancing a patient’s smile. The Doctors at Madison Avenue Smiles will recommend a suitable restorative procedure for the client, reducing the amount of future dental work needed.

The Biomimetic Approach

Biomimetic dentistry is the reconstruction of teeth, emulating natural biomechanical and esthetic function and form. To simplify, biomimetic dentistry means to replicate life-like. Biomimetic dentistry only focuses on removing damaged and decayed parts of the tooth, then bonding the final restoration to a healthy natural tooth structure.

Biomimetic restorations include stress-reduced direct composite restorations and porcelain/composite inlays and Onlays, restoring the biomechanics of damaged and broken teeth.

Our objective is to return the tooth to its original esthetic, strength, and function in the restoration process of decayed, damaged, and broken teeth. Biomimetic dentistry executes the above with a conservative approach resulting in patients having glowing smiles.

Composite Fillings

Composite fillings restore teeth with cavities and maintain a natural appearance using a tooth-colored material. After decay removal, the tooth is filled with a cured composite material using specialized lights to harden the material. These fillings take place in one visit to the clinic.

Inlays and Onlays

Inlays and onlays are partial crown restorations when there isn’t enough tooth structure to support a filling but enough tooth structure where a full crown isn’t required. Both inlays and onlays come in gold or porcelain that functionally and aesthetically replace a missing tooth structure.


Crowns are used in dental restoration, covering the outside of the tooth entirely that is cracked, broken, and severely decayed. 

Dental crowns are primarily completed within two visits. 

During the first visit, the Doctor will prepare the tooth by lightly shaving it down, making an impression of the tooth. Then, a temporary crown is inserted while the permanent crown is fabricated. 

The permanent crown is strategically fitted and then cemented on the second visit.

Dental Bridges 

Dental bridges replace missing teeth without using a denture or dental implant. A bridge is comprised of two crowns and a replacement tooth/teeth. 

Crowns are usually in the spaces on either side of the teeth, with the fabricated tooth or teeth attached. 

For multiple teeth that are missing, implant/implants are used to anchor the bridge.

Implant Restorations 

Dental implants include the following: 

  • A small screw made of biocompatible titanium
  • An abutment that connects the screw 
  • The final restoration. 

The screw placed in the jawbone acts as the tooth’s root replacement and provides a strong foundation for fixed or removable replacement teeth. 

Screws begin to fuse with bones over a couple of months. After the osseointegration process (fussing process), the abutment is inserted into the screw allowing for the permanent attachment of the restoration.


The difference between dentures and crowns/bridges is that dentures don’t rely on the structure of an existing tooth, it completely replaces missing teeth. 

Different types of dentures include: 

  • Full
  • Partial 
  • Removable 
  • Fixed
  • Traditional 
  • Implant-supported.

Treatment of TMJ Disorders 

The temporomandibular joint (TMJ) connects the jawbone to the skull. TMJ disorders often cause discomfort in the cheek, jaw, and ear areas and affect normal jaw function.

Less severe cases of TMJ can be treated with self-managed care that includes:

  • Eating soft foods
  • Using ice packs
  • avoid extreme jaw movement 
  • non-surgical treatments like anti-inflammatory medications, Botox injections, and stabilized splints.

In severe cases, surgical treatments like jaw joint replacements can be necessary. There are three categories of TMJ conditions. 

  • Myofascial pain: discomfort or muscle pain that controls jaw function, leading to grinding teeth, another TMJ disorder. 
  • Internal derangement of the joint: an indicator of a displaced disc, dislocated jaw, or injury to the condyle. 
  • Arthritis: a degenerative inflammatory disorder.

Signs and symptoms of TMJ disorders 

TMJ disorders can be heightened by stress that leads to: 

  • Headaches
  • Soreness in the cheek or jaw area
  • Pain in or around the ears
  • Facial pain
  • Tight jaws
  • Popping or clicking sounds when opening mouth
  • Locking of the jaw
  • Difficulty chewing.



488 Madison Ave, Suite 1712
New YorkNY 10022

Working Hours

Monday - Friday | 8am - 5pm
Saturday | Closed
Sunday | Closed