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750 Comox Road, Courtenay, BC
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750 Comox Road,
Courtenay, British Columbia
V9N 3P6

Office Hours

Cosmetic Dental Services

Teeth Whitening

Tooth whitening is a safe and simple way to help you get a beautiful, white smile. To achieve a brighter smile over time, or to touch up a previous tooth whitening treatment, Zoom whitening or custom take-home teeth bleaching trays are a convenient way to restore your beautiful smile.

For each whitening option, the first step is for one of our certified dental assistants to take impressions of your teeth to be used to fabricate your bleaching trays — one for your upper teeth and one for your lower teeth.

The next step for take-home whitening is to ensure your bleaching trays fit properly.  The team at Acreview Dental Clinic will then show you how to apply the tooth whitening gel and discuss the amount of time your bleaching trays should be worn each day to achieve your desired results.

If you have chosen Zoom in-office whitening, an appointment will be scheduled for you with one of our Registered Dental Hygienists to perform your whitening procedure.  You will then be instructed on how to use your bleaching trays for touch-ups.

For a whiter, brighter smile that leaves a lasting impression, request an appointment with Dr. Karamanis or Dr. Burry and their cosmetic dental team for your at-home tooth whitening or Zoom whitening consultation.

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Dental Veneers

Dental veneers can beautify your smile by correcting many structural and cosmetic issues with front teeth. They can correct fractured, chipped or damaged teeth.  They can conceal stains, chips, injuries, or worn and misaligned teeth. Dental veneers are made of ultra-thin, customized porcelain and are designed to be bonded over your teeth. They look incredibly natural, are long lasting, and relatively easy to apply. When the need for veneers is properly diagnosed, they are a terrific alternative for correcting many front tooth problems.

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Porcelain Crowns

Crowns (Caps) that are all-porcelain (ceramic) are an excellent cosmetic alternative when restorations are required.  Fabricated by our laboratory team, these restorations are beautiful, comfortable, "life-like" and long-lasting.  These all ceramic crowns correct discolorations, mis-shaped, and misaligned tooth forms.  These restorations protect weakened or fractured teeth and comfortably increase support and function of the teeth prepared.

You can have confidence that Dr. Burry, Dr. Karamanis and their team, coupled with our skilled laboratory technicians, can solve any problem you may have concerning the health, comfort, function or aesthetics of your bite and smile.

Once your complete assessment, co-diagnosis and shared treatment planning are completed, any one, all or a variety of these restorative techniques will be used by Dr. Karamanis or Dr. Burry to reconstruct your bite and smile.

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Dental Implants

Implants in dentistry have developed significantly over recent years around the world and in our practice.  Dr. Burry and Dr. Karamanis began restoring dental implants in 1994 and surgically placing implants in 2001.  Since then, they have successfully reconstructed the bite of many patients throughout the years. Implant dentistry in our practice is as common place a treatment as the most simple procedure that we perform.

Implants provide a stable, functional replacement for a single missing tooth or multiple missing teeth.  A dental implant is a metal cylinder that is surgically placed in the bone of the upper or lower jaw to replace the tooth's root.  Dental implants may be used to replace an individual tooth (single tooth implants), multiple teeth or as the support for full upper or lower dentures (implant supported dentures).

An implant consists of an anchor, an abutment and a prosthetic tooth or appliance.  The anchor is a cylindrical piece of metal surgically implanted in the bone.  It is often made of titanium due to the biocompatibility of this metal with bone tissue.  The abutment connects the anchor with the restored prosthetic appliance and is attached after proper healing (osseointegration or bone fusion around an implant) of the anchor to the bone.  The prosthetic tooth or appliance can consist of a crown (single tooth implant), bridge (multiple teeth implants) or a full upper or lower denture (implant supported dentures). Nobel Biocare, Astra, and Straumann are the major supplier of implants for Dr. Karamanis and Dr. Burry. (For more information visit; Straumann Website or the Nobel Biocare Website)

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Single Tooth Implants

This type of dental restoration is often referred to as a composite restoration.  Composite restorations are a mixture of glass or quartz filler in a resin medium that is bonded to the remaining structure of a tooth when a portion of the tooth has been damaged by injury, fracture or decay.  Composite restorations provide durability and resistance to fracture in small to mid-size loss of tooth structure that is required to withstand moderate chewing pressure.  Since their inception in the late 1960's, composite restorations have undergone continual improvements in color, stability, durability and aesthetic properties. They are available in a variety of shades and can be matched to your individual tooth color.  Tooth colored restorations (composite resins) are available for use in both anterior (front) and posterior (back) teeth.

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Multiple Tooth Implants

One of the main advantages of a single tooth implant is the fact that a missing tooth can be replaced without sacrificing the health of the adjacent teeth.  The other alternative to replace a single tooth is a fixed bridge which involves preparation of the teeth on either side of the missing tooth.  Often times, the adjacent teeth have not been restored and can remain untouched when a single tooth implant becomes the desired method of treatment.

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Implant Supported Dentures

When a dental patient is missing all of their teeth in one or more arches, an implant supported denture is one of the options for replacement of these teeth.  An implant supported denture is a type of overdenture that is supported by and attached to implants.  This type of denture has special attachments that snap onto attachments on the implants.  Several advantages exist when considering the use of implant supported dentures.  They are often more comfortable and stable than conventional dentures, they help preserve bone in the dental arch, and provide enhanced function and better aesthetics than conventional dentures.

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Patient Selection

When dental implants are a consideration, Dr. Karamanis and Dr. Burry perform a comprehensive dental examination and careful screening. This includes radiographs (x-rays), study models and careful risk assessment taking into consideration each patient's oral condition and general medical health.

The oral examination includes evaluation of the adequacy of bone present in the areas that the implants might be placed.  Dr. Burry and Dr. Karamanis may collaborate with oral surgeons, utilizing them as co-therapists during the assessment phase.  Treatment planning may include bone grafting to augment the proposed implant site. The health of each patient's peridontium (gum and bone) must be sound and free of disease prior to any type of implant procedure.  Dr. Karamanis and Dr. Burry carefully communicate with these specialists to coordinate the treatment sequence.

The patient considering dental implants must be free of systemic conditions that might interfere with healing and affect implant acceptance. Examples of these conditions might include recent radiation therapy to the oral cavity, uncontrolled systemic conditions like diabetes, and some types of immunosuppressive disease.  The risk for implant failure has been shown to be higher in cigarette smokers than in non-smokers.  At times, consultation with medical health professionals is necessary.  Careful evaluation is completed prior to any type of implant treatment.

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Care of Implants

Supervision of each patient's oral hygiene begins prior to the surgical phase and continues through treatment and beyond.  Detailed instruction is given to our patient's specific to their individual case.  Physiotherapy aids (toothbrushes, dental floss, interdental cleaners, etc.) are selected to prevent damage to the titanium implant as well as the supporting tissues. Immaculate oral hygiene influences the long-term success of an implant.  Routine supervision of the patient with dental implants is essential.  This includes re-care evaluations individually established and careful examination at these set intervals.

Feel free to contact our office if you feel you might be a candidate for dental implants.  Upon examination, Dr. Burry and Dr. Karamanis will carefully assess your individual condition and recommend treatment accordingly.

Acreview Dental, exceptional dentistry in Courtenay, BC

750 Comox Road, Coutenay, British Columbia, Canada V9N3P6 (250)338-9085