Services

Yes you can fill out an online appointment request here. (This form is for new appointments
only.) Or if you prefer, you can call us at +381 65 5156034 to discuss an appointment or send us an email. To change an existing appointment please call. We look forward to hearing from you.

It varies, but please plan on spending 30 minutes to an hour for your first visit. As family dentists we can eliminate the need for additional office visits saving busy families time. We make it a point to clearly explain the benefits and fees for each treatment beforehand during our initial meeting. We believe an oral education is an important part of preventive dentistry. We honor this in everything we do.

The most important ingredient to look for when choosing toothpaste is fluoride. Fluoride is a naturally occurring mineral. Its use has been instrumental in the dramatic drop in tooth decay and cavity occurrence that has taken place over the past 50 years. Bacteria in your mouth feed on sugars and starches that remain on your teeth after eating. Fluoride helps protect your teeth from the acid that is released when this happens. It does this in two ways. First, fluoride makes your tooth enamel stronger and less likely to suffer acid damage. Second, it can reverse the early stages of acid damage by solidifying areas that have started to decay.

Plaque develops when foods containing carbohydrates (sugars and starches), such as milk, soft drinks, raisins, cakes, or candy are frequently left on the teeth. Bacteria that live in the mouth thrive on these foods, producing acids as a result. Over a period of time, these acids destroy tooth enamel, resulting in tooth decay. Plaque can also develop on the tooth roots under the gum and cause breakdown of the bone supporting the tooth.

The American Dental Association recommends flossing at least once a day to help remove
plaque from the areas between your teeth where your toothbrush can’t reach. This is important because plaque that is not removed by brushing and flossing can eventually harden into calculus or tartar.

If a manual toothbrush is used for the appropriate amount of time, and done with proper
technique, it can perform just as well as a powered toothbrush. But many people don’t brush for the recommended two to three minutes. Children are also good candidates for powered brushes as their brushing habits tend to be less than optimal. While everyone certainly does not need an electric toothbrush, in many instances they can be beneficial. Ask your dentist if you have any questions about which brush is best for you.

In order to prevent dental problems, your child should see a pediatric dentist between 6-9 months for a visual examination, or no later their first birthday.

Oral injuries are often and painful, should be treated by a dentist as soon as possible. If you have knocked out a tooth, these tips may be able to save it:
– Rinse, do not scrub, the tooth to remove dirt or debris
– Place the clean tooth in your mouth between your cheek and gum or under your tongue
– Do not attempt to replace the tooth into the socket as this could cause further damage
– Get to the dentist. Successful re-implantation is possible only when treatment is performed
promptly
– If it is not possible to store the tooth in the mouth of the injured person, wrap the tooth in a clean cloth or gauze and immerse it in milk.

Sensitivity toothpaste, which contains strontium chloride or potassium nitrate are very effective in treating sensitive teeth. After a few weeks of use, you may notice a decrease in sensitivity. Highly acidic foods such as oranges, grapefruits and lemons, as well as tea and soda can increase tooth sensitivity, and work against sensitivity toothpaste. If you do not get relief by brushing gently and using desensitizing toothpaste, see your dentist. There are special compounds that can be applied in-office to the roots of your tooth to reduce – if not eliminate – the sensitivity. High-fluoride containing home care products can also be recommended to help reduce tooth sensitivity.

Periodontal disease is inflammation and infection of the gums and supporting bone structure, which if left untreated, can cause permanent jaw bone destruction and possible tooth loss. Untreated periodontal disease has been linked to increased risk for conditions such as heart disease, stroke, low birth weight babies, pre-term delivery, respiratory disease, and prostate cancer. An advanced stage of periodontal disease exhibits inflamed gums pulling away from your bone and teeth. Other signs of periodontal disease include:
– Bad breath
– Red or swollen gums
– Loose teeth or teeth that have moved
– Sensitive teeth
– Pus coming from around the teeth
– Pain when chewing
– Tender gums
– Bleeding gums
Treatment of early periodontal disease can be performed in-office. However, advanced stages may require surgery. Periodontal disease can be prevented and treated successfully by seeing your dentist and dental hygienist regularly and following recommended care plans.

Like other investments, if you whiten your teeth, the length of time you can expect it to last will vary. If you smoke, drink red wine or coffee, or consume other acid-containing foods, your bright smile may begin to yellow more quickly than you expect. In general, a teeth whitening procedure can last up to a few years. And even though the results can fade, occasional touch-ups can be done to regain luster.
Ask the experienced staff at Apostoloski Dental Center about the long-term benefits of teeth whitening.

Commercial whitening toothpastes vary greatly in their ability to whiten teeth. They work by removing surface stains from the teeth with the use of mild abrasives. However, unlike
professional whitening, some whitening toothpastes do not alter the intrinsic color of the teeth. Toothpastes that are effective in removing stains can also destroy tooth enamel in the process. These toothpastes use harsh abrasives. With repeated use, harsh abrasives begin to damage tooth enamel and can contribute to increased tooth sensitivity. If you would like to try a whitening toothpaste, consult with your dentist first.

People often respond to bleeding gums with the wrong method of treatment. Usually, gums that bleed are a symptom of the onset of periodontal disease or gingivitis. But often, people stop brushing as frequently and effectively because it may be painful or it may cause the gums to bleed again. However, when gums are inflamed, brushing could help reduce the inflammation.
More importantly, you should see your dentist to have a periodontal screening and recording performed in order to determine the level of disease present and the best treatment course to pursue. It is also worth noting that chronic dental pain and discomfort are obvious signs of a problem.
Over-the-counter drugs may provide some temporary relief. These medications usually only mask the existence of a problem and should be taken on a temporary basis. It is important to see your dentist as soon as possible if your gums begin to bleed.

Many factors work to destroy the naturally white smile you were born with. Tobacco, certain foods, and certain drinks actually stain teeth. These substances continually work on our teeth causing our white smile to gradually fade. Hot coffee and tea are especially hazardous to your smile because they change the temperature of teeth. This temperature change – hot and cold cycling – causes the teeth to expand and contract allowing stains to penetrate the teeth. Cutting down on coffee and tea can go a long way to creating a great smile. Foods that are slightly acidic are also dangerous to your white smile. These foods open up the pores of the tooth enamel allowing stains to move more easily into the tooth.

Research today suggests a link between gum disease and diabetes. Research has established that people with diabetes are more prone to gum disease. If blood glucose levels are poorly controlled you may be more likely to develop gum disease and could potentially lose teeth. Like all infections, gum disease can be a factor in causing blood sugar levels to rise and make diabetes harder to control. Be sure to see your dentist regularly for check-ups and follow home care recommendations. If you notice other conditions such as dry mouth or bleeding gums, be sure to talk with your dentist. And don’t forget to mention any changes in medications.

Chemotherapy and Radiation can cause a number of problems in the mouth, some of which might include: mouth sores, infections, dry mouth, bleeding of the gums and lining of the mouth and general soreness and pain of the mouth. It can be harder to control these things while undergoing treatment as the immune system is generally compromised as a result of the treatment. There are some special mouth rinses that can be prescribed to help with discomfort during treatment. It is very important to see your dentist before treatment begins and then to continue with recommended follow-up care. These treatments can cause dry mouth, and recommendations might be made for additional care both in-office and at home.

Porcelain veneers are a very thin porcelain cover for the front, edge, and small portion of the back of anterior teeth. Veneers can be used for cosmetic and reconstructive purposes. Our patients at Apsotoloski Dental Center have used Veneers to cover up stained, worn down teeth, to straighten crooked teeth, to change the shape or color of your teeth or to restore teeth that have been fractured or cracked.

It will depend on your situation of how much of the natural structure will have to be removed, but we want to make as little of an impact on you as possible. Some veneers don’t require any removal of the tooth structure. Proper planning and the expertise of our staff always lead to the optimal esthetic success and beauty.

Dental Implants do require a time for healing, but for front teeth we strive to place temporary teeth the same day. Posterior teeth are often left to rest 6-8 weeks prior to placing a functional chewing force on them. In cases where the strength of the bone was less, more time may be required (7-10 months). We always plan for long-term success and we do not rush.

Getting a full set of Implants in one day is a huge procedure, but with the use of CAT scan planning we can plan for whole mouth teeth replacements and surgical precision. A majority of the work in this procedure is in the planning, but we can deliver exceptional care quickly and never leave you without teeth regardless of your particular need or treatment.

Traditionally, dentists have replaced missing teeth with bridges. This is not ideal, because a bridge requires the neighboring teeth to have the majority of their external tooth structure removed. With an implant, you only need a crown made on top of the implant itself to restore it, leaving the neighboring teeth undisturbed and completely intact.

Several different options are available to change the shape of teeth, make teeth look longer, close spaces between teeth or repair chipped or cracked teeth. Among the options are bonding, crowns, veneers, and re-contouring.
– Dental bonding is a procedure in which a tooth-colored resin material (a durable plastic
material) is applied to the tooth surface and hardened with a special light, which ultimately “bonds” the material to the tooth.
– Dental crowns are tooth-shaped “caps” that are placed over teeth. The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line.
– Veneers (also sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials that are designed to cover the front surface of teeth. These shells are bonded to the front of the teeth.
– Recontouring or reshaping of the teeth (also called odontoplasty, enameloplasty, stripping, or slenderizing) is a procedure in which small amounts of tooth enamel are removed to change a tooth’s length, shape or surface.
Each of these options differ with regard to cost, durability, "chair time" necessary to complete the procedure, stain resistant qualities, and best cosmetic approach to resolving a specific problem. Talk to your dentist to see if one is right for you.