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I got my curly
hair from my mother. Most of it has fallen out. She also gave me
her soft teeth. Over the years, I have lost more than a few of these
also.
The denuded scalp I can live with. I never cared for toupees or
those little rows of hair saplings. When the weather's bad I just
cover it up. But tooth loss is very serious. I NEED my teeth
for survival. Good nutrition is dependent upon chewing; chewing
is dependent upon strong teeth. When a tooth is no longer salvageable
(typically when it can no longer be crowned) it must be replaced
with a prosthetic.
Until fairly recently, my only recourse was to replace the lost
tooth with a bridge. This necessitated grinding the adjoining teeth
on which the prosthetic was mounted. Every time I lost one tooth
I really lost three.Because I equate my teeth with survival, I strive
to approach the replacement process like a structural engineer assessing
the job site.
The bridge option involves other consequences beyond modifying the
natural configuration of the supporting teeth. Several additional
engineering obstacles must be overcome. First and foremost is achieving
the exacting precision that prevents bacteria from breaching the
margin between the gums and the anchor teeth. Even if such precision
is initially achieved upon installation, other forces serve to incrementally
compromise that integrity.
Torsional dynamics must also be considered - individual teeth, firmly
"anchored" in the jaw are much better suited to absorbing
the considerable hydraulic forces resultant from chewing. Chewing
on the front side of the bridge puts strain upon the rear.
No bridge lasts forever - not even the best bridge crafted by the
best technician using the best tools in the best lab and placed
by the best dentist.
Happily, there are now options available to address tooth
loss. Implant dentistry should be regarded as one of the finest
achievements of anatomical technology yet devised by man. Implant
dentistry makes sense both scientifically and aesthetically.
It's a clean technology - no invasive electronics or potent chemicals
are required.
The implant itself is a marvel of engineering precision - a threaded
titanium apparatus that is machined on the inside. It is essentially
a piece of pipe smaller than the lead from a #2 pencil with threads
on the inside and the outside. The mouth is painstakingly mapped
to determine location, depth, and angle for the implant. Once placed,
the post is screwed in. Finally, the prosthetic is attached.
The process of installing an implant supported crown can sometimes
take much longer than it takes to receive a bridge. Implant supported
crowns also cost significantly more. But life expectancy of the
implant supported mechanism greatly exceeds that for conventional
bridgework. Thus any considerations for installation expediency
and cost need to be considered in the context of the implant's potential
permanency.
I've spent quite a bit of time in various dentist chairs. Metaphorically,
each chair has a different comfort level. As is true in any profession,
there exists a range of talent in dentistry extending from the mediocre
to the exceptional. Typically, you get what you pay for.
I typically advise people NOT to select dentists from a health plan's
provider directory. Though there may be exceptions, true talent
does not rely upon such mechanisms - talent, in and of itself, will
attract customers regardless of insurance incentives.
Dr. Hamid Shafie, founder of the Center for Oral Implantology
at Johns Hopkins, will not be found in any provider directories.
You can find him instead at the American Institute of Esthetic and
Implant Dentistry, which he founded after leaving Hopkins. From
this establishment at 2440 M Street he currently offers his exemplary
talents. Dr. Shafie is an incredibly gifted artist and a scientist
of the highest caliber and integrity.
I recently had an implant supported crown installed by Dr. Shafie.
This was the finest dental experience I've ever gone through in
my entire life. I have never felt as confident or as trusting that
every effort was being exerted on my behalf than during this process.
We of the greater metro area are priveleged to live in such proximity
to many of the finest art galleries in the world.
Equally privileged are we also to have access to the artistically
acclaimed and scientifically talented Dr. Hamid Shafie. I encourage
you to seek his services.
Christopher
Aubry
Grant Researcher
University of Maryland
Dr. Shafie is
an unusual combination of a knowledgeable professional and a
pleasant person. He possesses a dedication to his patients and
is meticulous in his care. The most current methods of treatment
are employed. The pleasant atmosphere in his office will put the
most apprehensive person at ease. Dr. Shafie and his staff are an
asset to the dental profession.
Terry Hardy
I had my jaw
resected (half of the lower mandible removed) two years ago due
to a locally malignant tumor contained inside my jaw bone. Needless
to say it was a devastating blow to an otherwise active and energetic
life.
A fine team of Oral and Plastic surgeons were able to re-construct
the lost jaw bone using parts of my own fibulas (leg bones), hip
bone, titanium bar and stainless steel screws. The original contour
of my jaw has been replicated with only a fine scar left under my
jaw line. All fine and well except, unfortunately, I lost one quarter
of my teeth with the resection, leaving me unable to chew on one
side of my mouth, unable to speak without a whistling toothless
lisp and one side of my mouth was sunken-in where the teeth had
been.
I was having difficulty returning to the busy engaging lifestyle
I had before. My overseas lectures to the international community
had become hard to understand and I was unable to eat some of the
exotic foods I loved to sample around the world. Even basic nutrition
was problematic. Then came Shafie!!
The head of Oral Surgery at Washington Hospital Center referred
me to Dr. Shafie saying; "this guy knows all of the latest
dental implant technology and he loves a challenge...." I was
certainly a challenge; I had an anatomically incorrect jaw that
had already endured multiple reconstructive bone surgeries and I
was anxious to move on with my life! And oh yes, I have type one
insulin-dependent diabetes.
We began with a detailed examination and patient explanation of
the options available to me with recommendations on the best way
to proceed. Dr. Shafie never showed any sign of doubt or indication
that I might be a hopless case, quite the opposite! His determination
and drive for perfection have produced astounding results!
Today I have eight new teeth that are color matched perfectly to
my natural teeth. These "teeth" are part of an implant
supported prosthesis that includes a natural looking gum component,
including vein details, and a solid foundation that allows me to
eat anything. My colleages and family are truly amazed by the transformation
(and restoration) of my smile, speech and natural appearance. Those
who don't know what I have been through....don't know!
Dr. Shafie and his staff perseveered through an intricate custom
design and fabrication process to fully restore my chewing, speaking
and smiling abilities. He stood with me and offered encouragement
at times when I thought we may not achieve sucess. His compassion
for his patients and passion for his profession are exemplary models
for all physicians. I don't think I could have received finer care
or a better quality finished product anywhere else in the medical
community.
"Life is too short to dance with people who can't smile".
Just Dave
The day I walked
into Dr. Shafie's office is the day my life changed forever. For
many years I was too embarrassed to smile, and was in pain because
of the condition of my teeth (or lack of teeth). People would say
to me "why don't you smile"? Most of us associate smiling
with being happy, whereas, I associated smiling with the pain of
embarrassment. I was even too embarrassed to go to a dentist. All
that has changed because of the impeccable work Dr. Shafie has done
with my teeth! I'm now proud to smile, and I owe it all to the
the expertise of Dr. Shafie. Not only did he give me my smile back,
but he did it pain-free! Also, Dr. Shafie is an extremely personable
and caring person -- during all my visits to his office,
he always had me laughing. (Sometimes at him! (wink)).
I broke my jaw
in several places and lost a few teeth in a car accident I was involved
in several years ago. Even after many jaw reconstruction operations,
I had given up hope of having my jaw, teeth…….. everything in my
mouth go back to normal. Dr. Shafie did more than what I had
hoped for: (after four and a half years of painful procedures) he
made my smile ten times better than it EVER was. In addition,
my jaw alignment, lip support, and almost everything that had been
affected by the car accident returned to its natural state. Dr.
Shafie was able to make it look as though nothing ever happened
to my jaw, teeth, everything. Not only that, but no matter how
grueling any particular procedure was, I still left Dr. Shafie's
office laughing because of his wonderful sense of humor. Also,
I worked for Dr. Shafie for awhile as a volunteer doing secretarial
tasks and because of that he wrote me a great recommendation that
helped me to get me into a prestigious university…… which is the
only reason why I am writing this testimony. No, I am joking, I
meant every word of it and Dr. Shafie's dedication to his profession
and success has encouraged me to pursue my ambition as well.
About a year and a half ago, I chose to go through a lengthy and costly
program to restore my dental health. The decision wasn’t easy to make.
My oral status had deteriorated to the point that nine dental implants,
several crowns and five porcelain veneers would be required to restore my health.
Cost was a major issue as the total expenditure of the treatment was comparable to
that of a luxury car. Pain and suffering was another factor. The treatment would
start with an in-hospital surgical procedure under IV sedation to reshape my jawbone.
Three more surgeries would be required to place the dental implants, although those
could be performed in an oral surgeon’s office. There would also be countless visits
to Dr. Shafie’s office and I would have to drive back and forth to his office in downtown
Washington DC for each.
I should never have left my health deteriorate to the point that such a major treatment would
be required to restore my quality of life. But there was no point in agonizing about it.
I had to either go with the treatment and all the accompanying stress or continue living with
limited food choices and the embarrassment of not being able to smile in public because of my
missing teeth. Fortunately, after many years of going to the wrong dentists, I was referred
to Drs. Shafie and Eskow and I immediately realized that I had fallen into the right hands.
Dr. Eskow would perform the surgeries to place the implants, graft bone material and prepare
the gum tissue. Dr. Shafie would be responsible for the prosthetic part of the work, i.e.
crowns, veneers, etc…
My two dentists have different styles. Dr. Eskow is a more senior guy with a reputation of
being the best oral surgeon in the Capital Area. Dr. Shafie on the other hand is about my
age and is a more academic type. His style is less formal than Dr. Eskow’s.
Yet, I felt very comfortable with both. It was clear that their concern for my health was
genuine and went beyond the financial motivation. They also worked hand in hand and that,
with my full cooperation, would be critical to the success of the treatment.
During the year it took for the treatment to complete, I started to enjoy my visits to
Dr. Shafie’s office. Because of the time spent in traffic each visit took me a whole
afternoon. Fortunately, I discovered that the trip could be made more enjoyable by taking
a detour through Rock Creek Park. Also, Dr. Shafie and I became good friends.
There was no inhibition and we discussed our own familial matters, as well as countless
other topics from cars all the way to politics. Amanda, Dr. Shafie’s Office Manager
is also a very pleasant person to be around. Together, they provided the settings to
make my trips to the dental office feel more like visiting a neighbor or friend.
There were a few emergencies that required immediate care. I would email Dr. Shafie
about them and he would propose to meet me at his office sometimes late at night or
on a Sunday morning. Paradoxically, he seemed more concerned than me with each situation
and was the one who insisted to meet me at these odd times. I had never met a doctor or
dentist who showed the same level of concern for my health as he and Dr. Eskow did.
I mention Dr. Eskow less because, him being the surgeon, I didn’t have to visit his
office as often as Dr. Shafie's, but he provided the same level of excellent care.
My treatment is now over. I have been enjoying my new mouth for several months already
and I would never have suspected the amplitude of the repercussions the treatment has
had on my quality of life. I feel and look a good ten years younger than I did before
the treatment started. My food choices have increased dramatically and this diversity
has had a major impact on my overall health. Since the dental loss had happened gradually
over many years, I had gradually become accustomed to a very limited lifestyle.
In contrast, the completion of my treatment has suddenly restored my young and active
lifestyle. Looking back at the decision I made a year and a half ago.
I am so glad I decided to go with the treatment at my family’s insistence.
Drs. Shafie and Eskow were never pushy, but my spouse was and I am glad she favorably
influenced my decision to make this major investment in my health.
I have no doubt that my life expectancy has increased as a result of the treatment and,
even if it hadn’t, I get much more enjoyment out of my new mouth than I would have gotten
out of a Mercedes or even a Ferrari. Anyways, Honda rules :-)
-clkphd
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