Frequently Asked Questions

Boulder Dentist Serving Denver, Ft. Collins & Nearby Areas in Colorado

A list of frequently asked questions appears below. The questions are listed numerically at the top and the expanded answers follow.

If you have additional questions, or are interested in more information than the summary answers provide, please feel free to contact our office by calling (303) 515-7335 today.

  1. Who founded Adler Advanced Dentistry?
  2. What is Dr. Adler's background?
  3. How many people are on the Adler Team?
  4. Does Adler Advanced Dentistry have a particular niche in dentistry?
  5. What sets Dr. Adler apart from other cosmetic dentists?
  6. What is teeth whitening?
  7. How long does teeth whitening last?
  8. Is teeth whitening harmful to my teeth?
  9. Who is a good candidate for teeth whitening?
  10. What is cosmetic dentistry?
  11. What cosmetic dentistry procedures are performed by Adler Advanced Dentistry?
  12. Why would someone need or be interested in cosmetic dentistry?
  13. How has technology improved in cosmetic dentistry?
  14. Braces or veneers?
  15. What is a cosmetic veneer?
  16. How long do veneers last?
  17. Will veneers eventually stain?
  18. Are there differences in quality among various types of veneers and crowns?
  19. What is bonding and how is it different from a veneer?
  20. What is an all-porcelain crown or veneer?
  21. What can be done for gummy smiles (excessive gum tissue)?
  22. Is cosmetic dental work expensive?
  23. Are there payment program options, besides insurance?
  24. What is full mouth restoration?
  25. What causes TMJ pain?
  26. Why should you choose Dr. Adler for full mouth restoration?
  27. Who has neuromuscular (TMJ) problems?
  28. What treatment options for neuromuscular (TMJ) problems?
  29. What does full mouth restoration entail?
  30. How are the jaw muscles relaxed and proper jaw position determined?
  31. What is a dental implant?
  32. How is a dental implant different from a dental bridge?
  33. How long does the dental implant process take?
  34. What is restorative dentistry?
  35. Who would benefit from restorative dentistry?
  36. How long does restorative dentistry take?
  37. After a procedure, can I still get tooth decay?
  38. Why do I need to have my teeth cleaned and how often?
  39. Why choose Adler Advanced Dentistry for cosmetic maintenance?
  40. Are X-rays really necessary?
  41. Can fillings look natural?
  42. What is Invisalign®?
  43. Why are straight teeth important?
  44. Why Invisalign®?
  45. Why should I choose Dr. Adler for my orthodontic treatment?

Who founded Adler Advanced Dentistry, when and where?

Michael Adler, DDS, founded Adler Advanced Dentistry in 1990 in Boulder, Colorado.

What is Dr. Adler's background?

Boulder dentist, Dr. Michael Adler brings the power & wisdom of scientific research, and diverse life experience to his practice. A graduate of: the University of Michigan, Dr. Adler was a research biochemist at Stanford University prior to completing his dental degree at Georgetown University. Serving as a Lieutenant in the United States Public Health Service, he provided dental care and patient education. Dr. Adler was awarded a prestigious commission by Surgeon General Dr. C. Everett Koop. Dr. Adler has been in private practice since 1990.

Dr. Adler is committed to lifelong ongoing training, assuring his patients the best dental care available on the planet. His postgraduate training has been extensive, including studies on the topics of neuromuscular dentistry and smile design at the nationally renowned Las Vegas Institute for Advanced Dental Studies. The Boulder dentist is certified to provide Invisalign® (invisible braces) orthodontics to his patients, as well.

Dr. Adler and his wife, Karen, have a son and daughter. When not in the office, you might find dentist Dr. Adler literally 'gone fishing', or engaging in his hobby of falconry.

How many people are on the Adler Team?

There are six members of the Adler Advanced Dentistry team.

Does Adler Advanced Dentistry have a particular niche in dentistry?

Dr. Adler's focus is cosmetic, TMJ (also known as neuromuscular), and family dentistry.

What sets Dr. Adler apart from other cosmetic dentists?

Adler Advanced Dentistry is a leader in the industry, and Dr. Adler is renowned in the field of neuromuscular dentistry (TMJ related problems). Dr. Adler's expertise combined with his passion for cosmetic dentistry, and its life enhancing benefits: makes him one of the most sought after cosmetic dentists in the country.

Dr. Adler creates perfect smiles by combining his skillful technical expertise with an 'aesthetic' eye. Dr. Adler's unique approach during a smile enhancement, includes building each tooth to flatter the patient's face shape, eyes, smile shape, height, personality, and even lifestyle.

It comes down to a feeling of trust. Adler Advanced Dentistry's purpose is to listen to you, respect you, educate you and not judge your decisions.

Dr. Adler understands you might be anxious about the process. So, he makes it a point to explain your proposed treatment plan carefully and unhurriedly answer all your questions. Only then will he take you gently through your treatment.

It has been Adler Advanced Dentistry's experience: the more involved you are in making dental health decisions, the more comfortable you are.

Can you explain the teeth whitening process at your Boulder dental practice?

Unlike porcelain veneers, regular teeth are porous and susceptible to staining. Teeth stain at different rates depending on one's mouth chemistry, diet and lifestyle (foods & drink consumed).

Meaning: that how easily teeth stain and how easily they whiten can vary from person to person.

There are numerous methods on the market today that range in price and ease of use. The premise behind most teeth whitening methods is essentially the same. a form of hydrogen peroxide is applied to the teeth. This application penetrates the pores of the teeth, thus bleaching out stains.

The variable is in the type of application and the corresponding strength of the whitening gel.

At Adler Advanced Dentistry, we recommend ZOOM! Advanced Power, giving the best value and longevity.

How long does teeth whitening last?

ZOOM! teeth whitening results can last a long time. Longevity will obviously vary depending on personal habits and lifestyle. Most people choose to use one of the many simple methods our office provides to maintain their white teeth over time, after the initial whitening procedure. Dr. Adler believes the ZOOM! system is the best overall system.

Is teeth whitening harmful to my teeth?

No. Studies have shown that normal teeth whitening products are not harmful to teeth. Some people may have some temporary sensitivity to the teeth whitening products.

Who is a good candidate for teeth whitening?

There are two types of stains on teeth - superficial and inherent. Superficial stains caused by what we eat, drink and expose our teeth to. This stain is usually yellowish in nature, and yields the best teeth whitening system results. Inherent stains are caused by minerals, fluoride and various antibiotics such as tetracycline, our bodies absorb. Ingested at key developmental phases in life certain of these substances can permanently discolor teeth, and no teeth whitening system will be the cure. In such circumstances people may choose to whiten their teeth with veneers, which corrects the stains, and tooth "look" (length & shape).

What is cosmetic dentistry?

Traditionally cosmetic dentistry has been associated with movie stars or celebrities. Because it WAS usually very costly, and you had to essentially be 'rich' in order to afford it. All that has changed: Most cosmetic procedures are now very affordable.

Cosmetic dentistry is dental treatment that improves the beauty and health of one's smile. Every dental procedure has 2 elements: aesthetics and function. Quality cosmetic dentistry considers both.

Cosmetic dentistry can make you more attractive, restore self esteem and give you an increased confidence in life. It has literally changed millions of people's lives!

Dr. Adler's patients always have great looking smiles, and enjoy wonderful long term dental health.

What cosmetic dentistry procedures are offered by Adler Advanced Dentistry?

Cosmetic dentistry covers a multitude of procedures from teeth whitening to gum contouring and repairing, straightening, replacing or enhancing one's teeth and smile.

One common procedure is the use of cosmetic veneers or laminates. These thin but durable restorations are less impactful to the natural tooth than traditional crowns, and are very popular for enhancing a smile.

In certain situations dental bonding can also be used to shape teeth.

Why would someone need or be interested in cosmetic dentistry?

Cosmetic dentistry provides more than just a beautiful smile and a healthy mouth. The American Academy of Cosmetic Dentistry (AACD) survey indicates: cosmetic dentistry improves a person's overall health and emotional well-being.

An improved smile boosts a person's self-image, increasing their quality of life in their daily lives.

Cosmetic dentistry is for anyone who desires to improve their smile, their oral health and their self esteem. The very essence of cosmetic dentistry almost always improves one's bite, dental health and function.

How has technology improved in cosmetic dentistry?

Cosmetic dental technologies have advanced dramatically over the last decade. The qualities of materials such as porcelain and composite resins have improved, giving a more lifelike appearance. Once: gum-tissue surgery and contouring was performed with scalpels, now: lasers provide fast, effective,non-surgical results.

Braces or veneers?

If you are happy with the shape and color of your teeth, then orthodontic teeth (braces) straightening may be a good option for you.

If you want to whiten and enhance the shape of your teeth, as well as straighten them: cosmetic dentistry will give you those results, while saving you time and money.

Clear teeth aligners provide a great alternative to traditional braces. Invisalign® is the "state of the art" of "invisible" teeth aligners currently available at our Boulder office. Though not always necessary, some people will choose to undergo some teeth straightening prior to be fitted with cosmetic veneers.

What is a cosmetic veneer?

Modern metal-free dentistry has evolved to be much more conservative in terms of tooth preparation.

A veneer is essentially a "conservative crown". Rather than encompassing the entire tooth, a cosmetic veneer, essentially covers the visible part of a tooth, preserving a large amount of the natural tooth structure.

Veneers can straighten, lengthen and whiten teeth, providing the desired smile and bite. Each veneered tooth must be shaped. This means that an outer layer of the natural tooth is removed to allow space for veneer placement.

How long do veneers last?

Correctly "seated" veneers are strong, and last for many years. Even a lifetime, with good oral care.

Will veneers eventually stain?

Porcelain veneers are non-porous, and will not stain or discolor.

Are there differences in quality among various types of veneers and crowns?

Yes. Cosmetic dentistry is the ultimate blend of art and science. If quality and service are important to you, look for experience, proven results, and a focused approach to your unique needs and desires.

Adler Advanced Dentistry creates all restorations from the finest materials available. There are many different materials used in veneers and crowns. There are a variety of commercial brand name veneers, including DaVinci™ Veneers, utilized by Dr Adler.

What is bonding and how is it different from a veneer?

Dental bonding is done by placing tooth-like material onto the tooth to build it up and/or to alter its shape. Over time the bonded portion of a tooth will change color as compared to the natural, un-bonded portion of the tooth. The bonding is an ultra-conservative way to restore a tooth and is completed in one visit.

The disadvantage being that bonding it will discolor over time, and is more prone to breakage than a veneer.

What is an all-porcelain crown or veneer?

Many "old technology" restorations are designed with a metal lining covered with porcelain (porcelain fused to metal). They appear "flat" because the metal does not let light pass through like a natural tooth does. There is often a dark line next to the gum line that is undesirable, and often the metal irritates the adjacent gum tissue in the form of an allergic reaction.

Always inquire! Dentists will say that it is porcelain. And it is, on the outside.

Dr. Adler provides 100% all-porcelain restorations. When properly seated, they are as strong as or stronger than their metal predecessors. And the appearance is that of a natural tooth, allowing light to pass through (referred to as translucency).

What can be done for gummy smiles (excessive gum tissue)?

Sometimes people have too much gum tissue or there is an asymmetry of the tissue across the smile.

The solution is simple. A specialized soft-tissue laser can remove the excessive gum tissue. There is always a margin of tissue that can safely be removed to further enhance a smile.

This non-surgical and pain-free procedure is completed in a matter of minutes.

Is cosmetic dental work expensive?

Cosmetic dental work is probably not as expensive as you think. Like any cosmetic procedure, costs will vary with the results you desire.

Dr. Adler can explain various fees and the best procedure for you.

Some cosmetic dental procedures are covered by insurance if "need" can be established. Speak with the Adler Team about your insurance options.

Are there payment program options, besides insurance?

In many cases insurance will assist with any "needed" dentistry. In general, because of limits insurance companies place on dentistry, most people elect to pay their own fees. Speak to the Adler Team regarding credit card payment, and interest free payment plans available.

What is full mouth restoration?

One of the finest services cosmetic dentist, Dr. Adler provides is to completely restore a patient using the most beautiful porcelain materials. Sometimes many teeth need care. Sometimes a patient has worn the teeth down so that the bite is collapsed, reflecting a collapsed appearance of the face. And sometimes there is an orthodontic problem such as an overbite, where braces are not the best treatment option because the teeth themselves have problems.

Also known as a "non-surgical face lift", the look can be previewed using a small, removable mouthpiece called an orthotic.

What is unique about Dr. Adler's treatment approach is that this service can be accomplished for the most part in a few visits. For his busy patients, this saves a tremendous amount of time and trips to the office.

This "all-at-once" technique also allows the cosmetic dentist in Boulder to establish the most comfortable bite position using computerized neuromuscular technology.

With older techniques, where the mouth is restored one tooth at a time, it takes dozens of visits, the old collapsed bite is duplicated, and the appearance of the face is not improved.

Dr. Adler's method of treatment determines the optimal physiological position of the jaw by measuring the relaxed position of head and neck muscles and then repositions the jaw to achieve those exact measurements.

Dr. Adler has received extensive training in full mouth restoration at LVI, and he is one of a select few dentists trained to provide this service nationally. Full mouth restoration can dramatically improve your bite as well as the appearance of your smile and your face. (non-surgical facelift).

What causes TMJ pain?

The TMJ or temperomandibular joint is the "hinge" that functions when the jaw opens and closes. Many theories and practices to treating TMJ pain exist, and every TMJ dentist has his or her own theory.

People report cured neck, jaw pain, upper back pain, headaches, ringing ears, sore muscles and even migraines from neuromuscular dentistry treatments. Neuromuscular dentistry practices under the premise that when the teeth are shortened (either by wear, grinding, old age, clenching or even the cumulative effects of large amounts of dentistry) resulting in the jaw over-closing pressure-stressing the TMJ.

Restoring the vertical dimension and proper orientation of the teeth, optimal health and function is restored to the TMJ.

Many people suffering from TMJ pain have found relief using the procedures of neuromuscular dentistry.

Why should you choose cosmetic dentist Dr. Adler for full mouth restoration?

Dr. Adler has had extensive training in full mouth restoration at the Las Vegas Institute for Advanced Dental Studies (LVI).

Who has neuromuscular problems?

Anyone can experience neuromuscular problems usually known as TMJ pain. Typically, those who were born with poor jaw position or improper bite (malocclusion) begin to experience problems in their teen years. Others who grind their teeth may begin to have symptoms in their mid-40's or even earlier.

Problems that neuromuscular dentistry solve include broken or missing teeth, as well as old, decaying dentistry; AND:

  • Headaches (migraine included)
  • Jaw pain
  • TMJ pain (jaw joint)
  • TMJ noise
  • Limited mouth opening
  • Ear congestion
  • Vertigo (dizziness)
  • Tinnitus (ringing in ears)
  • Dysphagia (difficulty chewing)
  • Loose teeth
  • Clenching/bruxing
  • Nonspecific facial pain
  • Tender, sensitive teeth (sweets)
  • Difficulty chewing (sometimes)
  • Cervical pain
  • Postural problems
  • Back, shoulder, neck pain
  • Tingling fingertips
  • Hot and cold sensitivity
  • Trigeminal neuralgia
  • Bell's palsy
  • Nervousness/insomnia
  • An imbalance in the muscles that control the jaw and/or bite, causes tension, which creates pain and nerve related problems

What are the treatment options for neuromuscular problems?

For neuromuscular issues: Dr. Adler uses a computerized diagnosis called Myotronics™ to both relax and determine ideal occlusion (jaw position). Treatment options include an orthotic that temporarily repositions the bite, similar to bite guard therapy.

What does full mouth restoration entail?

Full mouth restoration is the complete restoration of each and every tooth to an optimal shade, length, shape and position. This technique involves a preliminary information-gathering visit. Adler Advanced Dentistry uses special computer diagnostics Myotronics™ and neuromuscular methods to relax the jaw muscles. Once Dr. Adler knows where the muscles and jaw are most comfortable, this information is used to make an orthotic that supports the jaw's most comfortable position. Once comfort is established with the orthotic, the next visit is called the preparation. At this four-hour visit, he removes old dentistry and prepares each tooth. Patients leave the office with temporary restorations that position the occlusion optimally. Three to four weeks later, Dr.Adler removes the temporaries and permanently "seats" each restoration.

How are the jaw muscles relaxed and proper jaw position determined?

Myotronics™ is a computerized process that helps determine the proper relationship between the upper and lower teeth. During this phase of treatment, the jaw muscles are relaxed by "tensing," a technique, often used by physical therapists to relax muscle spasms. Muscle tension is monitored on a computer via special sensors that read muscle impulses to determine when the muscles are fully relaxed. This two-to-three hour process determines which individual teeth should be restored.

When your teeth are in the correct bite position, the muscles and soft tissue around the head and neck remain relaxed.

What is a dental implant?

A dental implant is a titanium cylinder that is placed in the bone and replaces what was once the root of the tooth. A crown is attached to the implant, replacing your missing tooth, giving you a beautiful, fully functioning mouth.

How is a dental implant different from a dental bridge?

A dental implant literally replaces a missing tooth. A dental implant replaces the root of a tooth in the jaw bone, to which the cosmetic dentist attaches a cosmetic tooth. A dental bridge, on the other hand, is non-surgical and uses the adjacent teeth to support a new cosmetic tooth. A dental implant is NOT invasive to surrounding teeth (especially desirable if they are healthy and in good condition). By simulating the root, it engages the bone and keeps it healthy. Because a dental implant is an individual tooth it is also easier to floss.

A dental bridge maybe a good choice if the adjacent teeth are in need of restoration. However, there are other subtle factors such as age, timing and bone health that you should discuss with Dr. Adler when deciding which option may be suitable.

How long does the dental implant process take?

For a good dental implant candidate: there is one visit to surgically install the implant. Some patients may have immediate tooth restorations attached; other patients may be required to wait anywhere from 3 to 6 months as bone growth bonds to the implant, solidly anchoring it. After which: the new tooth is attached.

What is restorative dentistry?

Restorative dentistry replaces old mercury fillings, old ugly crowns and composites that have become discolored. Restorative dentistry repairs cracked teeth and/or replaces missing teeth. Dr. Adler renews teeth suffering from these conditions, which is an investment in dental health and longevity (saving you future pain, inconvenience, and expense).

Who would benefit from restorative dentistry?

Dr. Adler's restorative dentistry is ideal for you to renew restorations in fast easy visits, preserving/regenerating overall oral health and a beautiful smile. You may be tired of "piece-meal" dentistry, which never quite solves the whole problem. You may feel that your bite is not "quite right". Dr Adler comprehensively addresses numerous teeth in a holistic manner (in some cases the entire upper or lower arch is considered). The objective is restoring your teeth/mouth to its ideal state.

How long does restorative dentistry take?

Restorative dentistry is usually accomplished in two visits - each ranging from 2 to 4 hours depending on the procedure. Then you are DONE!

After a procedure, can I still get tooth decay?

Porcelain restorations like a veneer or a crown are not susceptible to decay. Any uncovered area of the natural tooth structure (including the root surface and area under gum tissue), however, is vulnerable to decay.

Continuing with regular dental/hygiene visits (as well as good home care) preserves your smile integrity, oral health, and investment.

Why do I need to have my teeth cleaned and how often?

At Adler Advanced Dentistry there is more happening than just "cleaning your teeth". The primary mission is to remove tartar and calculus buildup from around the teeth and under the gums [where flossing and brushing miss]. Dr. Adler's hygienist measures the depth of the "pocket," or space, between the tooth and gum (good to do at least once annually). Three millimeters or less is considered healthy.

Don't floss as often as necessary? Dental cleaning visits are even more important.

For those good flossers & regular brushers: a visit every six months is recommended. More frequent visits may be required to preserve oral of some people, Dr. Adler's hygienist will gently inform you the optimal schedule for your best results.

Why choose Adler Advanced Dentistry for cosmetic maintenance?

Dr. Adler's cosmetic dentistry patients in Boulder return for follow-up care because of our intimate attention to detail, expertise with leading-edge materials, and dental technologies.

Are X-rays really necessary?

X-rays are necessary to detect decay between teeth and areas not visible to the naked eye. Gum and bone problems happen slowly over time, so they are often not felt or detected from the surface.

X-rays detect bone loss and infections at root surfaces.

Understandably, many people's concern is excessive radiation exposure.

Adler Advanced Dentistry takes digital radiographs, which release 90% less radiation, than conventional techniques (which most of us seemed to have survived!)

Can fillings look natural?

New advances in tooth-colored porcelain and composite materials not only allow fillings to go unnoticed, but in many cases are stronger and more wear-resistant than amalgam (silver fillings).

What is Invisalign®?

Invisalign® is an advanced process for creating straight teeth and improving smiles. Utilizing state-of-the-art medical imaging technologies, Invisalign® manufactures precision polymer aligners that rapidly straighten teeth.

Using a precision 3-dimensional data of your teeth and adjacent tissue, Invisalign® precision sculpts personalized aligners. Each aligner is worn for approximately two weeks; then successive next aligner is created for another two week use.

The aligner maybe be removed to eat, brush, floss, and for special occasions. The teeth are gently moved to their ideal position over time. The length of the process depends on your specific situation and the results you wish to achieve.

Invisalign® aligners are:

  • Clear - most people won't even know you're wearing them.
  • Comfortable - Invisalign® aligners are gentle to your mouth.
  • Removable - take them out to eat or brush, then put them back in again.
  • Hygienic - surfaces are easy to keep clean.
  • Affordable - in most cases, the cost is comparable to metal braces.
  • Fast - treatment time is comparable and in many cases less than that of traditional braces. An average Invisalign® course of treatment takes about one year.

Why are straight teeth important?

Never underestimate the power of a beautiful smile, which also promotes good health.

Teeth that are straight and evenly spaced are easier to keep clean, leading to better oral health. Good oral health can reduce the incidence of heart disease, gastrointestinal disease, and other health conditions.

Properly aligned teeth chew more efficiently, and aiding in proper digestion.

Straight and properly aligned teeth have a more perfect bite, which prevents excessive stress on supporting bone and tissue.

The social benefits include confidence  in job interviews, public speaking and personal relationships, as well as clearer speech (teeth play an important role in your ability to speak).

Why Invisalign®?

When it comes to creating beautiful smiles, these aligners:

  • Are clearer - Invisalign® aligners are the "clearest" on the market.
  • Are more comfortable - Invisalign's revolutionary manufacturing process creates the most precise aligners on the market today, ensuring the most accurate fit.
  • Stay clearer - Invisalign® aligners do not "cloud" during treatment.
  • Are more hygienic - the smooth surface of Invisalign® aligners have no ridges to trap bacteria, and are easier to clean.

Why should I choose Dr. Adler for my orthodontic treatment?

Dr. Adler has had extensive training in the art and science of occlusion. Dr. Adler is certified by Invisalign®, as well. Orthodontics is not just about creating straight teeth; it is also about establishing a healthy, long-lasting biting position for the teeth. Crooked teeth often result in excessive wear to teeth that can result in a variety of long-term problems. The Boulder dentist understands the importance of function and aesthetics.

For the added convenience and care, many people choose Dr. Adler for teeth straightening to achieve the proper positioning prior to proceeding with cosmetic veneers.