Milling Miracles

Bright, beautiful, new smiles are just one visit away.

Judy Lynne Revell made a career of helping others. She worked as a nurse for 45 years and planned quality assurance for a company that owned assisted living facilities for 17 years. Before retiring, she spent ten years helping people lose weight, quit smoking and overcome other concerns as a clinical hypnotherapist.

Photo by Nerissa Johnson.

Judy Lynne Revell

“I was living in Kentucky then, but I didn’t like the snow anymore,” Judy shares. “My friend and I did the snowbird thing for a couple of years, then two years ago, we retired and moved to Florida.”
After Judy arrived in Florida, she realized she had some dental issues that needed attention. She found a dentist in Port Orange who took care of her most pressing needs, but she wasn’t happy with his work or the results.
When more problems arose shortly thereafter, Judy didn’t want to go back to the dentist she saw in Port Orange, but she didn’t know where else to turn. Then she got an idea while sitting in her doctor’s waiting room.
“I was reading Volusia Health Care News and saw Dr. Lester’s article. It also had a picture of him,” she relates. “I thought, I’m not in any better shape now, and I need to do something. I might as well give this dentist a shot because he looks like a nice guy.
The dentist Judy admired was Stephen P. Lester, DDS, of Park Avenue Dentistry in Edgewater. She called Park Avenue Dentistry and was warmly greeted on the phone, which impressed her. She was even more impressed when she arrived at the practice, saw the surroundings and experienced the staff’s customer service.
“I was just stunned by the people and the atmosphere,” she comments. “The place was like a spa. The staff was so nice, and Dr. Lester was such a sweet, charming guy. He did the financial thing there as well, but Dr. Lester’s total was much more reasonable. He told me there were some things that, in his professional opinion, just weren’t necessary. I thought, This is a good deal.
Judy agreed to Dr. Lester’s treatment plan, which included three crowns and the replacement of a missing tooth with an all-porcelain bridge. The bridge was created in a single dental visit, which astounded Judy. She found
Dr. Lester’s in-house fabrication equipment, the E4D® Dentist Chairside CAD/CAM System, very impressive.
“Dr. Lester has all this incredible, brand-new equipment in his office that I’ve never seen before,” she marvels. “He made the bridge right there. That just floored me. Being in the health care industry, we don’t generally do things very quickly. That was just amazing to me.”

Retooled Technology

CAD/CAM technology has been used for years to design and manufacture products such as tool and auto parts. More recently, CAD/CAM technology was retooled for use in dentistry to meet the growing need for comfort and convenience in the dental office. That fueled the development of in-office CAD/CAM systems such as the E4D.
“The E4D system is a technology that creates porcelain restorations quickly and easily right in the dentist’s office, often in one visit,” describes Dr. Lester. “It can make dental crowns, inlays, onlays, veneers and even bridges.”
The system consists of three main parts – the computer system, the software and the milling unit. These parts work in concert to create the finished restoration, in Judy’s case, a bridge.
“Judy wanted a bridge because she had a place in her mouth where a tooth was missing,” notes Dr. Lester. “She lost the tooth years ago and decided she finally wanted to have that space restored. She already had her mind made up before she came to us that she wanted a bridge for that space.
“A bridge is exactly what its name suggests. It’s a restoration that spans the gap where one or more teeth are missing. A bridge includes two crowns for the teeth on either side of the gap. These teeth anchor the bridge.”
The process of making Judy’s bridge with the E4D system began with Dr. Lester using a high-tech laser to quickly and accurately scan Judy’s teeth into the computer. Dr. Lester then used the E4D software to design her bridge.
The computer took Dr. Lester’s design and prepared it for the milling machine, which cuts the restoration out of a block of porcelain. For Judy, this all happened during the same dental appointment.
“Using the E4D system has a number of benefits for our patients,” observes Dr. Lester. “They don’t have to put that messy goo in their mouths to make the impressions of their teeth. Instead, it’s done digitally.
“And they don’t have to wear temporary restorations, which always want to fall off at inconvenient times. They also don’t have to return for a second visit because often, their restorations can be designed and made in a single day.”

Positive Porcelain

Conventional dental restorations, including bridges, were made from porcelain fused to metal, but today’s technology, such as the E4D system, has enabled the creation of all-porcelain bridges. All-porcelain bridges are stronger, longer-lasting and more pleasing to the eye. All-porcelain bridges are often the preferred form of restoration for missing teeth.
“The bridge I made for Judy is all-porcelain,” reports Dr. Lester. “This material is stronger and more natural looking than the materials used previously to make bridges and other dental restorations. It provides longer-lasting and more aesthetic results.”
There are several positive reasons for using the all-porcelain material to create dental restorations such as bridges. For one, the natural appearance of the all-porcelain material makes the bridge nearly indistinguishable from the patient’s other, natural teeth. The metal under porcelain-fused-to-metal bridges tended to show through at the edge of the gums.
“All-porcelain bridges are fitted above the edge of the gums, which helps ensure the teeth and gums stay healthy with minimal risk of infection,” points out Dr. Lester. “They are also a good choice for anyone with an allergy to metal.”

Happy Camper

As part of his treatment plan for Judy, Dr. Lester placed three crowns on her teeth, and she’s pleased with how they turned out. What has Judy most excited is the new bridge that replaces the tooth that had been missing for years.
“The bridge is absolutely great,” she raves. “I don’t even know it’s there. Nobody knows it’s there. People cannot tell. I’m just a real happy camper.”

Photo by Nerissa Johnson.

One visit is all it took to put a smile back on Judy’s face.

Not only is Judy satisfied with the results of Dr. Lester’s dental work, she’s also delighted by how positive her experience was at Park Avenue Dentistry. She says the dentist and his staff went out of their way to make sure her visits were comfortable and easy.
“Dr. Lester and his team did everything so that I experienced a minimal amount of discomfort,” she says. “I just got Novocain® during treatment. I can’t get sedation because I react badly to it, but I didn’t care what Dr. Lester did. He could’ve drilled all of my teeth. He’s probably the best dentist I’ve ever had, and I’m seventy-six years old.”
Judy says that as a patient, she is made to feel very comfortable and welcomed at Park Avenue Dentistry. She reports that that hospitality extends to the family and friends who accompany the patients.
“The worst patient couldn’t possibly come up with anything bad to say about the way Dr. Lester and his crew treat me and my friend, who goes with me,” she offers. “They have a nice, little area that’s set off. It has a recliner and a TV, and that’s where the people who come with you can go.
“Today, I’m referring another patient to Dr. Lester. He’s great. He has a charm about him, and he’s so calm and gentle. I don’t hesitate for anything to refer people to Dr. Lester and Park Avenue Dentistry.”

Print This Article