There are a handful of organizations dedicated to advancing cosmetic dentistry and recognizing dentists who meet their lofty standards. The American Academy of Cosmetic Dentistry (AACD), was founded in 1984 by Dr. Jack Kammer and Dr. Jeff Morley. What started out as a small group of dedicated individuals, has blossomed into the world’s largest and foremost organization for cosmetic dentists and cosmetic dental professionals.

Today, there are more than 6,000 members including cosmetic dentists, laboratory technicians, educators, and researchers from around the world.

The AACD Cosmetic Dentist
The American Academy of Cosmetic Dentistry offers education and training on the latest techniques, procedures, and advancements in cosmetic dentistry. In addition, the AACD has an accreditation program for cosmetic dentists who are dedicated to going the extra mile.

There are many steps in the accreditation process. Candidates begin by passing a written examination. Next, they must submit a series of clinical cases that demonstrate their ability to treat a wide range of situations and complexities. Finally, accreditation is achieved by passing an oral examination. This process takes years to complete – but an AACD Accredited Cosmetic Dentist is special, there are fewer than 325 Accredited members worldwide.

Dr. Scott Finlay Annapolis Cosmetic Dentist
Annapolis cosmetic dentist, Dr. Scott Finlay has achieved the highest achievement in the AACD by becoming an Accredited Fellow. In addition to his rigorous accreditation process, Dr. Finlay has met the AACD’s high standards for an extended body of work representing excellence as judged by a jury of his peers.

This incredible number of cases demonstrates the level of expertise Dr. Finlay has treating complex cosmetic dentistry cases.  There are fewer than 50 dentists nationwide that have achieved this level of excellence and recognition by the dental profession.

More than that, Dr. Finlay is an active member of the AACD and holds a position on the American Board of Cosmetic Dentistry, where he is responsible for testing, analyzing, and evaluating the services of dentist and laboratory technicians for the purpose of AACD Accreditation in cosmetic dentistry.

He contributes regularly to AACD publications as well as other cosmetic dentistry journals. He has recently finished revisions to the AACD’s Criteria Guide: Contemporary Concepts in Smile Design, which will be released in mid to late 2012. This guide, which saw its last update in 2001 will set the new, universally accepted parameters for smile design.

Dr. Finlay is committed to continuing education and is a senior faculty for the Dawson Academy which is a leading post graduate center for advanced dental training.  He presents programs to dentists from California to Florida, to Virginia and Chicago – even in the United Kingdom – on topics related to cosmetic dentistry, often in a hands on format.

Expert Care
Cosmetic dentistry is more than just creating pretty smiles. A cosmetic dentist should be a highly trained and skilled professional who strives to treat not just the cosmetic concerns, but the underlying functional problems that cause wear and damage in the first place.

According to Dr. Finlay, “Dental Aesthetics are only a mirror of the relative health of the smile. If something doesn’t look quite right, there is usually a biological or functional reason why the deterioration exists.”

A cosmetic dentist should also take into consideration the patient as a whole to create a smile that will look natural, fit comfortably in their mouth, and be best suited for their lifestyle.

Don’t trust your smile to any cosmetic dentist. Contact Annapolis cosmetic dentist, Dr. Scott Finlay for a consultation and learn more about improving your life and smile with cosmetic dentistry.

Fortunately, these problems can be fixed and a beautiful smile can be just around the corner. Braces are no longer just for pre-teens and teenagers. More people are taking care of their teeth and beautifying their smile later in life with various methods of cosmetic dentistry. It is not unusual to see adults in their fifties and later, with braces.

Today the finest orthodontic alternative to metal braces is Invisalign. The method is simple, gradual and comfortable. Invisalign custom makes clear plastic aligner trays to fit the client which pop on over the teeth. Every two weeks, the client pops on a new set. Office visits are required only every four to six weeks saving more time. The beautiful smile starts immediately because the aligners are invisible. Most people will not know the client is in orthodontic treatment. Although the end result, that beautiful and confident smile, is the same and the cost is about the same as metal braces, the advantages are hard to ignore. Because the Invisalign trays can be removed, the client may eat any type of food desired and then brush and floss normally. For Invisalign Teen, six replacement aligners are provided free if lost or broken.

Dr. Finlay is a senior faculty member of the Dawson Academy where he teaches other dentists across the country the techniques to provide quality, predictable restorative cosmetic dental treatment that has become a hallmark of his practice (www.theDawsonAcademy.com).

Dr. Finlay has been perennially recognized as the Best Cosmetic and Restorative Dentist in the Greater Annapolis Area by a poll taken of over 220 local dentists.

Dr. Finlay is voted the Top Dentist in the Greater Annapolis Area in 2010

What’s Up Annapolis Magazine polled over 300 dentists in the Greater Annapolis area and asked them one simple question: “If you or a loved one needed the services of a dentist, who would you recommend?” Dr. Finlay has perennially received the designation as the Top Dentist and has once again received the highest number of votes in the areas of General Dentistry and also in Cosmetic and Reconstructive Dentistry. For more information visit www.whatsupmag.com .
Baltimore Magazine recognizes Dr. Finlay as a Top Dentist in the Greater Baltimore area. Over 2000 dentists in Baltimore and the five surrounding counties were polled over the course of a month. An amazing 75% response rate was recorded for the survey. The results were then monitor by professional advisors to validate the authenticity. The poll went right to the source: dentists themselves. They were asked, who is the best in their respective specialty in the area. Only the top vote recipients were listed. Although Dr. Finlay has been perennially recognized by What’s Up Annapolis Magazine as the Top Cosmetic and Restorative Dentist, this is the first time that he has been acknowledged by the Baltimore Magazine.

The examiners evaluate cases based on a point system that identifies minor, major, and catastrophic faults. A passing score is -7 or better. The examiners are also given the latitude to reward the candidate with a +1 point, in situations where the result deserves additional merit. Dr. Shimizu’s case passed unanimously with scores that ranged from -5 to -7. Almost all of the criteria faults were identified as minor and two examiners rewarded Dr. Shimizu with a +1. No case is perfect; the goals of Accreditation are to create a vision and demonstration of excellence, not perfection. Dr. Shimizu achieved a wonderful result for his patient. The preoperative indications for treatment supported the final treatment plan. Dr. Shimizu extended treatment to include eight teeth because of the clinical indications. The indications for treatment are driven by the functional and health needs of the patient. Dr. Shimizu followed an established treatment protocol that helped to ensure a predictable result. The examiners identified several common deficiencies in this case; often, these criteria are inter-related:

• One of the initial observations was the excessive length of connectors and the effect this had on the periodontal health and architectural harmony (Criteria #64, #71, and #72). An accepted guideline that is observed in nature relates to the proportion and size of the apparent contact zone or connectors between adjacent teeth. Typically, the ideal connector zone between the central incisors is 50% of the length of the centrals.The size of these connectors decreases in a symmetrical fashion as you move posterior. The effect of excessive connector length in this case appears to contribute to the impingement upon the cervical embrasures and the blunting of the papilla. The Illustration by Dave Mazierski The comprehensive understanding of materials, preparation designs, and adhesive techniques should facilitate conservation of tooth structure while still meeting the parameters of function and health.

• Criteria #87 focuses on the visual harmony of contralateral teeth. The examiners identified a lack of symmetry of the visual width of the lateral incisors. This requires the careful management of the facial line angles and can be readily identified from the occlusal view. Although the occlusal view is not how teeth are typically viewed in a social setting, it is a valuable perspective in helping to appreciate the impact that these line angles have on the reflective surfaces of the teeth. In this case, the occlusal view is helpful in visualizing why the facial plane of #10 appears narrower compared to #7. The cuspids also lack similar balance in contour and shape.

• Criteria #56 identifies the effectiveness in utilizing translucency to mimic nature and to harmonize with the balance of the smile. Several of the examiners found the intensity, volume, and pattern of the translucency to be slightly excessive and not reflective of what would otherwise be observed in nature. Accreditation presents a consistent measurement of excellence in providing esthetic functional restorations of our patients’ smiles.

Dr. Shimizu has demonstrated his ability to meet this standard. He should be very proud of the result he achieved for his patient.

Question 1: Just because I see it (diagnosis it) doesn’t mean my patients will want to treat it (even acute, painful, or blatant problems they are aware of gets put on the back burner).
Question 2: How much of the first course can I use immediately to make me a better clinician?
Question 3: If I am not able to take all of the courses will I still be better than if I took none of the courses?

Scott Finlay, DDS, FAGD, FAACD
The philosophies that are the core of The Dawson Academy are not about practicing a different kind of dentistry, but practicing better, more predictable, complete care for your patients. The understanding, skills and protocols that you will master as a student in the core curriculum will improve your efficiency, productivity and profitability as a dentist.

You are correct that every patient that has treatment needs, may not elect to pursue treatment: some due to financial reasons, some due to personal reasons, some due to value reasons.  In your practice you will initially experience a large percentage of patients that will be seeking general care, but there will be some that elect comprehensive care.  You need to be patient.  Over time you will find increasingly, more and more of your patients will begin to transition to comprehensive solutions.  It is their role to make those decisions and not ours.  It is our role however, to educate them and to be their advocate for the best care possible.  I think you will be surprised by your patient’s interest in seeking quality care.  That doesn’t mean a full mouth reconstruction with ceramics every time.  Whether treatment is provided with plastic or glass; with implants or removable dentures, the principles are the same in providing predictable care.

Predictable care at any level will improve your profitability and efficiency by reducing time wasted with remakes or fractured restorations that are never practice builders or make patients happy.  Your experiences with the Dawson Academy will help you make recommendations to your patients that are in their best interest.

You will find the information you learn from the very first program to be infectious and very useful to return to your practice.  The entire Senior Faculty of The Dawson Academy are wet fingered dentists that each have full time practices.  That is unique to our organization.  The knowledge is practical and allows you to return to the chair on Monday with a fresh vision.  I can tell you this from personal experience, because this changed my professional life and laid the ground for my success in dentistry.

The pace you pursue your education is up to you.  If you want to be efficient, I would recommend staying with a single teaching academy and focus on a continuum that is consistent.  Hopping around from day program to day program from varying academies, gives you very little opportunity to get down to the real nuts and bolts and actually make a difference in your practice.  The Dawson Academy offers this opportunity in our core curriculum that builds upon each successive program.

Doing nothing would be the only mistake.  You will become what you learn.  By failing to make the initiative to learn, you are losing a tremendous opportunity.

Read Full Article Here.

 In the simplest sense, the hope would be that every dentist would be a cosmetic dentist.  After all, the ultimate goal in dentistry is to make teeth look and function like teeth.  The reality is however, that some dentists have had more training than others focusing on those criteria related to the health, function and appearance of the smile.  As with all professions, the journey to become proficient in one’s field requires a lifetime of learning.  In dentistry this learning continues from the day the dentist begins his or her practice until the day they retire.  Materials, procedures and knowledge evolve everyday, and it is the responsibility of the dentist as an advocate for the dental health of their patient’s to separate the hype from reality and seek those advances that will improve the predictability, durability and the absolute best esthetics possible. 

 The United States is undisputedly the leader in dental esthetics.  Dentists have the opportunity from all over the world to seek post-graduate education related to esthetics at centers that offer lecture and hands-on programs from coast to coast.  Those blue chip, founding continuing education centers that focus on a comprehensive vision of esthetics/function without the influence of hype and marketing include the Dawson Academy, the Kois Center, the Pankey Institute and the Spears Education Center.  Each center may present slightly differing concepts related to philosophy and techniques, but they represent the respected mainstream of literature-based knowledge for the practice of quality care today.  There are many other centers that offer advanced dental education as well related to dental esthetics.

 Currently, dental esthetics is not a specialty.  Any dentist in practicing in the US can perform these types of procedures.  However, there are credentials that are awarded on a peer review basis that designate those that meet a level of excellence that is recognized as the gold standard in dental esthetics.  These credentials or accreditation are measured by the American Board of Cosmetic Dentistry (ABCD) through the American Academy of Cosmetic Dentistry (AACD), which is the largest academy related to dental esthetics in the world.  These credentials, Accreditation and Fellowship, are simply a measurement of the dentist’s ability to create an excellent result through their clinical skill and knowledge.  The actual accumulation and training of this subset of skills may have been learned from a variety of sources.  Because of this anonymous and open examination process, the credential is not available for purchase or award simply because someone has attended a program.  It must be earned.  The achievement typically takes years to accomplish and requires written examinations, clinical documentation of actual cases and oral exams.  In the level of Fellowship, it represents a lifetime body of work demonstrating the skills related to esthetic care.  Currently there are less than 350 dentists and laboratory technicians that are Accredited by the AACD, and only 53 that have been awarded it’s highest honor: Fellowship.  Any dentist that is licensed certainly has the potential to provide an excellent result, with or without the credentials.  Credentialing only provides an irrefutable measurement by other dentists and lab technicians that are recognized experts in the field of cosmetic dentistry, who endorse those that avail themselves to this evaluation to confirm that candidates are who they say they are: qualified to provide excellence in cosmetic dental care.

 In providing restorative esthetic dental care, one of the team members that the dentist will rely on heavily is the laboratory technician when creating restorations like veneers or crowns.  This same credentialing process is available for the lab technicians.  Information related to locating a credentialed dentist or lab technician can be found at http://www.aacd.com/index.php?module=aacd&cmd=memberreferral.  The synergy of the team of the restorative dentist and the ceramist/lab technician is the key element in creating a predictable and beautiful result. 

 Our goal is obviously to have the smile you desire the first time it is done.  Improper care can result in:

• Bulky unnatural appearing restorations.  In a social setting, the desire is to have others observe your smile as natural and beautiful, and not be able to perceive that any dentistry was completed.  Bulky restorations can also result in tissue (gums) that bleed and are infected.
• Restorations that break or fall off.
• Restorations that are in the wrong position or are too big that affect speech or give the appearance of “bucked teeth”.
• Restorations that are monochromatic (one shade) that don’t reflect what we would normally see in nature.

Proper care can involve a significant investment.  Veneers or crowns delivered by a qualified provider can range from $1500 – 2500/ tooth depending upon the economic conditions of an area and the experience of the restorative dentist.  Finding the right dentist is the beginning of a long-term relationship to help insure the health of your smile.  Cost and insurance coverage can often be a limiting concern, but always keep in mind that having something done twice, because it didn’t meet expectations the first time is always far more expensive, often yielding a compromised result.  Some practices tout themselves as a destination practice for cosmetic dental care.  These are practices that offer cosmetic treatment without providing maintenance and recurring care with periodic check ups and visits with the “in house hygienist” after treatment is completed.  They provide the restorative care and you return to your “regular dentist” for “cleaning visits”.  This is a concern.  Ideally, you want the dentist that completed your care and has been intimately involved in what was done, to monitor and help maintain the result.  It is beneficial to find a professional, if possible, within a reasonable distance that you will be willing to travel to on an ongoing basis for maintenance and evaluation.

 So how does the public find a dentist that has the training, experience and tenure to predictably deliver the results they are seeking? Here are some recommendations in gathering information to help make this important selection:

•Contact friends and family and ask who their dentist is and what their experiences are. ?

•If you are looking for a cosmetic dentist, contact other dental specialists (such as an oral surgeon, orthodontist or periodontist) and ask for a referral.  Ask for the best in your area, who they would seek care from if they had an immediate concern. ?

•Call perspective offices and ask questions about the types of dentistry that the practice provides.  Is the staff member friendly and inviting?  Are they willing to take the time to answer your questions? ?

•Set up a visit to the practice for a visit.  Is the facility up to date, clean and reflect the professionalism that you expect.  Does the team enthusiastically support the doctor? ?

•Ask to look at photographs of examples of the treatment that the doctor has completed. ?

•Has the doctor made a career commitment to continuing education?  Is he passionate about the care he provides? ?

•Has the doctor earned additional credentials related to his field of practice?  Have other professionals recognized him as a leader in his field? Some potential resources on the Internet are www.AACD.com and www.MyNewSmile.com.

 In the end, you want to put yourself in the hands of a team of providers that has the training, credentials, experience and tenure to meet your needs.  The patient does not want to be overly focused on veneers, crowns or implants.  These are only products on the shelf that a qualified restorative cosmetic dentist has at his or her disposal.  Allow the dentist to design a plan that is best for you. It often will involve a variety of techniques and procedures. This will allow for the most conservative, predictable and durable result possible.

                                                Ken Sevec

 “All the ladies at the front desk are pleasant and very efficient. Candy is at the top of the list of all the dental hygienist I have seen in my long life. She is very pleasant, informative, and efficient.”

                                                John Sherin

 “Your staff is wonderful.”

                                                Denise Drake

“I’ve always been extremely pleased with the service I receive in your office. The staff is tremendous; warm and friendly.”

                                                Chris Kinter

 “Love the serviced and all the staff. I always feel like I’m in good hands. Major work is expensive, though. I know, I know, you get what you pay for. However, my pension is $900 a month after 30 years of teaching. I’ve recommended Dr. Finlay to friends with pretty good financial resources and after checking, they tell me the prices are too steep for them.”

                                                Jean Shirk

 “Previously I had always dealt with Dr. Finlay. This visit Dr. McLellan reviewed my films. He was very personable and informed. I was glad that I did not feel like I had been seen by a second-string doctor.”

                                                 Mary Carkhuff

“I enjoy coming to your practice and getting my teeth cleaned. I know I am in expert hands and will receive excellent service and care.”

                                                Madeleine Bowden

“Each person I met during my visit was professional and friendly. I appreciated the atmosphere of the office.”
     Janet Loveless

“Team Finlay constantly exceeds expectations in every way, from the greeting from Mary and Connie to their goodbyes. And Dr. Finlay had me at “hello”.”
     Martha Coster

“Candy is amazing. I have always appreciated her friendship, her kindness and professionalism over the years. Dr. Dan is wonderful too! Did I mention the office staff…I love you too!”
     Sandi Reiger Stultz

“Being in the military I have had my teeth worked on all over the world. I can honestly say your office is the cleanest and friendliest office I have ever used. Dr. McLellan explained everything so thoroughly, and at a level I could understand that is the most comfortable I have ever felt in the dentist chair. Thank you again for a great visit, my family and I will be using this office only for our dental needs.”
     Richard Romanowski

“Excellent, most friendly, and very pleasant. Thank you so much!”
     Rev. Stephen Gosnell

“Candy continues to do a terrific job and really cares. She’s a great asset!”
     Skid Heyworth

“Pleasant visit as always. Very professional and efficient. Thanks.”
     Leo Wilson

At the same time, the Environmental Protection Agency is announcing that it will study the issue of fluoride in water, based on a 2006 report from the National Academy of Sciences that questioned whether the EPA’s current maximum allowable level of fluoride in water—4 ppm—should be reduced. The EPA announcement does not question the safety of optimal water fluoridation.

That said, government officials anticipate some public confusion over fluoridation safety. HHS has asked the ADA and its members to help minimize any concerns and reassure the public that water fluoridation is a safe and effective way to prevent dental disease. The ADA will support the government’s work and will continue advocating for communities to fluoridate their water at the new optimal level. We have released this statement to the media, explaining our support for the federal government’s action and our continued support for community water fluoridation at optimal levels.