At Smile Design Boston, we take pride in providing exceptional dental care. Our team was voted Best Prosthodontists in Boston, Best Periodontist in Boston, and is rated a Platinum Provider for Invisalign in Boston. We are devoted to creating world-class smiles, ensuring optimal function and aesthetics, and supporting optimum gum health. Your journey to exceptional dental care starts today. Take the first step to “The smile you always wanted” and schedule an appointment today.
Digital Smile Design, or DSD, is a modern dental technique that employs digital imaging and software to create a customized Smile Makeover in Boston. DSD is a leader in dental treatment planning in the industry, ensuring a custom restorative or cosmetic dentistry solution that is best for you. With DSD, you'll be on your way to creating a treatment that is unique to your dental needs and will give you the Smile you have always wanted.
The concept behind DSD is the “Facially Driven Esthetic Smile.” It involves capturing high-resolution images of a patient's face and teeth, then using specialized software to analyze and design the desired smile, considering factors like tooth shape, alignment, gum line, and overall smile with your facial features in motion. Digital Smile Design helps you visualize your smile and create a visual simulation of your desired smile.
The concept behind DSD is the “Facially Driven Aesthetic Smile.” It is based upon the analysis of the patient’s facial and dental proportions, utilizing a predetermined series of high quality digital photographs and videos. This technology enables us to analyze the relationship between teeth, gums, lips, and overall smile with your facial features in motion. Digital Smile Design helps you visualize your smile and create a visual simulation of your desired smile.
Professional Whitening offers a game-changing dual teeth whitening experience. The patented Guided Light Optics (GLO) innovation combines an optimal warming function with a COMPLETELY SAFE LED light. The LED light activates the GLO professional strength whitening gel in a closed system with a mouthpiece, preventing oxygen from escaping the mouth. This simple cosmetic dentistry process is fast and efficient, with long-lasting results. You won’t need to worry about dehydration issues, rebound, or the sensitivity that’s associated with other whitening systems. Looking for a convenient process to whiten your teeth that delivers superior results, with no sensitivity? Visit us for an in-office GLO teeth whitening session! You will own the mouthpiece after the in-office treatment for future at-home maintenance. NO TRAYS REQUIRED!
GLO professional treatments are safe to use on crowns, caps, bonding, and veneers. Say goodbye to messy trays and strips and hello to your BRIGHTEST, MOST BRILLIANT SMILE.
The most critical aspect of overall oral health is receiving regular professional dental cleanings and check-ups. During a teeth cleaning appointment, we remove dental plaque and tartar that accumulates around the teeth and gums. Our HIGHLY TRAINED TEAM OF HYGIENISTS perform this under high loupes magnification using ultrasonic instruments and fine polishing techniques. This process makes the teeth cleaning appointment PAINLESS and comfortable. The cleaning will also remove any stains that have accumulated due to pigmented foods or beverages like coffee, tea, red wine, etc. Fluoride treatments, which include the topical application of fluoride and varnish, are a standard part of our preventive care. These services are highly recommended to prevent cavities and reduce tooth sensitivity. We also perform an oral cancer and abnormal lesion screening during that visit.
Some patients may need more frequent cleanings or subsequent periodontal maintenance, like scaling and root planing, to maintain proper oral and periodontal (gum) health. We will work together to help you achieve and maintain your best oral health.
Gingivitis is a reversible gum disease that is most
typically recognized with the appearance of red, puffy
gums. It can be easily treated with a thorough teeth
cleaning to remove plaque and tartar buildup.
Periodontal disease is an oral disease that develops from a lack of proper brushing and flossing, oftentimes resulting in gum recession, bone loss, and subsequent tooth loss. The early signs that you may have periodontal disease include red gum tissue, bleeding at the gums during flossing and/or brushing, and chronic bad breath.
Treatment for gum disease is dependent on the type and stage of disease. If gingivitis goes untreated, it may progress to periodontitis, which is a more advanced stage of gum disease that affects the underlying bone.
SCALING AND ROOT PLANNING are the most common treatment plan for periodontitis. They include cleaning the teeth above and below the gumline and using ultrasonic scaling instruments and hand instruments. It is a conservative treatment that does not require surgery. Advanced cases of periodontal disease may require gum surgery if the tissue cannot be repaired with non-surgical treatment alone.
If you notice symptoms of teeth and gum disease, consider meeting with a doctor in our clinic who specializes in periodontal treatment.
Scaling and Root Planing (SRP) is also known as a DEEP CLEANING of calcium and tartar buildup. It helps to control and stop the progression of active gum disease that is called periodontitis. Left untreated, periodontitis will lead to irreversible damage to the supporting gum and bone structures of your teeth and ultimately cause tooth loss.
Treating this disease involves removing the source of the gum inflammation, bacterial plaque and tartar. Deep scaling and root planing of the tooth root surfaces that harbor the tartar is done with the use of ANESTHESIA (numbing of your gums). If treated early, most cases of periodontitis are RESOLVABLE. More advanced cases often require surgery to prevent tooth loss and/or continued dental infections.
Sometimes, multiple visits are necessary to complete this treatment. After completion, patients return for regular periodontal maintenance teeth cleaning to monitor gums as they return to stabilization and prevent further harmful gum disease.
At Smile Design Boston, we customize each initial consultation to the patient’s needs, from teeth cleaning to more advanced dental procedures. Your visit will be different from what you’re probably accustomed to from past dental office experiences.
First, we conduct a thorough examination. We use the
most advanced technology to gain a comprehensive view of
your oral health, including an intra-oral digital
camera, 3-D intra-oral scanner, and DIGITAL X-RAYS. The
3-D intra-oral scanner is used to make a 3-D digital
impression of your teeth with NO MESSY MOLDS. These 3-D
scans are turned into molds by a 3-D PRINTER right here
in our office, giving us a highly detailed replica of
If you’re planning on a COSMETIC DENTAL PROCEDURE, you have a number of options for treatment. Following our initial examination, we will discuss different options available and explain what we believe will be the right approach for your needs. It is always our priority to help you reach your goals and attain an OPTIMUM OUTCOME.
CLEAR ALIGNERS can provide you with the BEAUTIFUL AND HEALTHY SMILE you always wanted, without some of the setbacks often associated with orthodontic care. Invisalign uses a series of invisible, removable, and comfortable aligners that no one can tell you are wearing. That means you can smile more during treatment as well as after!
Invisalign is a trademark name for a clear aligner
technique. It is made with 3-D COMPUTER IMAGING
technology and has been proven effective. You wear each
set of aligners for about 1 week, removing them only to
eat, drink, brush, and floss. As you replace each
aligner with the next in the series, your teeth will
continually move, until they have straightened to the
final position prescribed. Total treatment time averages
between 6-15 months, and we can achieve optimal results
Please call our office to see if Invisalign treatment in Boston is the right fit for you.
Orthodontic braces are made of ceramic, or plastic. They
are bonded to the teeth, and with a constant, GENTLE
force, in a carefully controlled direction, braces
SLOWLY MOVE TEETH to the proper position. Gone are the
days when a metal band with a bracket was placed around
each tooth. These days, BRACKETS ARE METAL-FREE. Even
wires are far less noticeable, and the latest materials
are designed to move teeth faster with more comfort.
Today, any age is a great age to wear braces!
A retainer is a CUSTOM-MADE, removable or fixed appliance that helps teeth maintain their new position after braces or Invisalign. Retainers can also be used to treat minor orthodontic problems. The use of a retainer is a VERY IMPORTANT PART of POST-ORTHODONTIC or INVISALIGN care.
Mouth Guards and TMJ Splints
Teeth grinding affects many people, with stress being a common cause and mouth guards being a common solution. Grinding your teeth causes enamel loss and increased sensitivity. In severe cases of teeth grinding, extensive tooth damage is caused and a full-mouth rehabilitation may be needed.
Mouth guards and TMJ Splints are CUSTOM MADE from clear thermoplastic resin that fits your teeth PRECISELY and PASSIVELY, unlike the hard and uncomfortable mouth guards used in the past. If you’re experinecing TMJ symptoms or are concerned about unhealthy wear and tear on your teeth due to grinding, we invite you to contact us to discuss a custom mouth guard or a splint as an excellent option for treatment.
The piezocision technique was developed by Dr. Serge Dibart as a minimally invasive surgical procedure that is performed to accelerate adult orthodontic tooth movement. This technique is a flapless procedure involving microsurgical incisions in the soft tissue. Piezoelectric ultrasonic tips are used to stimulate regional acceleratory phenomenon (RAP) in the bone region where movement is necessary. The result of piezocision is accelerating the adult orthodontic movement and reducing the total treatment time. When indicated, Piezocision can also be utilized in conjunction with bone or soft tissue grafting to enhance the overall periodontal attachment support.
Porcelain or Ceramic Veneers, a common choice in cosmetic dentistry, offer a Conservative and highly effective way in achieving the Perfect Smile. Veneers are custom-made, thin ceramic shells requiring minimal intervention while delivering a complete smile transformation. Veneers serve many purposes, such as closing gaps, altering tooth shape and improve tooth color. In simple terms, veneers provide a Smile-Enhancing Option that can significantly change your smile. Smile Design Boston has a cosmetic dentist in Boston that can help you explore this effective treatment.
Over time, teeth become worn, cracked, decayed, or
damaged. Dental crowns restore the STRENGTH of damaged
teeth by rebuilding the entire tooth with a much
stronger, more durable material. A crown will PROTECT
THE TOOTH from any future damage. In the past, metal
was commonly used. Thankfully, crowns today are made
of ceramic and ceramic-like materials and are
metal-free. They have a NATURAL APPEARANCE and are
both DURABLE and LONG LASTING. Crowns are also used to
rebuild a smile that has lost its appeal due to teeth
that are decayed, broken, or damaged.
A BRIDGE is a way to replace missing teeth without using a dental implant. A dental bridge involves permanently attaching teeth to fill the space where teeth are missing, enhancing the look and function of your teeth. Like crowns, they are METAL-FREE, and made entirely of ceramic and ceramic-like material. They LOOK NATURAL and are very LONG LASTING. As with crowns, bridges are often used to improve a smile that may not look its best due to decayed, broken, or severely damaged teeth.
Ceramic fillings are tooth color fillings and made of porcelain. They are the ideal way to fix a tooth with a cavity. Ceramic fillings are more costly than composite resin fillings but far more DURABLE and AESTHETICALLY APPEALING. Ceramic restorations are typically referred to as “ceramic inlays” or “ceramic onlays.”
Computer guided implant surgery is an advancement of
replacing teeth with dental implants with the aid of
new COMPUTER TECHNOLOGY. With the use of Computerized
Tomography (CT) Scan techniques and 3-D imaging, the
placement of dental implants can be VIRTUALLY
VISUALIZED and placed prior to surgery. This
eliminates the guesswork in determining the best
locations for dental implant placement. Once virtually
planned utilizing CAD CAM technology, a SURGICAL GUIDE
with the planned implant position is fabricated, which
is then utilized during the implant surgery for
precise and accurate placement of the implants.
Computer guided implant surgery provides OPTIMAL
patient SATISFACTION and SIMPLIFIES the dental implant
Benefits of Computer Guided Implant Technology
• Minimally invasive surgery
• Minimized treatment time
• Precision and accuracy of implant placement
• Restorative driven surgery for better aesthetic outcome
Call us today to find out if computer guided implant surgery is right for you.
Dental implants require sufficient bone volume in
order to ENSURE SUCCESS. Infections, trauma,
periodontal disease, and tooth extraction can reduce
bone volume and necessitate a bone graft. Bone can be
specially secured from bone banks, or synthetic
materials may be used to SIMULATE BONE FORMATION.
Extraction and Socket preservation. Tooth/teeth extraction can be categorized into either a simple or surgical procedure, depending on the reason for the extraction. Simple tooth extraction involves the removal of a tooth that is visible in the mouth. This could mean removing a tooth that is minimally damaged or decayed. Surgical tooth extraction involves the removal of teeth that are not visible in the mouth or are badly broken and decayed. A surgical approach might be chosen to MINIMIZE TRAUMA and OPTIMIZE HEALING.
If a dental implant is planned to replace the extracted tooth, a bone grafting procedure is often needed after tooth extraction. Bone grafting is often required to maintain or restore the bone volume necessary for the most ideal treatment outcome. The procedure can be performed at the time of the extraction or post-extraction, depending on the severity of the bone loss. During this procedure, the bone grafting material and a special membrane will be placed to ENSURE MAXIMUM BONE GROWTH. A healing period of 3-6 months will be necessary, as a standalone procedure or as part of a larger plan for dental implants
A dental implant is an artificial tooth root placed where the missing tooth used to be. It could be used a a replacment to a number of missing teeth or in cases where the patient had lost all their teeth but would like to have a repalcment that is NOT removable and that would be a Full Mouth Implant Rehabilitation. Implants are made of solid, STERILE TITANIUM, which is inserted into the jaw to replace the roots of natural teeth. Dental implants in Boston by Smile Design provide a strong and stable foundation for replacement teeth, which look, feel, and function just like natural teeth. We replace missing teeth while preserving the condition of healthy adjacent teeth, and stimulate bone and gum tissue to provide an attractive and aesthetic smile. Dental implant surgery can be an uncomfortable thought to some. OUR GOAL is to make the procedure as COMFORTABLE as possible for the patient with minimal postoperative discomfort. Implants are VERY PREDICTABLE with a HIGH SUCCESS RATE. We take great care of our patients and EXPLAIN EVERYTHING they need to know.
Teeth are held in place by surrounding gums, bone, and other tissues. But periodontal disease can cause the bone to break down. Certain techniques called regenerative procedures can be used to stimulate growth of new bone. This growth increases the height of the bone around the tooth, giving the tooth more support, and increases the amount of attachment around the root of the tooth. Getting back even half the lost bone height extends the life of the tooth. One type of regenerative procedure is called guided tissue regeneration (GTR).
Periodontal and plastic surgery seek to address
several possible issues to enhance an individual’s
smile. Aesthetic crown lengthening could be the
solution for you if you feel your teeth appear too
short due to excess gingival tissue (sometimes called
a “gummy smile”) or an uneven gumline. With
comprehensive planning and surgical precision, the
excess gum tissue is removed. Your gumline will be
sculpted to give your new smile just the right look.
The result of this SIMPLE and EFFECTIVE periodontal
procedure is a transformation of your smile, and it
will restore your confidence.
Crown lengthening is a procedure designed to reshape the gums at the base of the desired tooth or teeth. Just as its name sounds, the purpose is to expose additional tooth surface for an ENHANCED APPEARANCE AND PERFORMANCE.
There are many dental conditions that need crown lengthening as part of the restorative procedure. The most common periodontal condition requiring crown lengthening is severe tooth decay, where the decay extends below the gumline. Another common problem is when a tooth has fractured and broken off beneath the existing gumline.
A soft tissue graft is used when there has been a
significant amount of gum recession in a particular
area. Slight gum recession can usually be FIXED with a
FEW CHANGES TO YOUR ORAL HYGIENE ROUTINE to take
better care of your teeth and gums. When the gingiva
recedes further, it exposes you to greater risk for
infection and bacterial penetration. You will likely
be more sensitive to hot and cold foods when you have
receding gums. If the gums recede so much that it
exposes the root, you can set yourself up for more
serious problems. The root is softer than the enamel,
making it more vulnerable to bacteria and plaque.
To restore proper gum level and periodontal functionality, a soft tissue graft can be performed. This is done by either removing soft tissue from the roof of the mouth, or repositioning healthy gum tissue from adjacent teeth. This procedure is VERY PREDICTABLE and has a HIGH SUCCESS RATE. If you hesitate to smile because of exposed roots, or cringe because they are sensitive to cold foods, soft tissue grafts can enhance your smile and eliminate sensitivity, and also help protect roots from decay.
What is the tunneling technique? It is a periodontal surgical and suturing technique that is MINIMALLY INVASIVE. It utilizes donated human tissue (AlloDerm) to CORRECT GUM RECESSION. Using specially designed MICROSURGICAL instruments, a small tunnel is created around those teeth with gum recession. Once the tunneling is completed, AlloDerm is then inserted into the tunnel, then stabilized with microsurgical sutures. By utilizing donated human tissue, there is no need to harvest any tissue from the mouth. This microsurgical technique results in MINIMAL PAIN AND SWELLING in most cases, with very little postoperative discomfort as well.
Pinhole “Gum” Reguvination Technique
The pinhole technique is a trademarked periodontal procedure performed only by those certified in this advanced technique. It involves NO SCALPELS, SUTURES, OR GRAFTING, and is a MINIMALLY INVASIVE option for rescuing teeth and addressing severe gum recession. Learn more here and contact us to schedule an appointment to learn more about pinhole gum rejuvenation.
And discover what we can do for you!
"Dr. Hashem is hands down the best dentist that I have ever had. He is tremendously skilled, caring and personable. The staff at Smile Design is excellent, associated specialists are top notch, and technology is state-of-the art. The physical office environment is very pleasant. I highly, highly recommend Smile Design."- Paul McGovern
"Wow. Dr. Hashem and the whole team are great. The office is wicked clean, and actually kind of cool. I love their chair side manner. Very easy to speak with, and super kind team. Thank you!"- Jamie Bissonnette
"Great dental practice, very clean and meticulous. Highly recommend Dr. Lo. She is very personable and offers well thought out dental care. She is very gentle and her new practice, smile design, is impeccable with great service. Friendly staff and accommodating."- K M
"Literally the best recurring dental experience of my life. I actually enjoy going to my cleanings. Alessandra is an amazing hygienist and is thorough and completes cleanings quickly without discomfort. I recommend Dr. Hashem and Smile Design to anyone I know that is looking for great dental care!"- Cara Cooper
"Always a pleasure visiting Smile Design Boston and their amazing team. Clean, state of the art office, with skilled hygienists, who are always thorough and super efficient during cleanings."- Marissa Martorano
"We have been patients of Dr. Hashem for about three years. He is a professor of dentistry at B.U. The office has state of the art dental technology, with interesting art on the walls, and a good sound system. The dental hygienists are excellent. Smile Design is not inexpensive, but the level of skill is far above any of the other offices i have visited over the years. The best…."- John Kochevar
"I have been a patient of Dr. Lo's for many years and now Dr. Hashem, too. Always a positive experience even for someone who has extreme anxiety around the dentist. Office is clean, well kept and easy to schedule. Strongly recommend!"- Christina M
"I have been a patient of Dr. Hashem's for about 15 years and he and his team have always been outstanding, caring professionals. Dr. Hashem is patient with my dental anxiety, is honest and forthright in discussing treatment options, and most importantly, has performed excellent work. I have full trust I am in good hands with this team."-Amy Ferguson
"Very clean, modern, beautiful office in a convenient downtown location off the greenway. Very friendly and accommodating staff. They make going to the dentist “painless”. Soothing music with a great playlist helps pass the time. Would highly recommend!"- David Cavicchio
"Excellent dental office. Dr. Hashem excellent dentist. I have been a patient for 30 yrs . He takes pride in his work and my teeth always well cared for."- john walsh
"Wonderful office, dedicated and sincere staff. Incredible hygienist and dentist"- Alyssa Kelly
"Dr.Hashem and his staff are wonderful people and very proffesional. I am a pediatric dentist, so for me a smile is everything. Dr. Hashem made sure that I would be happy with my results. If you are looking for someone with expertise especially when it comes to esthetics, look no further."- Nora Nakshabendi
"Great, skilled, friendly people and excellent facility! It's hard to say that going to the dentist is fun, but Smile Design comes as close as is imaginable."- John Preotle
"Super nice staff, great dental work, and a very clean facility!"- Jesse Boudart
"Great experience. Nicest dental office I’ve ever been in. Super clean and modern. Painless cleaning!"- Christopher Stanton
"Top quality dentistry, extremely professional and warm atmosphere, lovely office."- Laura Peabody
"Dr. Hashem and the entire staff of Smile Design are first rate. I travel to Boston from NYC because the quality of care is so high. I highly recommend!"- Chris Higel-McGovernr
"Very nice and professional staff. The facility is modern and clean. I’ll never go to another dental clinic."- Anna Xue
"Literally, the best! If you are looking for a convenient office in downtown that does great work and has the friendliest staff — this is your new dentist office!"- Terence Finnigan
"Glad I found this office everyone is outstanding. Service is warm and friendly. Communication about cost and options is clear and streamlined. Unrivaled expertise that gives you comfort your in good hands."- Adam Koprek
"Dr Hashem is a fantastic dentist with an excellent "bedside manner" and even stronger credentials. His practice is modern and comfortable. He is a clinical professor at Boston University which has allowed him to put into practice the most up-to-date knowledge and technique into patient care. This has been particularly important to me in my 10+ years as his patient since I've had more than my fair share of dental work. I am fully confident in whatever course of care he recommends."- Jason K
"Dr Lo is amazing! I have been going to her for almost 20 years! I had so much anxiety about the dentist when I first started going to her and I have had to get a lot of work done throughout the years. She is so patient, gentle and understanding. I would recommend her to anyone!! She makes the dental experience so much better for people with dental anxiety!"- Christine Levesque