If your smile is not becoming to you due to spaces  or missing teeth that have been there for many years, dental implants may provide and alternative to a removable prosthesis.

How are Dental implants placed?

The patient usually obtains a radiograph called a  CT scan of the upper and lower jaw.  This information allows us to analyze or view the facial structure of the patient.  With advanced technology software that has been developed to interpret this CT information, we can place now place virtual implant fixtures in the patients jawbone.   The placement is done directly i. Reviewing the CT scan on the software allows us an accurate method of determining implant placement in a 3 dimensional view.  The disciplines involved that must be coordinated in planning this treatment involve bone, tissue, as well visualization of where the definitive restoration will be placed.

The steps involved in placing implant fixtures rely on the amount of bone density the patient may present.  Namely, an immediate implant can be placed and restored with a provisional crown the same day.  the alternative method may involve placing the implant fixture and waiting at least 3 months for the bone to heal.  After the time has passed the definitive restoration(crown) can be fabricated.


the slide show provides a sequence of treatment that involves the analysis for implant placement.



A beautiful smile can boost your self-image and improve your romantic life. It is the very foundation of a new you. A white smile can make an immense difference in your overall appearance of your teeth and self confidence. Smile By Design

At Smile By Design NY, Dr. Turnier believes believes that a beautiful smile is unique, it tells the world about you.  It fosters communication, vitality and goodwill.  A beautiful smile conveys happiness and a general well-being and indicates confidence, success and friendship.

A beautiful smile can improve your personal and professional relationships. Make a positive and memorable statement to those you meet with a bright, beautiful and spontaneous smile.

The revelation is simple but startling.  A beautiful smile throughout history has been a way to gain attention, maybe even more power.  If it is seductive power you are after or looking to improve your position in the competitive world of romance and business, the transformation can be startling.  Although a smile along with an inviting look can be seductive and enjoyable, they should never dominate your appearance.  The smile must look alluring and yet subtle.  It must not be too obvious and direct. A beautiful smile dazzles but must be harmonious with all the ornaments that draws attention.  Namely, the clothing, the hair, the eyes and by combining these qualities, the effect can be quite amazing.

Continue reading “A beautiful smile can boost your self-image and improve your romantic life. It is the very foundation of a new you. A white smile can make an immense difference in your overall appearance of your teeth and self confidence. Smile By Design”


Back to Basics: Effective Flossing

You know how it goes: you visit the dental office, and Dr.Turnier advises you to floss more often. Perhaps your I may find a spot of mild gum disease, giving you even more reason to start flossing regularly. The truth is, you really can’t maintain long-term oral health without flossing, and brushing play a big role in a healthy smile, but nothing gets between teeth and below the gum line like flossing.

Part of the problem for some is that they don’t know how to floss properly. Many people think they’re supposed to pop the floss in and out between teeth and use the floss as a way to simply dislodge pieces of food that have become stuck. In reality, flossing helps remove the invisible bacteria that live on your teeth and around your gums. That’s why flossing every day is so vital. You might not see anything on the string of floss when you’re done, but that doesn’t mean the floss isn’t working. In fact, flossing regularly can help you avoid the buildup of that white, gooey stuff (a mixture of mucus and bacteria known as materia alba to your dentist) that you might sometimes see on your floss if it’s been a while.

So, now that you know why you should floss every day (yes — every day!), let’s talk about the best techniques to get the job done well.
Flossing 101

First, wind the floss around your middle fingers, not your index fingers. Your index fingers need to be free to act as guides for the floss. Wind the floss so there’s a one- to two-inch section between your fingers.

Keeping the floss pulled taunt, use your index fingers to lead the floss between your teeth. Be gentle — don’t pop the floss in between teeth, but do it slowly.

Once the floss is between teeth, lead it slowly up and down, pressing against the sides of each tooth. Pull the floss around the curve of each tooth so that all the sides are scrubbed. Lead the floss down below the gum line slowly. This part is especially important. Part of the reason flossing is so essential is that dental floss can get below the gum line in ways that brushing alone cannot.

When you’re done flossing between two teeth, move on to the space between the next two teeth with a clean section of floss.

Make sure you floss behind your back molars as well!

Gum disease causes gum and bone loss, eventually leading to tooth loss. Floss every day to help yourself avoid complex dental care problems in the future!

Keeping a healthy heart

High Blood Pressure and Oral Health

High blood pressure, also called HBP or hypertension, can affect your ability to receive oral healthcare. Performing dental treatments on patients with hypertension can be detrimental! If your blood pressure is too high, Our office will communicate with your cardiologist or primary doctor to obtain a clearance for your dental treatment

What is high blood pressure?

The two forces measured for your blood pressure reading are the blood pumping out of your heart and into your arteries (systolic), and the heart resting between beats (diastolic). Normal blood pressure readings for a healthy individuals who are 20 years and older should be below 120 for systolic and below 80 for diastolic. If blood pressure readings are consistently higher than 120/80 then you’re probably suffering from hypertension.

According to, the website of the American Heart Association, “Untreated high blood pressure damages and scars your arteries.” High blood pressure increases risks of blood clots, organ damage, heart attacks, and strokes. High blood pressure also results increased plaque build-up and weakening blood vessels.

How does high blood pressure affect my dental health?

In a white paper released by the American Diagnostic Corporation, it states: “…elevations of blood pressure can increase a patient’s risk of experiencing a stroke or myocardial infarctions in the dental chair.” Patients with hypertension can also be in danger from local anesthetics that use vaso-constrictors, such as epinephrine, which increase blood pressure and heart arrhythmia.

High blood pressure medications can also affect your dental well being. Some prescriptions cause dry mouth and may also alter your sense of taste. Medications with calcium blockers can also create gum overgrowth, which can affect a patient’s ability to chew and may require periodontal surgery to correct.

Will Dr. Turnier be able to treat you if you have blood pressure?

(View the chart at the American Heart Association’s website.) If you’re being treated for high blood pressure, it’s important for you to discuss your condition and your medications with your Dr. Turnier before beginning any treatments. Most patients being treated for high blood pressure can still have dental procedures, take anti-anxiety medications (often used for oral conscious sedation), and safely receive local anesthetics.

Keeping a Great Body

What we would like to know is how you can get that great body?

1) No more Carbs after 8 PM
Eat much carbohydrates after your workout, but never after 8 PM

2) Take Supplements
creatine, L-glutamine, conjugated linoleic acid (CLA), whey, and multivitamin.

3) Diet Menu

Breakfast: 1/2 cup of egg whites, 1 cup of sugarless oatmeal, some “good” fat like a spoon of almond butter or slice of avocado.
Midmorning snack: protein bar
Lunch: albacore tuna wrap or chicken and salad
Mid-afternoon snack: protein bar, protein shake (whey and water) or apple and almonds
Dinner: broiled fish or chicken, brown rice, vegetables, and salad
Evening Snack: protein shake

So, as you see, lots of protein, and plenty of carbs, too.
Here is an example of healthy daily diet:

5 egg whites and 1½ cups fruit salad

2 cups of vegetable soup; large salad with ¾ cup chickpeas, ¼ cup sun-dried tomatoes, ½ avocado and 3 tablespoons balsamic vinaigrette salad dressing

3 cups vegetables grilled with olive oil, 1½ cups brown rice

This diet adds up to 1 450 calories, 46g of fat, 219g of carbohydrates, 57g protein and 63g of sugar.

You can eat a lot of fruits and vegetables but she also get protein from chick peas and beans. Most Americans were raised to believe they needed dairy products for calcium and meat products for protein and iron, when in fact, these food groups are only “A” source of calcium, protein iron, not “the” source. It is still, however, debatable when no meat diet is good for you.

Try not to eats fast foods. After I saw the documentary called Food Inc, I decided to swear off fast food for life. I do have a weakness, “Delicious, warm soft croissant is an indulgence of mine,” Dr. Turnier says.

Eat foods that make you feel good afterward so choose foods like almond milk, grilled fish, spinach and you can put aloe vera in your juices.

healthy eating habits can begin today and make it your goal and your reward will be that if you are looking good then you will be feeling good so you will want to do good.

Seldom we will see one model will do well in both lines. One tend to focus only in either of them.


A catwalk model is normally thin whereas fitness model has athletic physique with low body fat and toned muscles. Many catwalk models have starved themselves or suffering from eating disorders with their skeleton body shape, especially female models. Few even died because of Anorexia Nervosa.

Between the catwalk model and fitness model, I will choose a fitness model as the motivation force for my fitness goals – low body fat, nice muscle tone or having six-pack. Having said that, keep comparing our bodies to these fitness models can be unproductive.

5 Reasons Why Fitness Models Always Look awesome

Fitness models work out hard with great discipline. They have strict diet too.
Modeling is their career. So, the priority is different from us.
Most of the photos have been touched up before they are used for the posters or advertisements. The six-pack abs may not be as toned as in real life.

In fact, some fitness models have undergone plastic surgery on their teeth, breasts, face and other body parts. I am not saying all, but some have very low body fat yet their breasts are huge.
Also, most models take the picture when they are at their peak physical condition. Many hours before taking the picture, they have to cut the water intake. By doing so, they get water out from underneath the skin to show off their best physique.

How acidity can affect your energy level

Eating processed foods on a daily basis can increase the acidity in the body. Trying to neutralize the acidity by taking acid reducers like Mylanta can sometimes cover the symptoms of highly acidic foods. Body homeostasis is reached at approximately at a ph of 7.35-7.4. The body regulates the acidity and tries to maintain the homeostatis by extracting Calcium from your bones.

Interestingly, cows milk is mildly acidic but goat milk is alkaline at low levels and has actually been used in the treatment of ulcers.

The more alkaline foods rates higher on the pH scale, acidic foods rate lower on the the pH scale

Alkaline Foods = You can indulge
Alkalizing food examples:

Veggies, root veggies, some nuts, legumes, some grains, tofu, some cold pressed oils and even some spices!

Evaluating some of our common foodsand vegetables we see the following:

Cucumber +31.5
Cayenne Pepper +18.8 Crazy!
Garlic +13.2
Onion +3
Spinach +13.1
Avocado +15.6
Limes +8.2
Tomato +13.6
Tofu +3.2
Almonds +3.6
Carrots +9.5
Moderately Acidic Foods = Eat Moderate Amounts
Some moderately acidic whole and unprocessed foods that still have other benefits, so eat in moderation:

Fruits, some nuts, some non-stored grains, certain fish, some fats

Unripe Banana +4.8
Oranges -11.5
Strawberry -5.1
Grapefruit -1.7
Watermelon –1.0
Brown Rice -12.5
Wheat – 10.1
Walnuts -8.0
Fresh Water Fish -11.8
Coconut Milk -1.5

Acidic Foods = Consume small aomounts

Avoid these acidic foods:

Meats, dairy, seafood, breads (especially white), certain nuts, certain fats, sweets, condiments, certain beverages, processed foods, microwaved foods, canned foods

Whole grain bread is on this list as it is still a processed food, but note how much higher it is on the pH scale than white bread.
Beef -34.5
Chicken -22 to -18.0
Eggs -22
Ocean Fish -20.0
Pork -38.0
Hard cheese -18.1
Homogenized Milk -1.0
White bread -10.0
Whole grain bread -4.5
Peanuts -12.8 (Noooo!)
Butter -3.9
Artificial Sweeteners -26.5 (Like in diet Coke.)
White sugar -17.6
Honey -7.6
Soy sauce -36.2
Coffee -25.1
Liquor -38.7
Beer -26.8
Wine -16.4 (At least it’s the lowest of the alcohols.)

Now we know why a cheese burger on a white bun with a diet coke, or a pepperoni pizza gives us heartburn. Every bit of those meals is very acidic – not even counting any fries.

My take away from this research is that the raw veggies are the most alkaline and cooling to the body. As you begin to add sugar or process anything it becomes more acidic. Meats, poultry and even fish and seafood are acidic so we really need to minimize those things. In other countries, meats are used mainly for flavoring. If you’re still eating meat, a suggestion might be to do just that. Begin cutting down on the serving size and upping the veggies. You might feel a whole lot less acidic.

Dental Anxiety

Patient Education
Here are my tips for Enjoying a Stress-Free Dental Visit

Dental anxiety is a very real issue. Every year, it keeps many people from seeking the important care their smiles needs. But the good news is that dental anxiety can be overcome. In some cases, Dr. Gary Turnier offers soothing options to help ease your fears.
Here are some tips you can follow yourself to ease your own stress.

Don’t be afraid to tell your dentist. The more I know about your anxiety, the more
I can do to help you feel welcome and at home.
Avoid caffeinated beverages, as these can increase your feelings of nervousness.
Avoid high-stress traffic situations by arriving early to your appointment.

Breathe deeply during appointment. By breathing deeply, you can help yourself
calm and relaxed while your dentist helps your smile.
Dr. Gary will expalin all he can about your treatment. The more you know the less
afraid you have to feel about your own oral care.

To find out more about how you can combat dental anxiety, call Dr. Turnier with your questions. Dental anxiety is a real condition, but it doesn’t have to keep you from having the kind of strong, healthy smile you’ve always dreamed of.