Qualifying An Expert Witness

Between 1975 and 2012, Dr. Charles Zebe owned and operated Mercerville, New Jersey’s Accurate Dental Group. During his time as a dentist, Charles Zebe, DMD, pre-qualified as an expert witness on several dental malpractice cases.

The purpose of calling an expert witness to the stand during a case is to introduce a trusted source of specialized information that is relevant to the trial. In order to maximize the efficacy of the expert witness, the lawyer who has chosen the individual will begin a line of questioning that will establish the witness’s background and credentials. This process is known as qualifying the witness. In the case of a medical doctor, for example, the lawyer would begin by questioning the witness on where he or she began their medical studies, what degree they have obtained and from which institutions, and further questions about their current profession. Should this line of questioning proceed smoothly, the lawyer ends by “proffering the witness” as an expert and beginning a more relevant line of questioning. The opposing side, in an act referred to as “voir dire,” can challenge the credibility of an expert witness. Should the challenge succeed for any reason, the witness will not be permitted to deliver opinion testimony to the court.

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Three Cosmetic Dental Procedures

For nearly four decades Charles Zebe served as the owner of and a dentist at Accurate Dental Group in Mercerville, New Jersey. Over the course of his career, Charles Zebe gained significant experience in cosmetic dentistry.

There are a number of cosmetic dental procedures that not only help patients feel better about themselves and the state of their teeth, but also prevent further complications down the road, some of which can be dangerous. Dental bonding is a common cosmetic procedure used on cracked or chipped teeth. During dental bonding, a resin colored to match the tooth is applied and later hardens. Veneers are another tool frequently used during cosmetic dentistry. Veneers are thin, highly customizable shells that can change the color, shape, and spacing of teeth, and are often used as an alternative to crowns. Finally, crowns are placed onto misshapen or broken teeth in order to improve shape and strength. The average crown can last up to 15 years before needing to be replaced. Crowns can be made of various materials, ranging from metals to ceramics.

Replacing a Lost Tooth

For more than 35 years, Charles Zebe, DMD, worked at Accurate Dental Group in Mercerville, New Jersey, as the owner and an operating dentist. Dr. Charles Zebe is a graduate of the University of Medicine and Dentistry of New Jersey, where he took part in a unique pilot program that earned him his doctorate in just three years.

Losing a tooth is exciting at a young age. However, for individuals with a mouth full of adult teeth, losing a tooth means a trip to the dentist. There are a number of ways to go about replacing a lost tooth. For younger patients who are losing teeth due to improper dental care, a filling may be enough to repair the damage. Fillings will not work if the tooth has completely fallen out, however, and in this case getting dental implants from an oral surgeon may be the best option. While caps and crowns only replace portions of damaged or misshapen teeth, dental implants replace the roots of a lost tooth, allowing the surrounding teeth to maintain the correct structure and provide adequate bone structure throughout the mouth. For older patients who are beginning to loose teeth more frequently, dentures may provide a cheaper alternative to repeated instances of implants. Dentures should be relined annually, however, to prevent excessive bone loss and tooth decay.

The Link Between Periodontal Disease and Other Health Problems

Although periodontal disease is the number one cause of adult tooth loss, Charles Zebe, DMD, wants patients to know that unhealthy gums have also been linked to serious systemic health conditions. At his private practice in Mercerville, New Jersey, Dr. Charles Zebe offers preventive treatments for gum disease that not only protect his patients’ oral health but can also enhance their general health.

Periodontal disease, an infection that affects the gums and other structures that support the teeth, can have far-reaching effects outside of the mouth. Studies show that patients with periodontal disease are at an increased risk of developing or worsening existing cases of heart disease, diabetes, respiratory illness, stroke, or Alzheimer’s disease. Pregnant women with gum disease are also more likely to have preterm deliveries or low birth weight babies.

Researchers are still trying to determine the link between these serious health issues and periodontal disease. Some studies have pinpointed the oral bacteria that cause periodontal disease, stating that they enter the bloodstream through damaged gum tissues and cause widespread bodily harm. Other research suggests that the inflammation of gum disease triggers inflammatory conditions in other parts of the body. Whatever the link, preventing gum disease with good oral hygiene and regular dental cleanings is a smart move to help retain healthy teeth and possibly prevent chronic health issues.

Types of Dental Crowns

Since 1975, Charles Zebe, DMD, has treated patients with a wide array of oral health issues at his private practice, Accurate Dental Group in Mercerville, New Jersey. One treatment that Dr. Charles Zebe uses for both restorative and cosmetic purposes is the placement of dental crowns.

A crown is a tooth restoration that completely covers a tooth and is used to treat decayed or broken teeth. Also used cosmetically, crowns can be placed to give oddly shaped or stained teeth a more aesthetically pleasing shape and color. There are three main types of crowns: metal, porcelain-fused-to-metal, and all-ceramic.

Because of their conspicuous appearance, metal crowns are often used on baby teeth or molars rather than on permanent front teeth. Strong enough to withstand heavy chewing forces, metal crowns rarely break and can be made from gold or less expensive base metal alloys.

Porcelain-fused-to-metal crowns have a metal base but are covered with porcelain materials that are shaded to match the patient’s surrounding teeth. These types of crowns are more natural looking than metal and stronger than all-ceramic crowns, but they often show a dark edge along the gumline and can cause opposing teeth to wear.

All-ceramic crowns are made of natural-looking, light-reflective porcelain materials for optimal cosmetic appeal. While they offer slightly less strength and durability than other types of crowns, they offer the best aesthetics, especially for front teeth.

Who Is a Good Candidate for Dental Implants?

Charles Zebe, DMD, has undergone hundreds of hours of advanced education beyond dental school to gain expertise in state-of-the art cosmetic dentistry procedures. His education, experience, and compassionate manner have made Dr. Charles Zebe a sought-after provider of dental implant crowns in the Mercerville, New Jersey, area.

Dental implants are the most advanced method of tooth replacement, offering stability and a natural feel unmatched by dentures. Not everyone is an ideal candidate for implants, however. Patients considering the procedure need to have healthy gums and enough dense bone tissue in the jaw to support the implants. Those without adequate bone tissue may still be good candidates for implants if they first undergo a grafting procedure to rebuild the alveolar bone.

Patients who wish to have implants placed must also have a strong commitment to keeping their teeth and gums healthy with diligent oral hygiene at home and regular dental visits. Smokers are not ideal candidates because smoking inhibits proper healing and is a major cause of dental implant failure.

Chronic health conditions such as diabetes, heart disease, hemophilia, or immune disorders may prevent a patient from undergoing implant placement, but a lot depends on the severity of the condition and how well it is controlled. The implant dentist evaluates each patient on a case-by-case basis to determine candidacy.

Why Should Missing Teeth Be Replaced?

With a strong focus on preventive care, Charles Zebe, DMD, does everything possible to help patients keep their natural teeth for life. In some cases, however, tooth loss cannot be avoided, and Dr. Charles Zebe strongly encourages patients to have their teeth replaced with bridges, dentures, or dental implants.

While the cosmetic issues of missing teeth are very clear, the negative health effects are not quite as obvious. Problems with eating and speaking may be minimal at first, but just one missing tooth can have a domino effect on the entire mouth. Biting forces are redistributed to other teeth, which alters the bite, affects the jaw joints, and creates abnormal tooth wear. Teeth also begin to shift when tooth loss creates extra room in the mouth. Without tooth replacement, it may not take very long for the patient to develop crooked and worn teeth, a misaligned bite, TMJ disorder, and a greater vulnerability to tooth decay and gum disease.

While dentures, bridges, and dental implants can all prevent tooth drifting and changes in the bite, only one of these methods can additionally prevent the bone loss in the jaw that occurs after tooth loss. A dental implant stimulates the jawbone in the same manner as a natural tooth root, preventing the bone resorption that alters the appearance of the face.