LAL Dental

LAL Dental is a prosthodontic practice located at 245 E 50th Street in Midtown East, New York, led by board-certified prosthodontist Dr. Kunal Lal. The business specializes in dental implants, full-arch reconstruction, and crowns, while also providing everyday care like checkups and cleanings. It has served the area since 1989, formerly operating as Elk Dental Associates.

Dr. Kunal Lal holds the title of Diplomate of the American Board of Prosthodontics, certified in March 2006 after completing a four-part examination over four years. This credential requires three additional years of specialized training beyond dental school, making him one of roughly 1 in every 200 dentists in the U.S. to achieve this level of certification.

The practice operates on a fee-for-service basis with payment due at the time of service, but they provide a written plan detailing the sequence, stages, and total cost before any treatment starts. This approach ensures patients know the financial commitment upfront rather than receiving a number that changes as the procedure progresses.

The practice utilizes a new iTero Lumina scanner for digital scans and a 3D CBCT x-ray when necessary to plan implant positions against the finished restoration. This technology allows them to design treatments in software rather than judging positions during surgery, aiming to make procedures shorter and more comfortable.

Anxious patients can choose nitrous oxide as an option to manage discomfort during their appointments. The practice encourages patients to state their anxiety at the first appointment, which changes how the treatment is arranged to accommodate their needs.

Dr. Allison Wisniewski and Vianny both speak Spanish, ensuring that Spanish-speaking patients can communicate effectively with the team. The front desk and general assistance are also handled by staff members who speak multiple languages to support diverse patient needs.

The office is open Monday through Thursday from 9 AM to 5 PM and Friday from 9 AM to 3 PM, with Saturday, Sunday, and major holidays closed. New patients are welcome by appointment, and the first visit typically involves a conversation before any treatment begins.

Dr. Allison Wisniewski, a general dentist, offers fillings, crowns, and bridges, as well as Invisalign and preventive care. She works alongside Dr. Kunal Lal to provide both specialist treatment and routine care for patients.

The first visit follows four simple steps: telling the doctor what is going on, a careful examination of teeth and gums, discussing treatment options including the consequences of waiting, and creating a clear plan before anything begins. Nothing is decided in the first ten minutes, and the patient is never rushed through these steps.

The practice specializes in full-arch implant reconstruction, single-tooth implants, multiple-tooth implant bridges, and implant-supported overdentures. They also perform full-mouth reconstruction for patients with worn, damaged, or failing bites as one coordinated plan.

Hygiene visits and examinations are considered part of the treatment rather than separate from it, with recommendations for visits every 4 to 6 months. This includes oral cancer screening and x-rays when there is a reason to take them to ensure reconstruction lasts.

The practice uses computer-guided implant surgery where implant positions are planned in software against the finished restoration and then placed through a surgical guide. This method is often flapless and can include immediate loading where the case allows.

Patients visit the office from Midtown East, Sutton Place, Murray Hill, Upper East Side, Turtle Bay, Beekman Place, Tudor City, Gramercy, Tribeca, Lower East Side, and surrounding neighborhoods. The practice serves a wide range of areas in and around Manhattan.

A prosthodontist is a recognized dental specialty requiring three years of training beyond dental school, specifically focused on the replacement and reconstruction of teeth. While general dentists can place implants, a prosthodontist is the specialist that complex cases are referred to for rebuilding teeth.

The practice offers Solea Laser Gum Procedures for crown lengthening, frenectomy, and gingivectomy. These laser treatments are noted for usually causing less bleeding than a traditional blade.