The Smile Designer When Dr. Andy Chang established his dental practice in Richardson in 2003, he wasn’t looking to bring escaped convicts from Fox River Penitentiary into his clientele. Five years later, Dr. Chang now finds himself practicing his stateof-the-art dental procedures on two high-profile prison escapees. They’re not real prisoners, of course. They’re actors Robert Knepper and Dallas native Lane Garrison who play inmates in Fox’s hot new hit series, Prison Break, which is filmed in Dallas. An Interview with Dr. Andy C. Chang filming an episode of the show’s second season. “I was in the worst pain of my life. I had a root canal done. I’ve had three root canals before, but Dr. Andy’s was by far the easiest. His assistants are the nicest people in the world, and I was pretty much in and out very quickly,” Garrison said. Dr. Chang also made a crown for one of Garrison’s teeth using a high-tech dental restoration technology called CEREC, which is perfect for patients like Garrison who live busy lives and are always on the go. Because Garrison travels back and forth from Dallas to Los Angeles, it’s not always easy to schedule multiple appointments, much less be there for those appointments. Dr. Chang was able to handle Garrison’s root canal and design his crown all in one visit and without temporaries. The CEREC One of those happy patients is Garrison. “The whole process of getting a crown is usually just tiring. You spend a couple of days at the dentist’s office, and then there’s scheduling and that whole thing, but with this process, it was instantaneously there, which was amazing to me. When Dr. Andy made the crown, it only took 11 minutes, and the whole process took maybe a little over an hour,” he said. “Dr. Andy has done the most amazing work for me. And for somebody like me who constantly has teeth problems, he’s definitely the best,” Garrison said. “Friends think it looks great. It looks like a brand new tooth.” “Dr. Andy has done the most amazing work for me. And for somebody like me who constantly has teeth problems, he’s definitely the best,” Lane Garrison Escapes Pain Garrison, a J.J. Pearce High School graduate, known to Prison Break fans as fugitive David “Tweener” Apolskis, recently talked about his experience with Dr. Chang after wrapping up a day of filming Shooter, a Mark Wahlberg film currently in production. “Usually you dread going to the dentist, but Dr. Andy makes it easy and quick. He’s definitely one of the best,” Garrison said. “I told him he’s going to be the dentist of the stars now. I’m sending the whole cast of Prison Break over to see him.” Garrison saw Dr. Chang in September while the Prison Break cast was in Dallas in the midst of technology uses computerized images of a patient’s teeth to create precisely designed, color-matched and durable all-ceramic crowns, onlays and veneers. The non-metallic restoration bonds to the existing tooth or remaining tooth structure for an extremely durable, natural looking smile. “With this technology, we are able to help patients whose lives are busy and don’t have time to take time off from their busy schedules to travel back and forth to the dental office,” Dr. Chang said. “It’s all about time. If we reduce the amount of time a patient has to spend in the dental office, which most people don’t enjoy doing, we’re going to make them happier.” Robert Knepper Escapes Crown Work And true to his word, Garrison sent his first Prison Break cast member to visit Dr. Chang in September. While shooting a scene in Dallas recently, Prison Break star Robert Knepper, who plays the twisted Theodore “T-Bag” Bagwell, thought he had damaged a crown and called Garrison to find out the name of his dentist. “I was doing a scene and I had some wire in my teeth, and I was trying to pull it out and then all of a sudden I realized ‘Ow,’ I had a lot of pain. when your appointment is due. I don’t even have time to nap on the couch in the waiting room,” Gurr joked. “During the visits, they try to make you as comfortable as possible. It’s a very nice atmosphere,” she said. Beautiful Smile for A Beautiful Day BEFORE BEFORE BEFORE I called my friend, Lane, who knows everybody in Dallas because he grew up there and asked him for his dentist friend’s name,” Knepper said during a telephone interview from LA. “Dr. Andy was great. I had my dog, and he said ‘Come on over, bring the dog, it’s OK.’ He was great. He was really reassuring, took an X-ray, and the problem was that it was a crown that I was pulling on. Dr. Andy looked at it and said don’t worry about it. You’re fine.” What was memorable to Knepper, he said, was not the actual dental examination itself, but the total sense of peace and trust theexperience brought him. The compassion and skill of Dr. Chang and the warmth and kindness his office staff showed him brought Knepper, the son of a veterinarian, back to his idyllic days as a child growing up in small-town Ohio when times were simpler. “It was like growing up in Ohio again. It was a small town kind of feeling. Everyone in his office is so personable,” Knepper said. “Some of his office staff knew the show, some of them didn’t, but it didn’t matter. They were very warm, very open, and it was exactly the kind of feeling you 32 INFORM OCTOBER 2006 AFTER AFTER AFTER want when you’re going in there going ‘Uh oh, am I going to have to have a new crown because of something stupid I did?’” Dr. Chang told Knepper his tooth would be a little sore, but the crown is in good condition and needs no repair. You Don’t Have to Be a Star Dr. Chang provides just the right mix of reconstructive, restorative and aesthetic dental procedures for his patients. Named in the November 2004 issue of Texas Monthly magazine as one of the state’s Top 50 cosmetic “Super Dentists” based on a survey of 2,000 of his peers, Dr. Chang specializes in more complicated cases, such as full mouth restoration, to conventional preventive dentistry such as fillings, crowns, bridges and root canals. His clientele ranges from the young to the old, engineers to electricians and stars to students… like Julie Hines. Beautiful Smile for A Beautiful Day The first thing Julie Hines noticed in every picture ever taken of her was her teeth and how yellow and off-centered they appeared. The 23- year-old hospitality management major at the University of North Texas decided she wanted to make her smile perfect for two huge upcoming events in her life: her graduation and wedding, both taking place in December 2006. “No one else really noticed how my teeth looked in pictures, but it really bothered me. Every single picture, I looked at and thought ‘Are those really my teeth? Are they really not the same size and are they really that yellow?’ I’m getting married in four months, and I’m about to graduate from college, and I thought there are going to be so many pictures. I didn’t want my teeth to look like that,” Hines said. Hines described her childhood teeth as “crooked with big buck teeth and a big gap.” She had quite a bit of dental work done to correct the problems when she was in high school, including braces, retainers and various other procedures such as porcelain veneers, but the veneers were not as white nor as natural looking as she wanted them to be. “When I got the veneers put on, they matched them to my teeth, and my teeth happened to be yellow. I didn’t want them like that permanently because I didn’t like the way it looked,” Hines said. Hines took her dental concerns to Dr. Chang, who came up with a plan to help design the perfect smile for her upcoming big day. First, Dr. Chang used ZOOM! Laser Teeth Whitening on Hines’ teeth to get them as white as possible before he performed any other work. ZOOM!, an in-office whitening process using light-activated hydrogen peroxide gel, whitens discolored enamel and dentin an average of six to 10 shades in about a half-hour. Many of his patients have Dr. Chang perform ZOOM!, which is featured on the hit ABC TV show Extreme Makeover, prior to any cosmetic dentistry to obtain the best possible cosmetic outcome. After the whitening procedure, however, Hines said when Dr. Chang took off the old veneers she’d had since high school, he noticed that one of the teeth was cracked, which led to an emergency root canal. “It was so unexpected, but he did such a great job and it was fine afterward,” she said. Her tooth was too small for the tool dentists usually use to perform a root canal, so Dr. Chang had to perform a manual root canal that he learned in dentistry school but had not had to use in years. “My tooth, he said, was the size or a preschooler’s tooth, so they didn’t have any equipment small enough to do a normal root Comfort is Calming Left to right: Fannie Turner - Hygiene Coordinator, Nicole Trenchard - Dental Hygienist, Stephanie Perdue - Appointment Coordinator, Jenny Chang - Insurance Coordinator, Jennie Luong - Dental Administrator, Angelica Lozano - Dental Assistant, Lori Dillehay - Dental Hygienist (not pictured) canal,” Hines said. “So he had to do it an old way that he learned when he was in school. It ended up being so much more work than we thought it was going to be.” Dr. Chang made a new set of crowns for Hines’ front four teeth, and on Sept. 15, Dr. Chang took off Hines’ temporaries and replaced them with the new crowns. “They look so white. They look amazing, and I’m really excited,” Hines said a few days later. “Everyone who knew I was getting them said they look noticeably white and much more even. My other ones looked kind of fake. They were really thick, and if you got up close, you could see the veneer because it was placed on top of the tooth, so you could really see it. But these look much more natural. They look just like real teeth,” she said. Hines is now ready for her two big days in December. She will graduate from North Texas State on Dec. 16 and will get married in her home town of Abilene the following week. She says she is thankful to Dr. Chang for giving her the smile that she has always wanted. “The first thing I notice about someone is their smile, and that’s the first thing I notice about myself, and I just wasn’t happy with it,” Hines said. “Andy gave me such an amazing opportunity to finally change that, and I’ll have it for the rest of my life. The porcelain crowns are made of such high quality from the lab he uses, and he said they’ll last me for the rest of my life.” Carrie Gurr Can’t Stop Smiling Before Garland resident Carrie Gurr’s first visit with Dr. Chang, she rarely smiled. If she did smile, she refused to open her mouth, hiding teeth that she was embarrassed to reveal. After receiving cosmetic crown reconstruction on six of her front teeth, Gurr now can’t stop smiling. “I looked like a total dufus when I smiled. That’s why I didn’t smile. Very rarely would you ever see me smile in a picture until after Dr. Andy did my work. Now I can’t keep my mouth shut,” Gurr said. One of Gurr’s front teeth was knocked out years ago, leaving a large gap between her front teeth. Another tooth was replaced, but it eventually pushed another tooth in the wrong direction, making the gap look worse, she said. “They were pretty knarly looking. They weren’t discolored or anything, but the space and that one tooth that was growing outward just looked awful,” Gurr said. After years of being embarrassed about her smile, Gurr, a purchasing manager for an access control manufacturer, said she finally made the decision to make a change after a co-worker sought treatment from Dr. Chang following a motorcycle accident that damaged his teeth. “The people at work were just amazed at what he did, and I was just so thrilled. It almost brought me to tears when I first looked at myself in the mirror. I was like, ‘Oh, that’s me,’” Gurr said. Gurr, who still sees Dr. Chang for routine dental care such as cleanings and general work, said she had always been impressed by the professionalism and friendliness of Dr. Chang and his office staff. “I adore Angelica (Angelica Lozano has been a dental assistant for Dr. Chang for seven years.). She’s very good and she takes the time. You never feel hurried in his office, they do a really thorough job, they’re super friendly, and you get in exactly Dr. Chang and his staff know that going to the dentist can make many patients nervous, so they skillfully ease fears and anxieties over treatments, recovery, side effects and pain by creating an atmosphere that pampers patients to set them at ease. Patients can fully relax during treatment by reclining in chairs that feature heated, vibrating massage units or watch their favorite DVD. “We really want to make our patients comfortable and happy in the dental office,” Dr. Chang said. “Certainly, anything that is going to make our patients more comfortable and more likely to come to the dentist is good.” Dr. Chang also specializes in “laughing gas” sedation therapy or oral sedation for those patients who want to “zone out” during their treatments, (although they will miss seeing the high-tech dentistry), if that is the kind of treatment they chose. Stephanie Perdue or Fannie Turner is one of the first people on Dr. Chang’s staff patients see as they walk through the office door and into a waiting room filled with soft lighting, cozy chairs, a wall of Dr. Chang’s degrees, relaxing music and an “We do everything on a first-name basis. We want them to feel at home here.” aquarium brimming with fish and tropical plants. “We do everything on a first-name basis,” Perdue said. “We do not want anyone to feel like just another patient. We’ll get them anything they need: coffee or a soft drink. We want them to feel at home here.” Meanwhile, Angelica Lozano, a dental assistant for seven years, said she empathizes with patients because she has sat in the dental chair before. She is the one who assists Dr. Chang during procedures. “I assure them that everything will be OK, that Dr. Chang is very gentle and that at any time during the procedure, they can raise their hand if the need arises, and we’ll give them that time,” Lozano said. “I’ll go over the exact procedure, exactly what will happen. I let them know that I’ve been in the chair as well.” OCTOBER 2006 INFORM 33 About Dr. Chang A native of Houston, Dr. Chang received his undergraduate degree from the University of Texas in Austin in 1993. After leaving Austin, Dr. Chang came to Dallas where he received his doctorate degree from Baylor College of Dentistry in 1997 and then studied for three more years toward a Master of Science degree in Oral Biology en route to becoming a boardeligible prosthodontist as a specialist in Cosmetic, Restorative and Implant Dentistry from the American Board of Prosthodontics. He is completing the process to become board certified in the specialty field. His professional memberships include the American Academy of Cosmetic Dentistry, the Dental Organization for Conscious Sedation, the American Dental Association, the Texas Dental Association, Dallas County Dental Society, American College of Prosthodontics, the International Congress of Oral Implantologists, American College of Oral Implantology, Academy of Osseointegration and American Society of Osseointegration. He has also served as a part-time associate clinical professor at the Baylor College of Dentistry’s Department of Restorative Sciences. His continuing education includes cosmetic and restorative dentistry, infection control, prosthetics, dental implants, oncologic dentistry, maxillofacial prosthetics and ceramic laminate veneers. To learn more about Dr. Andy Chang, visit his website at www.drandychang.com. Andy Chang, DDS, MS, PA 1111 N. Floyd Road, Suite D Richardson, TX 75080 • 972.644.7770 www.drandychang.com FORT WORTH Dr. Andy Chang & Dr. James Vargese 1501 Handley Drive Fort Worth, TX 76112 817-457-1313 34 INFORM ROCKWALL Dr. Andy Chang & Associates 3023 E. I-30, Suite H Rockwall, TX 75087 214-771-3130 OCTOBER 2006 OCTOBER 2006 INFORM 35