Improving Your Smile
Tooth Whitening
Dramatically whiten your smile
When teeth become dull colored or stained, plastic whitening trays will be made from models of your teeth. You will then place a special whitening gel in each tray and wear the trays in your mouth for several hours per day. (Many patients wear their trays after dinner and before bed.) A significant change in tooth color is usually seen in just four to six weeks.
Modern tooth whitening systems are highly effective and have dramatic results. Many celebrities consistently whiten their teeth to improve their appearance.
Occasionally, patients may experience some gum or tooth sensitivity when using their trays. These symptoms subside when whitening is discontinued for several days.
Accelerated whitening is another option for some patients.This process can result in whiter, brighter teeth in just one office visit. Please consult with the doctor to see if this procedure may work for you.
Occasionally, teeth may be stained in a way that limits the effectiveness of tooth whitening. In those instances, porcelain laminates or crowns are an excellend alternative.
Bonding
Restore chipped teeth and fill gaps between teeth
Composite resin is a white, tooth colored material that can be shaded to match your teeth. This material is applied to your teeth and sculpted to cover of replace the problem area. The material bonds to the surface of your teeth like a glue. It is often "cured" or harderned with an intense ultraviolet light.
When skillfully appied and sculpted, this material allows you to have a natural, beautiful improvement in your smile.
Bonding is initially less expensive than porcelain veneers. However, it tends to break down and discolor in several years and will need to be replaced. For this reason, porcelain restorations are usually more cost effective over time.
Porcelain laminates or crowns are an excellent, longer lasting alternative.
Porcelain Veneers
When bonding chips too much or stains, one need to use porcelain veneers. These are thin (finger nail thick or less) veneer or porcelain that bonds over the esisting fronts of teeth. These are the choice of many "extreme makeover" patients.
Porcelain Crowns
A crown (often called a cap) covers the tooth and restores it to its oringinal shape and size. Decay is removed and cleaned from the tooth and a highly accurate impression or mold is made of the prepared surfaace. This mold is used to create a model of the tooth which is then sent to a special laboratory that will create a gold or porcelain (tooth colored) crown. The crown is then cemented onto the prepared surface of the tooth.
Porcelain offers a fine alternative to other tooth restoration materials. Made to perfectly match the shade and shape or your teeth, it's durable, it's strong, and it's virtually undetectable.
Crowns are incredibly strong due to the fact that they are created in a laboratory. This protects and strengthens the remaining tooth structure. In the hands of a skilled dentist, a crown will fit almost perfectly onto the prepared surface of the tooth, reducing the size of the seam between the crown and the tooth. This helps keep decay from eventually occuring under the crown.
Crowns should be placed before the tooth is so decayed that is may fracture. This can often help prevent the expense of root canal therapy in the future. It can also prevent the possibility that a fractured tooth may need to be removed, requiring the expense of a bridge or implant to replace the missing tooth.
Crowns are excellent restorations and have few disadvantages. They are highly durable, but they will eventually need to be re-cemented or replaced due to normal wear.
Occasionally, a tooth may still need root canal therapy after being crowned. However, this indicates that the interior of the tooth was already infected and would have eventually needed root canal therapy anyway.
In the event that a tooth is so decayed or fractured that it needs to be removed, the best alternatives to a crown are bridges and implants that replace the missing tooth.
Porcelain Bridges
A bridge is a single appliance that is generally attached to two teeth on each side of the space where a tooth is missing. An artificial tooth attached in the middle of the bridge fills in the gap where the missing tooth was. The teeth on either side of the gap are prepared for crowns and a highly accurate impression or mold is made of the prepared area. This mold is used to create a gold or porcelain bridge in a special laboratory. The bridge is then cemented onto the prepared surface of the teeth, effectively creating the appearance of a "new" tooth.
In some instances, a resin-bonded bridge may be used. In this case, the two teeth on each side of the gap are not prepared for crowns. Instead, the bridge consists of a false tooth with metal brackets on the back of each side of the gap. The brackets are attached to the backs of the real teeth on each side.
The advantage is that unlike dentures, a fixed bridge is never removed. It is stable in the mouth and works very similar to natural teeth. By filling the gap and stopping the movement of other teeth, a fixed bridge is an excellent investment, providing better chewing ability, heading off jaw joint problems and saving money that might otherwise be spent on future dental treatment.
Fixed bridges are excellent restorations and have few disadvantages. They are highly durable, but they will eventually need to be re-cemented or replaced due to normal wear.
In the event that the use of a fixed bridge is not feasible, the best alternative is a dental implants.
Dentures and Partials
When replacing teeth, we can place partials (replacing some teeth) or dentures (replacing all teeth.) We also have the ability, if bone levels allow, to place "mini implants" to help hold lower dentures in place.