We offer a wide variety of cosmetic options. Some of these options are whitening, smile design, recontouring of the shape of the teeth, veneers, bonding, and all ceramic/porcelain crowns.
This is the procedure of making teeth whiter, and therefore more attractive. Our office use the custom tray method. We find this to be more economical for our patients than in office power bleaching (ZOOM) while lessening the chance of tooth sensitivity.
The tray method involves having impressions taken from which laboratory fabricated custom vinyl trays are made. A carbamide peroxide gel is placed in these trays and the trays with gel are worn for about 3 hours, or overnight. The entire process takes 2-3 weeks of daily use. Three different strengths of gel may be used, however the higher the strength the greater the likelihood of reactions or tooth sensitivity. The tray method is recommended for badly stained teeth, such as tetracycline staining, and it may take several months of use to see significant color improvement. For maintenance of whitened teeth the trays should be used for a night or two every several months.
Veneers are a dental procedure in which a covering is placed over the outside (visible area) of the tooth. Veneers are usually only done to the part of the teeth that are visible when talking or smiling. The procedure can be direct or indirect.
The direct technique usually involves placing composite resin on the outside of the tooth using bonding. This method is usually referred to as bonding.
The indirect technique usually involves two appointments because the veneers will be fabricated at a dental laboratory. At the first appointment the teeth are prepared, impressions taken, and the teeth are given a temporary covering. In two to three weeks the veneers are back from the laboratory, the temporaries are removed and the veneers are bonded to the teeth. The laboratory fabricated veneers are usually made using porcelain or pressed ceramic, and are very esthetic and long lasting.
Porcelain crowns are used to strengthen teeth that have been weakened or discolored from large fillings or root canal treatment. There are several types we can use depending on the situation. The new all ceramic crowns we use today eliminate that dark line often associated with crowns in the past.
We now are able in many cases to replace missing teeth with new all ceramic bridges. This eliminates the metal substructures and allows for a very natural appearance. In many cases a combination on veneers, crowns, and bridgework will all be used to restore a smile to proper function and a youthful appearance.