From subtle changes to major repairs, your Cosmetic Dentistry dentist can perform a variety of procedures to improve your smile. There are many techniques and options to treat teeth that are discolored, chipped, misshapen or missing. Your dentist can reshape your teeth, close spaces, restore worn or short teeth or alter the length of your teeth. Common procedures include bleaching, bonding, crowns, veneers and reshaping and contouring.
These improvements are not always just cosmetic. Many of these treatments can improve oral problems, such as your bite.
Porcelain veneers are thin pieces of porcelain used to re-create the natural look of teeth, while also providing strength and resilience comparable to natural tooth enamel. It is often the material of choice for those looking to make slight position alterations, or to change tooth shape, size, and/or color.
Visiting a dentist and asking about veneers is the first step in determining if veneers are the right option for you, or if there are alternate solutions available. Communication with your dentist about what you want corrected is critical for a successful result. Spend time clearly identifying what cosmetic improvements you want to accomplish.
You’ll often hear people say that celebrities have veneers and this may seem like the best way to replicate picture-perfect teeth, but each mouth is different and veneers need to be carefully researched.
Your dentist will most likely begin with a smile analysis to determine what steps are necessary to achieve the smile you desire. In addition, your dentist may create a diagnostic mock-up that will allow you to “try on” veneers and other procedures to see if the final result is actually what you’re looking for.
Your dentist may also show you a photo of how your new smile will look. This is called cosmetic imaging.
Deciding that porcelain veneers will create the look you want is only one step in the process. There is much more to learn before proceeding further.
The Hows and Whys of Porcelain Veneers
Porcelain laminate veneers consist of a compilation of several thin ceramic layers which replace original tooth enamel, and an adhesive layer. To apply a veneer, a very small amount of the original tooth enamel must be removed, usually less than a millimeter. This is essential as it creates room for the porcelain veneer to fit within the mouth and most accurately restore natural tooth function while creating an even better appearance than the original tooth.
The bond between original tooth and porcelain veneer is critical as it not only provides the esthetic perfection desired,but also a strong bond which is essential for correct veneer function. Light-sensitive resin is placed between the original tooth and the veneer and then hardened using a special curing light.
Porcelain veneers are a very successful option in many situations where the original tooth has developed poor color, shape, and contours. It is also a good choice for fractured teeth, gaps between teeth, and in some situations where the tooth position is compromised and there are minor bite-related problems. For some people, superficial stains do not respond well to tooth whitening or bleaching. In these situations, a porcelain veneer may be the best option.
Minimal Prep or “No-Prep” Veneers
Some patients are looking for an alternative to traditional dental veneers or bonding, but be aware that this treatment option is not appropriate for everyone.
Just as with porcelain veneers, “no-prep” or minimal preparation veneers— so called because they typically don’t require the dentist to remove as much tooth material—are bonded to the front surface of your teeth. Often, the placement of no-prep veneers can be done more quickly and with less discomfort than traditional veneers.
Your dentist will let you know if you are a good candidate for minimal preparation or “no-prep” veneers and if this option makes a sensible treatment plan.
The Benefits of Veneers
Since veneers are individually sculpted for each patient, it is nearly impossible to tell the difference between a veneer and a natural tooth. Unlike natural teeth, custom-made veneers resist coffee and tea stains, and cigarette smoke because they are made of high-tech materials.
With veneers—as opposed to crowns—your natural teeth remain largely intact with only a minimal amount being altered to fit the veneer.
For teeth that resist whitening, veneers can make even the darkest teeth appear bright white.
Dentists may also recommend veneers to quickly fix minor twists, overlaps, and small gaps.
Potential Veneer Downsides
Because a portion of the original tooth enamel is reduced, a veneer is not considered a reversible treatment. Although adjustments and even new veneers can be made, you can never reliably return to the original condition of the tooth.
Creating porcelain veneers requires some laboratory time, so expect at least a week before they’re ready to be applied.
After the porcelain veneers are attached you will probably have some sensitivity to hot and cold temperatures due to the removal of that thin layer of enamel. This typically disappears within a few days. In a healthy mouth properly treated with porcelain veneers—and where destructive forces are minimized or eliminated—a patient should be able to use porcelain veneers like his or her own teeth. Although they’re very strong, veneers are also brittle. You should avoid the same excessive stresses you would avoid with non-veneered teeth: don’t bite your fingernails, chew ice, or open beer bottles with your veneers!
Maintenance of a Porcelain Veneer
Maintaining porcelain veneers is actually quite simple: Treat them as you would your original teeth, with routine brushing and flossing. Using non-abrasive fluoride toothpaste will typically be suggested by your dental professional.
If you have a habit of grinding or clenching your teeth, your dentist may fit you with a nighttime bite guard so you do not damage your veneers.
You should also return to your dentist for regular professional maintenance because porcelain veneers should be polished with a specially formulated, non-abrasive paste, and because your dentist needs to inspect your dentistry for any sign of potential failure.
Same Day Veneers
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Transform Your Smile
Is there anything you wish you could change about your smile? Have you always hoped your teeth could be a little longer, a straighter, or whiter?
With a smile makeover, you can choose to improve several aspects of your teeth and finally have your dream smile.
A smile makeover generally combines several cosmetic dentistry techniques to focus most prominently on improving the appearance of your smile. Therefore, any oral health issues will need to be treated beforehand. An extreme makeover dentist will carefully listen to your goals for your smile and discuss the options with you for how to achieve the more youthful, attractive smile that you desire.
Choosing an Extreme Makeover Dentist
While many dentists can restore teeth to functionality, it takes additional artistic skill to blend restorations into a natural-looking smile that compliments your features. Your extreme makeover dentist will consider your entire facial appearance as part of the artistic process of shaping your beautiful smile.
While cosmetic dentistry is not a recognized specialty, it is important to pick an extreme makeover dentist who has extensive training in the cosmetic dentistry procedures you will need in your smile
Smile Makeover Options
In addition to correcting tooth proportions, your smile line, and other aesthetic elements of your smile, most cosmetic dentists look at the following when deciding on the combination of treatments for your smile makeover:
Missing Teeth: Tooth gaps can easily distract from the overall appearance of your smile, in addition to being an oral health hazard. While a missing tooth increases the chances of tooth decay, it also provides a space where surrounding teeth can easily shift—destroying the alignment of your teeth over time. When helping you plan your smile makeover, a cosmetic dentist will probably suggest a dental implant, dental bridge, or partial denture to fill out your smile and preserve tooth alignment.
Tooth Color: The color and clarity of your teeth greatly affects your appearance. Stains and discoloration can be distracting, even if you have perfectly aligned teeth. Your cosmetic dentist can pick out the color shade that will best match your complexion and perform in-office or at-home tooth whitening. Tooth color and shade is also taken into consideration during smile makeover procedures such as porcelain veneers, dental crowns, and composite bonding.
Alignment: Smiles that are severely misaligned will need to undergo full mouth reconstruction or orthodontic treatment prior to a smile makeover. However, slightly misaligned or overlapping teeth can be improved with cosmetic dentistry options such as porcelain veneers or braces.
Face Shape: As teeth age, wear down, or fall out, your face shape can alter as well—making you look older. A cosmetic dentist may recommend orthodontics or oral maxillofacial surgery as part of the smile makeover to fill out your cheeks and face, reviving a more youthful look.
Tooth Shape: An extreme makeover dentist pays attention to small details such as tooth shape and size. Teeth can be lengthened or shortened to a more attractive size using gum reduction or porcelain veneers. Tooth shape can also be altered using cosmetic bonding or veneers.
After Treatment Care
No matter which cosmetic dentistry procedures are used during your smile makeover, the lifespan of your beautiful new smile is almost entirely up to you. While some tooth restorations require eventual replacement, you can increase their duration through daily brushing and flossing, as well as regular dental visits. Be sure to avoid chewing hard foods that can chip or crack your porcelain restorations or original teeth. Habits such a biting fingernails or writing implements can be harmful to restorations and decrease their lifespan. If you grind your teeth at night, ask your dentist about a night guard to protect your teeth.