COSMETIC DENTISTRY - Perfect Smile Clinic
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COSMETIC DENTISTRY

 

 

“Say Cheese! ” As you click the camera, some people smile broadly, while others keep their lips zipped. If you’re one of those who hate to smile because your teeth are cracked, chipped or discolored, take heart. There are new techniques available that can make them picture perfect. It doesn’t matter whether your teeth have been less that ideal since childhood or were recently disfigured. Bonding and other advances in Cosmetic Dentistry and Orthodontics can give you the smile you’ve always dreamed of.

There are many techniques and materials used today to improve your smile.
Some of them are:

 

1. Bonding of Teeth
2. Composite or Ceramic Laminates
3. Bleaching/Whitening of teeth
4. Porcelain crowns and Bridges
5. Composite Resin Dental fillings
6. Tooth Contouring and reshaping
7. Cosmetic Gum Surgery
8. Dental Implants
9. Orthodontics
10. Cosmetic Surgery


1) Bonding of Teeth

What is tooth bonding?
Bonding is a composite resin filling placed in the back teeth as well as the front teeth. Composites are the solution for restoring decayed teeth, making cosmetic improvements and even changing the color of your teeth or the reshaping of teeth. Bonding will lighten any stains you may have, close up minor gaps and can be used to correct crooked teeth. Basically, bonding will cover any natural flaws by applying a thin coating of a plastic material on the front surface of your teeth. After this, your cosmetic dentist will apply a bonding material and sculpt, color and shape it to provide a pleasing result. A high-intensity light then hardens the plastic, and the surface is finely polished.

A hard ball fell on this young girl and chipped her from teeth.  This was repaired in one sitting by bonding of the teeth with tooth colored composite material.

 

Close up of the same case. Even up close the repaired teeth looks as natural as earlier.

 

This young boy fell from the stairs and broke his front tooth. This was also bonded in one sitting to make the teeth look natural.

 

This patient had gaps between his side teeth. They were closed by bonding of the teeth with similar shade composite material.

2) Composite or Ceramic Laminates

Laminate veneers : A thin layer of plastic or porcelain is bonded to the outside surface of the tooth in order to improve the tooth appearance. In many cases some tooth enamel must be removed, but this rarely causes any problems for healthy teeth. Laminate veneers usually require more than one visit to the dentist. They last several years and may have better colour stability and strength than conventional bonding. Bleaching, bonding and laminate veneers are more conservative options than the traditional method of capping teeth with crowns, which requires the removal of part of the tooth.

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic

This young lady had teeth that she hated. They were yellow and were crooked. Ceramic laminates were put on the upper front 8 teeth to give the teeth a white, well-aligned pleasing look. This improved her self confidence and personality.

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic

Composite laminates were used for these crooked teeth.

 

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic

The top view of this patients crooked teeth. Composite Laminates were bonded on the crooked teeth to give a well aligned look.

 

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic

This girl did not like that her front teeth were too broad. The width of the teeth were balanced by grinding the ends of the Central incisors and adding tooth colored composite on the lateral incisors. This gives a more balanced width of the front teeth.

3) Bleaching/Whitening of Teeth

Whitening of the teeth is performed for patients who desire a brighter smile. Tooth whitening can be performed to reduce discoloration and staining, or simply to provide the patient with whiter, brighter teeth.

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic

This patient had discoloured teeth.  The natural colour of her teeth were whitened by bleaching them. She no longer held her hand over her teeth while smiling.

 

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic

This patient bleached his teeth for 10 days to get a favourable result.

 

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic

This patient had Tetracycline stained teeth which is difficult to whiten. They were bleached to a certain extent as can be seen.

4) Porcelain Crowns and Bridges

Crowns : Also called caps, crowns are long lasting artificial covers for teeth. They can be made of various material: acrylic, gold or other metal, porcelain, or a combination of metal and porcelain. Your dentist may recommend a crown as your only option when a tooth becomes severely decayed or damaged. In this common procedure, the tooth has to be filled and shaped so the cap can be fitted and “permanently” cemented on. Crown usually last 10 to15 years or even longer before they must be replaced.

A dental bridge is a false tooth, known as a pontic, which is fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place that are attached onto your teeth on each side of the false tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures.

Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many as ten years or more.

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic

This middle-aged lady was always conscious of her protruding teeth. They were ground down and crowns (caps) were put on the front teeth. These crowns look as good as new now after 12 yrs.

 

5) Composite Resin Dental fillings (tooth coloured fillings)

Most of us have had amalgam fillings (silver) or gold filling restorations. Some amalgam fillings were what we have called mercury fillings, as some amalgam fillings contained mercury. Metal fillings were effective, but very conspicuous and tended to blacken in color over time. Composite resin dental fillings were created as an alternative to traditional metal dental fillings. Tooth fillings colored to look like a natural tooth are known as Composite Resin Dental Fillings. Composite Resin Dental Fillings are strong, durable, and make for a very natural looking smile.

Cosmetic Dentistry - Dr Shettys Perfect Smile Clinic
Old Silver amalgam fillings were changed to tooth coloured fillings for this young man who wanted to have all natural looking teeth.

6) Tooth Contouring and reshaping

Tooth reshaping, or contouring, is one of few instant treatments now available in cosmetic dentistry. Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session. The dental contouring procedure can even be a substitute for braces under certain circumstances. It is also a procedure of subtle changes. A few millimeters of reduction and a few millimeters of tooth-colored laminate can create a beautiful smile when performed by a cosmetic dentist, with no discomfort to you. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of your teeth.

7) Cosmetic Gum Surgery

Your gum tissue is like a frame that provides form and shape to the top of your tooth. A less than attractive smile results when the integrity of the gum is compromised or the actual gum between your teeth becomes weak. Usually due to poor hygiene (gum disease), you actually begin to lose gum tissue. Cosmetic dentistry provides many cosmetic solutions such as composite resin bonding, crowns, and veneers to create a great smile. These solutions are usually part of an overall strategy which may involve cosmetic gum surgery. Used to correct a ‘gummy smile’ (a significant portion of your gum is exposed when you smile), cosmetic gum surgery is the procedure of lengthening your teeth from the neck of the tooth upwards. Your teeth then appear to be longer and much less gum is seen when you smile.

The “Long in the Tooth” Smile – Cosmetic gum surgery, or periodontal plastic surgery, can correct almost any deformity or gingival problems preventing you from a beautiful smile. As we age, our gums may shrink and recede which makes our teeth look longer. While this is often age-related, it can also occur due to a bad bite. A cosmetic dentist or a periodontist can correct this to such an extent, that you’ll have a very youthful appearing smile. The “Gummy Smile” – This is a problem where your teeth appear to be too short. Gum sculpting is often the solution. To solve this, a dentist uses a laser to remove the excess tissue of your “gummy” smile, which then exposes more of your tooth.

8) Dental Implants

Dental implants are fixtures of titanium which are surgically screwed into your jaw bone. The implant is an anchor for a naturally appearing false tooth or a set of false teeth. The success rate of dental implants depends on where the implants are placed and their purpose. They are typically best placed in the front portion of your lower jaw. Implants are great for replacing missing teeth. It is important that you have enough bone in the area of the missing teeth for the implants to be attached to. Implants are not only used to replace one tooth, but rather people missing most, if not all, of their teeth benefit greatly as well. Implants are increasingly being used to replace certain types of bridges and removable partial dentures.

9) Orthodontics

Orthodontics is used to get your teeth in alignment in a perfect arch straightening crooked teeth, closing spaces between teeth, pulling teeth inwards or outwards etc. The first choice of treatment, especially youngsters, to get a well aligned smile would be to go for Orthodontic Treatment. To straighten teeth the orthodontist generally uses a combination of wires and brackets in either a fixed or a removal appliance. Some of today braces are more attractive than the traditional kind: the brackets may be made of tooth colored plastic, for instance, or the braces may fit on the back side of the teeth rather than the front, so they are out of sight. ( These are called lingual braces.) such options are popular with adults, though they may have drawbacks: plastic brackets stain and break more easily than metal ones, and lingual braces tend to cost more and have to be worn for a longer period.

10) Cosmetic Surgery

Sometimes a defect in the bite can be corrected only by a combination of surgical and orthodontic techniques. If the lower jaw juts out too far for example, a surgeon can section the bone and move it back; the bone then heals in the new position. A protruding upper jaw or a cleft palate can also be treated surgically. These modern surgical techniques can create a dramatic and permanent improvement in an individual profile and appearance, as well as in his or her self esteem.

Today, anyone with a bad bite or with stained or fractured teeth can have the problem solved in the dental office. Up to date dental surgery and restorative techniques enable a dentist to change and improve the appearance of the smile. Whether you need a relatively minor cosmetic correction or complicated surgery, your dentist can advise you on the best course. So next time the camera is focused on you and everyone says “cheese”, show those teeth, feel good about yourself, and let your personality shine through your smile.