COSMETIC DENTISTRY Teeth Whitening Whitening of teeth is performed for patients who desire a brighter smile. As the name suggests, teeth whitening is a procedure used to lighten the color of teeth. You should look for a whitening procedure that is: • Fast and convenient • Long lasting • Low sensitivity • Proven to be safe and effective • Performed by a dental professional Patient Concerns • Teeth darkened from coffee, tea or smoking • Teeth darkened with age • Discoloration of teeth by the deterioration of a tooth’s nerve • Tetracycline (antibiotic) staining **Stains caused by tetracycline may be lightened, but results are not as dramatic. Depending on your case, we can tailor an alternative treatment to whiten severely stained teeth, like veneers. Treatment Possibilities Determining whether you are a candidate for whitening is mainly based upon diagnosing the exact cause of teeth discoloration. There are several types of whitening methods available in our clinic. ZOOM!® Professional Whitening System (as seen on ABC’s hit Extreme Makeover) The Zoom!® Chairside Whitening System is a scientifically advanced tooth whitening procedure. It’s safe, effective and fast. In just over an hour, your teeth will become dramatically whiter. Zoom!® Chairside Whitening is ideal for anyone looking for immediate results. The convenience of Zoom!® in comparison to days of wearing trays or strips, makes it the perfect choice for the busy individual. Radiant White® Trèswhite® by Opalescence The first pre-filled, adaptable, disposable whitening trays. Très chic. Très magnifique. Très bien. Très Fast: Active 9% hydrogen peroxide gel No impressions, models, or lab time Très Fit: Thin, comfortable tray easily adapts to fit all teeth (not just the front six) Delivery tray ensures proper placement Protective gingival barrier gel ensures comfort for continual whitening Très Delicious: Available in Melon or Mint Flavor Alternative Treatments • Porcelain crowns • Porcelain veneers Composite bonding veneers Composite Bonding / White Fillings Composite bonding is a dental technique that is used to improve the appearance of teeth utilizing a composite resin. This is parallel to using a sculptor’s clay. It is a widely available procedure for aesthetic concerns concerning color and shape of teeth. Patient Concerns • Unsightly gaps between teeth • Broken, chipped or decayed teeth, especially front teeth • Rough or jagged edges on front teeth • Discolored teeth • Old silver (amalgam) fillings that need to be replaced • Desire to maintain a pleasing appearance and a white beautiful smile **Teeth that have been bonded just look like your own teeth. Composite material is applied to a tooth and sculpted to an ideal shape to cover or replace the decayed area. It has a relatively lower cost. Veneers Veneers are very thin layers of specially-shaped porcelain or plastic that can be permanently bonded to the front of the teeth with little or no anesthesia needed. It allows your dentist to alter tooth position, tooth shape, tooth size, tooth color and to whiten teeth, close spaces and create a great smile. Patient Concerns • Darkened teeth due to tetracycline stains • Space between front teeth • Broken or chipped teeth • Rough or jagged edges on front teeth • Teeth that are too small or too large in proportion to the rest of the mouth • Crooked teeth • Worn teeth Treatment Possibilities • Composite Veneers-usually performed in a single visit • Porcelain Veneers-usually require two visits Crowns (Caps) As we age, many find teeth that are not structurally sound. A crown, also known as a cap, is a tooth-shaped covering that is placed over a tooth to protect and keep teeth that are badly decayed or fractured. Patient Concerns / Why do I need crowns? • Protective cover for badly decayed teeth or fractured teeth • Sensitive teeth • Weak teeth that need to be protected due to root canal treatment • Unpleasant natural appearance of teeth such as malformed, malpositioned or discolored teeth Treatment Possibilities • Porcelain Crown • Metal Crown • Porcelain Fused to Metal Crowns How are crowns made? Firstly, a thorough clinical examination is conducted with radiographs. The suitability for crowns is assessed and any preparatory work is carried out. **Our dentist will advise on appropriate material choices, treatment sequence and other concerns you have depending upon the strength requirements and aesthetic concerns of the tooth involved. At the second appointment, the teeth to be crowned are prepared. This involves reduction of the tooth size usually under local anesthesia followed by an impression or mould of the prepared tooth. This trimming of the tooth is required to create space for the crown to be fitted. The mould taken is sent to a laboratory where skilled technicians will fabricate the crown. For the meantime, a temporary (provisional) crown is made and fitted onto the trimmed tooth. At the third appointment, the temporary crown is removed and the tooth surfaces cleaned. The completed crown is tried on the tooth for fit, harmony with the bite and appearance. Finally, the crown is cemented on to the prepared tooth with dental cement. Our dentist will inform you on how to care for your teeth. Instant Orthodontics Instant orthodontics is a cosmetic dental procedure where porcelain veneers, crowns, or bonding are used artistically to create the illusion of straight teeth. It is called instant orthodontics because in as little as two weeks, a patient can go from teeth that are crowded to a perfect smile. Patient Concerns Crooked teeth that require straightening but you don’t want to wait for several months to correct them A crooked smile Mild crowding of front teeth *The procedure of doing instant orthodontics involves reshaping and reducing your existing teeth to accommodate veneers, onlays, or crowns. However, not everyone is a candidate. You should consider the following: • The teeth has enough bone and tissue support • The gums are healthy • The teeth should be mildly crooked and not far out from the dental arch • The should not be an underbite, an overbite, a cross bite or a major discrepancy in your jaws Timetable This procedure usually requires at least two appointments.