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      Enhance Beauty with SMILE MAKEOVER

Questions asked to one self?
1. Do I look attractive when I SMILE?
2. Does my SMILE enhance my Beauty?
3. Can my SMILE fetch a Job?
4. Do I Have a Celebrity SMILE?
5. Because of my SMILE, do I lack self confidence/self esteem?

Smile Makeover
A smile makeover is the process of improving the appearance of the
smile through one or more cosmetic dentistry procedures, such as
dental veneers, composite bonding, dental implants and teeth
Research shows that quite a lot of people lack confidence when smiling
or even when facing a camera and that they are concerned about the
impact of their smiles on first impressions, such as, at job interviews,
business meetings or when on a romantic date. A smile makeover is a
dental, facial or cosmetic treatment that can improve the condition,
shape, slant or colour of your teeth, the alignment of your jaw or tooth
structure, the replacement of missing teeth that deform the facial smile,
or helps you improve the condition of your skin.

Importance of a Beautiful Smile
When considering the color of your teeth, keep in mind that dark or
discolored teeth may suggest an aged mouth. A well-shaped smile
comprised of bright, white teeth lends to a youthful and beautiful
A beautiful smile can have numerous effects on your self-confidence,
self-esteem and personal relationships.
Your smile is the first thing someone notices about you, and people
often make a judgment about your personality based on your smile; A
great smile is not just for celebrities
and Bollywood / Hollywood actors;
anyone these days can get the smile
they've always dreamt of with the
help of an experienced and trained

Smile Makeover Considerations
Some aspects of your smile that your cosmetic dentist will review with
you and that could be improved with a Smile Makeover include the
Q24. What are the benefits of Porcelain Veneers?
Ans. Porcelain is a very smooth material that resists permanent staining.
Porcelain veneers do not stain when they are exposed to coffee,
cigarettes, tea, and wine. With diligent brushing, stains and plaque will
not build up on the porcelain surface.
Porcelain veneers have the appearance of real teeth. A tooth is naturally
translucent. Porcelain veneers are made of porcelain and will give you
the appearance of a natural smile.

Q25. What are the benefits of a smile makeover?
Ans. There are health benefits as well as aesthetic ones. The health
benefits include less risk of overloaded or worn down teeth, and teeth
that are easier to clean and care for.
Teeth that have been straightened, repaired or replaced mean less risk of
decay and infections.
On the aesthetic side of things, your teeth will look and feel so much
better. You will have a clear, white smile which will improve your
confidence and well being.
If you have undergone some form of facial rejuvenation such as Botox or
a dermal filler then this can take years off your age. It can restore a
youthful, rounded appearance and promote increased well being.
Patients often report a pride in their new smile as well as feeling more
confident in social or work related situations.

Q26. What are the risks of a smile makeover?
Ans. There are no known complications with a smile makeover although
no dental procedure is risk free.

Q27. How long does a smile makeover last for?
Ans. If you look after your teeth and have regular check ups then this will
extend the duration of your smile makeover.
You will require maintenance treatments such as repeat teeth whitening
as your teeth will start to loose their brightness over time.
Porcelain veneers can break or fall off and will require replacing.
Composite bonding is prone to staining after a period of time and will
need to be enhanced or replaced.
Crowns or a bridge will have to be replaced after 10 years or more.
Q21. Will teeth whiten to the same degree on everyone?
Ans. No… Results vary. Some teeth whiten dramatically in just a few days,
while others may take weeks to months to show a difference, if any. The
more yellow versus gray color you have in your teeth, the better the
bleaching result. Grey enamel similar to that of Tetracycline (antibiotic)
staining is more difficult o bleach.

Q22. The area of the teeth near the gums is still not as
white as the rest of the tooth?
Ans. Make sure that while using home bleaching, bleach covers the
entire surface of the tooth and not just the bottom half. The average
tooth will usually have a seamless whitening transition from whiter at
the bottom of the tooth (biting surface) to less white towards the gum
line. This is normal and an expected result. This is due to thinner enamel
in this area allowing more show through the tooth color. Very few cases
have total uniform whiteness. With grayish teeth, the transition is
occasionally somewhat more noticeable. One might see a demarcation
area / line between the 2 areas. Keep in mind that whitening fades and
the tooth will in most instances gradually blend. In some cases that are
extremely resistant to bleaching, one might consider bonding or veneers
as an alternative treatment.

Q23. My kids have white "spotty" teeth. Will whitening be
of help?
Ans. White spots commonly come from too much fluoride during tooth
development. This condition is known as Fluorosis. Although it might look
imperfect, these teeth are extremely resistant to cavities. White spots can
also occur after orthodontic treatment in the area of the orthodontic
brackets. This is decalcification as a result of inadequate hygiene and in
these situations, these areas are more susceptible to cavities.
There has been no research conducted on bleaching and kids. There have
been a few cases reported in the literature with no adverse effects
besides temporary tooth sensitivity. We recommend to wait until all the
teeth have FULLY erupted otherwise the un-erupted tooth portion will
not be bleached. Bleaching is not advised below 18 years of age.
• Teeth Color: Dull and Stained appearance of your teeth can be
  whitened with Tooth Whitening Techniques.
• Alignment and Spacing: Teeth that are crooked, overlapping or have
  gaps between them can be straightened and aligned and improved
  with veneers.
• Missing Teeth: Missing teeth can be replaced by dental implants,
  bridges or partial dentures.
• Uneven and Cracked Teeth: Teeth that are uneven and cracked can
  be cosmetically bonded for an improved appearance can be re-shaped
  to help improve the overall look of the smile.

How to Get a Beautiful Smile
A cosmetic dentist will work closely with you to develop a treatment plan
designed to achieve exactly what you want from your makeover. This
treatment plan may consist of many cosmetic and functionally
restorative procedures, potentially including:
1. Teeth Whitening: Teeth whitening is a successful and simple method
   of lightening the colour of your teeth. The degree of whiteness
   achieved will vary from patient to patient and with the type of
   bleaching process chosen.

           Before                                  After

                                           TEETH WHITENED

2. Porcelain Veneers / Laminates: Dental veneers / laminates are
   custom-designed shells of tooth-like ceramic material that, when
   applied over the surface of a tooth, can cover worn tooth enamel,
   uneven tooth alignment or spacing, and chips or cracks.
  The teeth are prepared by taking a thin layer of enamel (less than
  1mm) from your tooth surface. Your dentist will make a model or
  impression of your tooth. The veneers are created in our dental
  laboratory by skilled craftsmen, and are then bonded into place giving
  you a beautiful, natural-looking smile.
Veneers can correct:
• Gaps between teeth
• Permanently stained or discolored teeth
• Stained or washed out fillings
• Chipped or broken teeth
• Mis-shapen or slightly crooked teeth

   DISCOLORED TEETH                         CERAMIC LAYER

3. Dental Crown: A dental crown fits over the remaining part of a
   tooth, helping to strengthen it and making it look like a whole, natural
   tooth once again. Your tooth may be decayed and not strong
   enough to be filled any more, the top part of the tooth may have been
   accidentally damaged, or you may need one following a root canal
   treatment. Crowns not only strengthen the remaining tooth, but also
   can improve the look of your smile and cover large dark fillings. Types
   of crowns include full porcelain, porcelain fused to metal, and all

4. Bridges: Bridges are a permanent and realistic looking way of filling a
   gap between teeth that has been caused by one or more missing
   teeth. A bridge is an appliance which holds one or more false teeth on
   it. It is usually made of a precious metal base such as gold, with tooth-
   coloured porcelain bonded to any visible areas to make it look natural.

  To replace a missing tooth with a            The custom-made bridge
   conventional 3-unit bridge, the              is fitted, adjusted, and
      teeth adjacent to the gap                 permanently cemented
            are prepared.                              into place.
Q13. What tooth whitening choices are there if I am
interested in whitening my teeth?
Ans.There are a number of different ways to whiten teeth. There are two
main choices. One is chairside bleaching or in-office bleaching and
second is home bleaching.

Q14. Is bleaching safe or does it damage the tooth?
Ans. A completely safe procedure. There is no damage to tooth structure
from bleaching process.

Q15. What are the side effects of tooth whitening?
Ans. Bleaching gel may cause some degree of tooth sensitivity. This is
sensitivity to cold/hot fluids and even air can cause discomfort. However
this is transient and would dissipate in 24-48 hrs.

Q16. How long will it take for teeth to become their whitest?
Ans. Results vary. Some teeth whiten dramatically in just a few days. The
majority of people whiten within 2-3 weeks. The more yellow versus gray
color you have in your teeth, the better the bleaching. Grey enamel similar
to that of Tetracycline (antibiotic) staining is more difficult to bleach.

Q17. How long the whitening results will last?
Ans. The whitening last for around 2 years. Again the results may vary

Q18. Why it is not recommended to bleach your teeth
while pregnant or nursing?
Ans. No research has been done into bleaching teeth while nursing or
pregnant, so manufacturers for liability reasons recommend NOT bleach
while pregnant or nursing.

Q19. Will bleaching gel whiten my veneers, caps (crowns)
and bonding?
Ans. All bleaching agents used to whiten teeth will only work on natural
tooth structure. This means that all dental work including but not limited to
bonding, veneers, crowns (caps) and bridges will NOT bleach or whiten. All
dental work would need to be replaced to match the newly whitened teeth.

Q20. How long I should refrain from coffee and red wine
after bleaching?
Ans. It is recommended to avoid such during whitening and for 1 week
after tooth bleaching.
• Your goals.
• The color of your teeth. For example, most veneers are ultra-thin and
  therefore translucent, so discolored teeth underneath may show
  through. Your dentist may recommend teeth whitening first to
  reduce discolouration. Veneers are fabricated to have a natural tooth
  -like appearance. Veneer color must match that of any remaining
  teeth, and texturing may be applied to veneer surfaces for a natural
• The impact of your lifestyle and habits. For example, teeth grinding
  and clenching may make the veneer more susceptible to chips, cracks,
  and breaking.

Q11. Are veneers my only option if I want a smile
Ans. No. Your cosmetic dentist will determine the cosmetic dentistry
procedures that would be the best for you. The dentist's suggestions will
be based on your desires and a thorough examination to determine the
condition of your teeth and what problems, if any, may require dental
treatment. Therefore, your smile makeover could involve teeth
whitening, crowns, composite bonding, gingival sculpting, inlays and
onlays or any other combination of cosmetic dental procedures that
your dentist determines is right for your cosmetic treatment plan.

Q12. I want a smile makeover because I think I have ugly
teeth, but I don't have any cavities or anything else
wrong that needs to be fixed. Can something be done to
make my smile look better?
Ans. If you are unhappy with the appearance of your smile, the first step
is to do your homework and investigate the level of cosmetic dentistry
experience for each cosmetic dentist you consider before setting up a
consultation appointment.
The cosmetic dentist will help you discuss what it is about your smile
that you don't like. Then, based on your needs, your cosmetic dentist will
develop a cosmetic treatment plan that is right for you.
If you are concerned about the removal of healthy tooth structure, the
good news is that dentists have conservative techniques available to
enhance the look of your smile, including teeth whitening and
composite bonding, as well as minimal and no-prep veneers.
5. Diastema Closure: A diastema is a space between front teeth.
   Diastemas are often closed by orthodontic alignment of the teeth into
   contact. Orthodontic treatment uses brackets and wires to place
   pressure on the teeth and gradually realign them into a more desirable
   position. After the braces and wires are removed the person must wear
   a plastic retainer for several months to hold his or her new smile in place.

                                                   SPACE BETWEEN
                                                   FRONT TEETH

                                                   SPACE CLOSED

6. Porcelain Inlays or Onlays: Inlays are indirect fillings applied in back
   teeth (premolars, molars). After removal of the old, defective filling or
   caries, an impression is made of the cavity (that is the drilled out
   defect). A filling is then made in the laboratory from ceramic, which
   fits the cavity with the utmost precision and restores the original form
   of the tooth. Then the inlay is cemented into place. Large inlays which
   cover the cusps are referred to as Onlays.
7. Dental Bonding: Bonding is another name for white fillings in the
   front teeth which are used as a relatively simple method of disguising
   small defects such as chipped or crooked teeth or gaps between teeth.
The procedure involves preparing your teeth with an etching solution
which we simply paint on, and then applying the tooth-coloured filling
material (resin) to your teeth. We carefully shape the resin to give it a
natural appearance, and bond it into place. This procedure does not
usually need a local anaesthetic.

              Before                                    After

        SILVER FILINGS                                 INLAYS
             Before                                    After

          CHIPPED                           FILLED WITH RESIN

Smile Makeover FAQs
Q1. How long will a smile make over take?
Ans. This will depend on your personal goals and on what final results
you'd like to see. Some smile makeovers may consist of as few as one or
two short procedures, such as dental bonding and teeth whitening;
whereas others may require more extensive work, including porcelain
veneers, dental implants, and other, more time consuming procedures.

Q2. What are the advantages of a complete smile makeover?
Ans. The most obvious advantage of having a full smile makeover is that you
end up with the smile you've always wanted - the color, the structure, and the
function of strong, healthy, bright and beautiful teeth.
Another advantage is that in some cases, cosmetic dental procedures may be
redundant or may actually require more time and expense when done
separately; so addressing your cosmetic dentistry needs as a whole can save
you time and money in the long run.

Q3. How long will my new smile last?
Ans. Today's materials, such as veneers, are actually stronger than
natural teeth, and are far more resistant to wearing and breakage than
your natural teeth. With regular checkups and care, your smile should
last for many many years.

Q4. How quickly will I be able to complete my treatment?
Ans. Most extreme smile makeovers can be completed in as little as one
to three visits (but may vary depending on the complexity of each case).
For example, a smile makeover often involves placing veneers or crowns
on the top eight to ten teeth. In the first sitting, you and the doctor
would discuss what you want your smile to look like.
In the second sitting, the doctor would carefully prepare your teeth and
place the temporaries. This sitting typically lasts 2-4 hours. In the final
sitting, your new teeth will be placed, polished and adjusted. Again, the
sitting will take around 2-4 hours.
The total time from start to finish? Less than a month, and sooner if
possible. Soon you'll be smiling with confidence!
Q5. What are some of the procedures that may be used
during a Smile Makeover?
Ans. The procedures may include any one or combination of the
• Porcelain Veneers / Laminates
• White Filings
• Crowns
• Bridges
• Teeth Whitening

Q6. Who are best candidates for a smile makeover?
Ans. Anyone is a good candidate for a Smile Makeover. If you do not feel
confident in the way your teeth or smile looks because of a chip on a
tooth, crowding, misalignment, or staining

Q7. What causes the discolouration of a tooth?
Ans. Tooth discolouration is a normal part of aging. As people age,
enamel wears down, and teeth take on a duller appearance. Teeth can
also become discolored from smoking and heavy consumption of coffee
or tea. Other causes of tooth discolouration include side effects of
medications (specifically certain antibiotics) used during the
developmental phase of the teeth, an individual's genetic makeup, and
excessive fluoride consumption (fluorosis, seen in both children and
adults). Teeth whitening and veneers offer a cosmetic dentistry solution
for people with discolored or dull-looking teeth.

Q8. Are any side effects associated with teeth whitening?
Ans. Dentists take protective measures to prevent discomfort during
teeth whitening procedures. Typically, a protective gel or rubber shield is
used to prevent bleaching agents from damaging gum tissue. The most
common bleaching agents used by dentists are approved for use by the
American Dental Association, ensuring safety and effectiveness. After
the whitening procedure, you may experience minimal tooth sensitivity
for a short period of time.

Q9. Does teeth whitening work for everyone?
Ans. No. In cases involving severe discoloration, teeth whitening may
not result in a bright, white smile. Individuals with severe tooth
discolouration should consider other options, such as porcelain veneers
or composite bonding.

Q10. Are there special considerations for dental veneers?
Ans. The factors to consider when evaluating a veneer procedure from
anaesthetic point of view include:
Max Super Speciality Hospital (East Block), Saket
(A unit of Devki Devi Foundation)
2, Press Enclave Road, Saket, New Delhi-110 017
Ph: +91-11-2651 5050 Fax: +91-11-2651 0050

Max Super Speciality Hospital (West Block), Saket
1, Press Enclave Road, Saket, New Delhi-110 017
Ph: +91-11-6611 5050 Fax: +91-11-6611 5077

Max Super Speciality Hospital, Patparganj
(A unit of Balaji Medical & Diagnostic Research Centre)
108 A, Indraprastha Extension,
Patparganj, New Delhi-110 092
Ph: +91-11-4303 3333 Fax: + 91-11-2223 5563

Max HospitalTM, Gurgaon
Block-B, Sushant Lok-I, Gurgaon-122 001
Ph: +91-124-6623 000 Fax: +91-124-6623 111

Max HospitalTM, Pitampura
Near TV Tower, Wazirpur District Center,
Pitampura, New Delhi-110 034
Ph: +91-11-4735 1844 Fax: +91-11-4735 7229

Max HospitalTM, Noida
A-364, Sector 19, Noida-201 301

Ph: +91-120-254 9999 Fax: +91-120-253 5557

Max MedcentreTM, Panchsheel Park
N 110, Panchsheel Park, New Delhi-110 017
Ph: +91-11-2649 9870, 4609 7000 Fax: +91-11-2649 9860

Max Speciality Clinic (Eye & Dental Care)
S 347, Panchsheel Park, New Delhi-110 048
Ph: +91-11-2649 9880 Fax: +91-11-2649 9860