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Cosmetic

 

           

Cosmetic dentistry has been a growing area of treatment for some years now.  It involves any procedure or combination of procedures which is designed to improve the appearance of the oral area.

Key Benefits

Cosmetic improvement of the smile is a powerful statement of health and vitality
Wear and trauma to the teeth sometimes cause a premature appearance of aging
If a person feels their smile is a negative part of appearance, often there will be a reluctance to show a happy face.  Few of us want to not show our joy, and cosmetic dentistry can often help

Treatment Options

Laminate Veneers
This is the current state of the art in dental cosmetics.  No restorations in the history of dental care have proven to be more attractive.  The procedure consists of shaping the teeth involved, taking a precise impression (mold) of the teeth and fabrication in the laboratory of new front and biting edge structure for the tooth.   Normally porcelain or reinforced polymers are used to make the new surfaces for the tooth  
Crowns ("Caps")
Crowns are the most traditional way to cover and rebuild the outside of the tooth structure.  The term "cap" means the same thing, and refers to a term used since the 1940's for Hollywood types for re-working the smile.  The negative with crowns is the significant amount of shaping necessary to gain the space needed to cover the entire tooth.  In cosmetic terms, crowns are usually used following root canal therapy or when much of the tooth has been broken or decayed. Crowns have the greatest strength of any restoration available today.
Bleaching
Modern methods of tooth bleaching are very effective in the removal of colored stains.   In our office, the best results have been with a long exposure technic which the patient administers over time with our assistance and supervision.  The results are usually obvious within a few days, and are "locked in" with a longer exposure.   We are currently no longer doing thermal or laser bleaching as the heat generated has resulted in too many negative complications for Dr. Durbin's comfort and that of our patients.
Bonding
Direct bonding of tooth-colored composite resin became fashionable in the early 1980's.   Although bonding can be very cosmetic, it tends to have a short lifespan without breaking or discoloring.  At the present time, direct bonding is normally used for young children to patch a damaged tooth until the mouth is mature enough for a longer-lasting restoration.
Orthodontic treatment
Many people assume that the shape of teeth need to be reshaped to look better.   Often, the problem is simply the arrangement of the front teeth.  By moving the teeth to an improved position, we are usually able to dramatically improve the appearance of the smile.  Best of all, there is no change to the tooth structure which generally means healthier tissue for the long term.  Also, orthodontic treatment is frequently used to position teeth before other cosmetic dental treatment when the basic arrangement is not within usable margins.
Periodontal Shaping
In some cases, there is a problem with the position of the gum tissue.  It may be too far onto the tooth and need to be trimmed back, or a graft may be necessary to cover exposed recession on root surfaces.  This is sometimes the little extra that allows us to move from an improved smile to a really great smile.
 

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Copyright © 1998 Stephen C. Durbin, DDS, PC
Last modified: February 22, 2001