Cosmetic Dentistry

In the past decade there has been a dramatic interest in cosmetic dentistry. We all realize that having a healthy, bright, beautiful smile enhances our appearance and allows us to smile with confidence. Thanks to the advances in modern cosmetic dentistry, we improve teeth and smiles with quick, painless and surprisingly affordable treatments.
Cosmetic dental treatments can:

  • Change the size, shape, and alignment of certain teeth.
  • Fill in unattractive spaces between teeth.
  • Improve or correct bites.
  • Lighten or brighten the color of teeth.
  • Repair decayed, broken, cracked, or chipped teeth.
  • Replace missing teeth.
  • Replace old, unattractive dental treatments.
  • Remember, your smile speaks before you even say a word!

Teeth Whitening

Teeth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural teeth enamel and is an ideal way to enhance the beauty of your smile.
Because having whiter teeth has now become the number one aesthetic concern of most patients, there are several ways to whiten teeth. The most popular method is using an at home teeth whitening system that will whiten teeth dramatically. Since teeth whitening only works on natural tooth enamel, it is
important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth.
Teeth whitening is not permanent. A touch-up may be needed every several years, and more often if you smoke, drink coffee, tea, or wine.
Reasons for tooth whitening:

  • Fluorosis (excessive fluoridation during tooth development).
  • Normal wear of outer tooth layer.
  • Stained teeth due to medications (tetracycline, etc.).
  • Yellow, brown stained teeth.

What does tooth whitening involve?
This type of tooth whitening usually requires two visits.
At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear plastic, trays.
At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. The trays are worn with special whitening solution either twice a day for 30 minutes or overnight for a couple of weeks depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.
You will receive care instructions for your teeth and trays and be encouraged to visit your dentist regularly to help maintain a beautiful, healthy and white smile.

CEREC®

CEREC®
Chairside Economical Restorations of Esthetic Ceramic (CEREC®) has revolutionized dental procedures. Traditionally, if crowns, onlays, inlays or dental veneers were required to restore damaged teeth, multiple procedures and a great deal of waiting time in-between would be inevitable. CEREC® creates these ceramic restorations within minutes in the dental office. This means that many treatments can be completed in just a single visit.

CEREC® is comprised of several computer-assisted design (CAD) tools and a milling machine that creates custom ceramic restorative devices. CEREC® can make almost any ceramic restoration to order, meaning the dentist can place it immediately. This is of great benefit to nervous patients, and it can also reduce the cost of treatment.
How can CEREC® benefit me?
CEREC® can benefit almost anyone needing a ceramic restoration device. Exceptions include patients who have a prior history of breaking ceramic devices and those with a deep bite. CEREC® devices are proven to last for over 5 years, but recent research indicates that most CEREC®-created restorations last for more than 10 years.
Here are some other advantages associated with CEREC®:

  • No temporary restorations.
  • Highquality ceramic products.
  • Minimal invasiveness.
  • Less injections and discomfort.
  • Fewer dental visits.
  • Cost effectiveness.
  • More natural tooth is saved.
  • Long lasting restorations.
  • Biocompatible solutions.

What is the CEREC® system comprised of?
The CEREC® System is sometimes called a CAD-CAM system. CAD-CAM means Computer Assisted Design and Computer Assisted Milling. The CEREC® system has three major components:
Acquisition device: This device is home to a high-quality camera and a medical grade computer. The function of this unit is to photograph the prepared tooth. Three-dimensional images are created of the tooth on the screen, which the dentist uses to design the perfect ceramic restoration.
Three-dimensional CAD software: This software allows the dentist to examine the tooth from every angle. It is the closest possible thing to holding the tooth in the hands and rotating it.

Milling device: This unit manufactures the custom restoration from the specifications entered into the computer. A ceramic block, which best resembles the existing tooth color is chosen and placed into the unit. Within minutes, the milling device produces the restoration the dentist designed. No horrible-tasting impressions or time-consuming transfers to and from the laboratory are required.
What does a CEREC® restoration procedure involve?
The first step in the procedure is to prepare the tooth. The dentist removes all tooth decay and creates a divergent occlusal axial wall, to make the opening of the tooth wider than the base. Next, an impression is made using a covering of titanium dust. This dust allows the camera to take a highly detailed picture of the tooth. Images are formulated with the CEREC® camera. CEREC® optical imaging utilizes an infrared wavelength.
The image is transposed onto the computer screen. It is here that the dentist views the tooth from every angle and design the final restoration. When the design is complete, it is transmitted to the milling unit. The dentist chooses a block of ceramic that matches the color of the teeth. This ensures that the restoration will be almost invisible.
Within 15 minutes, the full crown, onlay, overlay or veneer is complete. The restoration is made of compressed, rather than laboratory-layered porcelain. This enhances strength and durability.
Before affixing the restoration to the tooth, the dentist will place it dry to ensure it fits perfectly. It is then polished and affixed to the tooth with dental cement. The procedure is now complete, and all without the need for a second visit! The quality of the results is the same as the laboratory-generated restoration, but a great deal of time and money has been saved.
If you have questions or concerns about CEREC®, please ask your dentist.

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