Cosmetic Dentistry & Restorations

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 are able to improve our 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!

3i Dental Implants

Dental implants offer a natural looking replacement for adult teeth. In addition, implants restore functionality to the jaw, making speaking, eating and chewing easier. Most implants are comprised of a screw that is embedded into the bone, and a post, to which the prosthesis is attached.

Biomet 3i implants are unique because the microsurface of the cone-shaped screw contains an innovative bone-bonding component. This means that implants can be placed in areas with low bone density, sparing the patient the mess and misery of wearing poorly fitting dentures. Additionally, the bone-bonding component means quicker recovery time after the implant is placed.

Why should I choose 3i dental implants?

There are a wide variety of dental implants in the marketplace, but 3i have an almost unparalleled success rate. Almost 98% of 3i implants are fitted successfully and last for a lifetime. 3i implants contain a unique feature, which is embedded in the surface of the screw. Implant screws made by other companies are sprayed with calcium phosphate to enhance the bone integration process. However, 3i screws actually contain calcium phosphate, which means that delamination is less likely to occur.

Additionally, the cone-shaped 3i screw adds precision to the placement of implants and ensures that the final prosthesis is comfortable and can withstand pressure.

Here are some of the other benefits associated with 3i implants:

  • Better oral health.

  • Higher success rate.

  • Improved self-esteem.

  • Long-lasting results.

  • Multiple 3i implants can be placed during a visit.

  • Natural-looking implants.

  • No adhesives or mess.

  • Prevention of bone loss and gum recession.

  • Sturdy, functional prosthetic teeth.

How are 3i dental implants placed?

The procedure for placing 3i dental implants is similar to many other implant procedures. It is usually performed in two short visits, the first visit being typically an hour in length and the second taking around thirty minutes.

After the dentist has analyzed the X-rays and diagnostic results, the implant root can be inserted. This procedure will be performed under local anesthetic, unless another type of sedation is preferred.

Here is a step-by-step process for the first stage of a 3i dental implant placement:

  1. 1. An incision will be made in the gum tissue to expose the jawbone.

  2. 2. A tiny hole will be drilled into the jawbone to insert the implant into.

  3. 3. The implant will be screwed or tapped into the designated position.

  4. 4. A small temporary stop-cap is placed to cover the implant, and the surgical site is sutured closed.

  5. 5. After approximately 10 days, the sutures will be removed and the dentist will assess the healing process.

Generally, 3i dental implants enhance the healing process, which means that the second treatment phase can be completed around 10-12 weeks after the first.

Here is a brief overview of can be expected at the second appointment:

A local anesthetic will be administered, and a tiny incision will be made to expose the prosthetic root. The temporary stop-cap will be removed and a small post or abutment will be attached to the implant.

When the healing process is complete, the new dental prosthesis (usually a crown) will be created from bite impressions. A tiny screw will be used to secure the prosthesis onto the abutment. Any necessary adjustments will be made to ensure the prosthesis is comfortable, and the 3i dental implant will be secure for a lifetime.

If you have any questions about 3i dental implants, please ask your dentist.

Composite Fillings

A composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a composite filling.

There are many types of filling materials available, each with their own advantages and disadvantages. You and your dentist can discuss the best options for restoring your teeth. Composite fillings, along with silver amalgam fillings, are the most widely used today. Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth.

As with most dental restorations, composite fillings are not permanent and may someday have to be replaced. They are very durable, and will last many years, giving you a long lasting, beautiful smile.

Reasons for composite fillings:

  • Chipped teeth.

  • Closing space between two teeth.

  • Cracked or broken teeth.

  • Decayed teeth.

  • Worn teeth.

How are composite fillings placed?

Composite fillings are usually placed in one appointment. While the tooth is numb, your dentist will remove decay as necessary. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. If the decay was near the nerve of the tooth, a special medication will be applied for added protection. The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.

It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling. You will be given care instructions at the conclusion of your treatment. Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.

Day White®

Day White® is a specialized take-home whitening treatment which has been designed for use during daytime hours. Day White®offers an excellent alternative for people who would like to have a brighter smile, but do not relish the prospect of wearing strips or whitening trays all night long. In fact, the Day White® treatment will only take one hour per day, and is substantially less expensive than some in-office alternatives.

Day White® is an extremely user-friendly home treatment. The kit includes whitening gel, a patented syringe and special whitening trays. There is nothing complicated,messy or time-consuming about applying Day White® and it can whiten the teeth by as many as fourteen shades in as few as 10-14 days.

How can Day White® help me?

Day White® utilizes proven technology to remove organic stains on the teeth and whiten yellowing dentin and enamel. Day White® has been created with the wearer in mind, and comes in several flavors.

Here are some advantages of the Day White® System:

  • Cost effective.

  • Custom-fitted trays.

  • Lower active ingredient concentration (means reduced sensitivity).

  • No radiation.

  • Pleasant flavors in a viscous gel.

  • Teeth whitened by as many as 14 shades.

  • Two half hour treatments twice a day.

  • Unchanged structure of teeth.

What are the main considerations before using Day White®?

It should be noted that Day White® should only be applied to healthy teeth. Patients who have tooth decay or gum disease need to have these conditions treated prior to applying the Day White® gel. Day White® may not remove inorganic or deep stains, so it is important to consult with the dentist to ensure that expectations are realistic, considering the current condition of the teeth.

Here are some important points about using Day White®:

  • Once the gel is on the teeth, do not smoke, eat or drink.

  • Consult the dentist before ordering refills.

  • Pregnant and lactating women should not use tooth-whitening products.

How should Day White® be used?

Day White® is a healthy way to whiten teeth. The combination of hydrogen peroxide and Amorphous Calcium Phosphate (ACP) enables any imperfections in the surface of the teeth to be filled while the bleaching is underway.

Day White® is available in two low concentrations (7.5% and 9.5%). Each syringe is filled with enough gel to treat the teeth three times daily, so the results are under the patient’s control.

To use Day White®, simply load the gel into the custom-made trays and apply to the teeth for up to 30 minutes twice daily. When the desired time expires, remove the trays and rinse the mouth. Be sure to thoroughly cleanse the trays after every application.
Whitening will occur gradually over the course of the Day White® treatment, and the end result will be a pearly white smile.

If you have any questions about Day White®, please ask your dentist.

Dental Implants

Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures. Implants provide excellent support and stability for these dental appliances.

Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Periodontist - a specialist of the gums and supporting bone. The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile!

Dental implants are very strong, stable, and durable and will last many years, but on occasion, they will have to be re-tightened or replaced due to normal wear.

Reasons for dental implants:

  • Replace one or more missing teeth without affecting adjacent teeth.

  • Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.

  • Restore a patient’s confident smile.

  • Restore chewing, speech, and digestion.

  • Restore or enhance facial tissues.

  • Support a bridge or denture, making them more secure and comfortable.

What does getting dental implants involve?

The process of getting implants requires a number of visits over several months.

X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant. While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself onto the bone for up to six months. Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place. With other implants the post and anchor are already attached and placed at the same time.

After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor. Because several fittings may be required, this step may take one to two months to complete. After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient.

You will receive care instructions when your treatment is completed. Good oral hygiene, eating habits, and regular dental visits will aid in the life of your new implant.

Empress® Restorations

Dental veneers, crowns, onlays, inlays and bridges are important restorations which enhance the health and functionality of the natural teeth. A sparkling smile can be an enormous confidence-booster and have a dramatic effect on a person’s appearance. Empress® has been dedicated to creating natural-looking restorations for almost two decades, and is one of the world leaders in dental ceramics.

Empress® veneers, crowns, onlays, overlays and dental bridges are renowned for their strength, durability and exceptional optical properties. Empress® restorations are completely metal-free, and are constructed from inorganic material which is baked and cured at high temperatures.

Why should I choose Empress® restorations?

Empress® is continually refining and enhancing restorations to ensure that they look natural and restore complete functionality to the teeth.

Traditional ceramic restorations were known for being brittle and expensive to repair after sustaining damage. However, Empress® has developed a heat-pressed glass ceramic that is immensely strong and durable. There are several reasons for this, including the high shrinkage of leucite crystals. This shrinkage means that compressive stress is created during the vitreous stage, thus preventing breakage and cracking.

The unique veneer glaze and stain also increases strength by as much as 50%. These elements combined establish a thicker restoration that is fracture resistant. Empress® crowns have a 100% chance of surviving the first three years. This means less dental visits, less expense and a sensational, comfortable smile.

Here are some of the advantages associated with Empress® restorations:

  • Biocompatible.

  • Do not affect other dentition.

  • Ease of application.

  • Excellent polishing properties.

  • Many levels of translucency available.

  • Metal-free.

  • Natural-looking.

  • Shades match the other teeth.

What restorations can be done using Empress® products?

Empress® has created many natural-looking restorations, including:

Empress® Veneers – These veneers are wafer-thin porcelain and ceramic covers which fit permanently over natural teeth. Empress® veneers are perfect for covering disfigured and stained teeth. They are stain and bacteria-resistant, strong, and can be manufactured to match the natural tooth shade.

Empress® Crowns – These crowns are generally placed after root canal therapy, or after the removal of tooth decay. Empress®crowns are proven to last longer than many types of crowns, and again, can be matched exactly to the natural tooth shade. There is no visible ugly metal edge, just a sensational end result.

Empress® Inlays/Onlays – Inlays and onlays are currently being used to replace the traditional amalgam fillings. Amalgam is unpleasant to view and unhealthy for the body. Empress® ceramic inlays and overlays are strong, healthy and usually invisible to onlookers.

Empress® Bridges – As with all Empress® products, Empress® bridges are a completely natural-looking way to replace missing teeth. Metal bridges are often highly visible and make the teeth look shorter. Empress® bridges are almost impossible to spot, and restore symmetry and sparkle to the smile.

If you have questions about any of the Empress® restorations, please ask your dentist.

Porcelain Crowns (Caps)

A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.

Although there are several types of crowns, porcelain (tooth colored crown) are the most popular, because they resemble your natural teeth. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile.

Reasons for crowns:

  • Broken or fractured teeth.

  • Cosmetic enhancement.

  • Decayed teeth.

  • Fractured fillings.

  • Large fillings.

  • Tooth has a root canal.

What does getting a crown involve?

A crown procedure usually requires two appointments. Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.
At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

You will be given care instructions and encouraged to have regular dental visits to check your new crown.

Porcelain Fixed Bridges

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.

There are several types of bridges. You and your dentist will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. Porcelain fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

Reasons for a fixed bridge:

  • Fill space of missing teeth.

  • Maintain facial shape.

  • Prevent remaining teeth from drifting out of position.

  • Restore chewing and speaking ability.

  • Restore your smile.

  • Upgrade from a removable partial denture to a permanent dental appliance.

What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.

You will receive care instructions at the conclusion of your treatment. Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

Porcelain Veneers

Veneers are very thin pieces of durable, tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile.

Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions.

As with most dental restorations, veneers are not permanent and may someday need replacement. They are very durable and will last many years, giving you a beautiful long lasting smile.

Reasons for porcelain veneers:

  • Cosmetically, to create a uniform, white, beautiful smile.

  • Crooked teeth.

  • Misshapen teeth.

  • Severely discolored or stained teeth.

  • Teeth that are too small or large.

  • Unwanted or uneven spaces.

  • Worn or chipped teeth.

What does getting porcelain veneers involve?

Getting veneers usually requires two visits to complete the process, with little or no anesthesia required during the procedure. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist.

On the second visit the teeth will be cleansed with special liquids to achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond.

You will receive care instructions for veneers. Proper brushing, flossing and regular dental visits will aid in the life of your new veneers.

Tooth Whitening

Tooth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth 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 a number of ways to whiten teeth. The most popular method is using a home tooth whitening system that will whiten teeth dramatically. Since tooth 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.

Tooth whitening is not permanent. A touch-up maybe 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, white smile.

KOR Whitening

The KöR Whitening System works by restoring your teeth’s youthful ability to absorb oxygen. The oxygen from the whitening gel is absorbed deeply into the tooth, dissolving and removing stain molecules.

A pearly-white smile is beautiful to look at and can greatly improve self-confidence. Many people are opting for the KoR Whitening System for fast, safe and effective teeth whitening. KoR combines the newest advances in dental technology with proven chemical formulas. This ensures that the bleaching experience is painless, and the results are satisfying.

There are many reasons why teeth become stained or discolored, including tobacco use, and drinking dark liquids such as red wine, coffee, tea and cola. However, the natural aging process and prescription medication use can also cause yellowing and graying.

There are literally hundreds of whitening treatments available in the marketplace, including take-home strips, bleaching toothpastes and take-home whitening gels. Many take-home gels are ineffective and may not elicit the desired results.

KoR has many advantages over these other treatments, including:

  • The ONLY system in the world that provides refrigerated product from manufacturer to the patient, 100% effectiveness guaranteed upon arrival

  • All teeth treated simultaneously.

  • Faster treatment times.

  • Longer lasting results.

  • Reduced sensitivity.

  • Safe procedure and treatment.

  • Treatments are performed by an experienced professional.

It is important to seek advice from the dentist prior to beginning a bleaching regime. Women who are pregnant or lactating should not seek bleaching treatment.

How does KoR whiten the teeth?

KoR is a bleaching process that lightens the dentin and enamel of the teeth. KoR contains a hydrogen peroxide component (25%), which is the active ingredient in the gel. When hydrogen peroxide is applied to the teeth, the peroxide component breaks down into tiny oxygen bubbles. It is these bubbles that eliminate yellowing and staining.

As with any whitening system, the post-treatment results can vary according to the degree of staining and the condition of the teeth. A consultation with the dentist prior to treatment will provide information as to what kind of results KoR can provide in specific instances. KoR is only applied to healthy teeth and gums. If tooth decay or gum disease is an issue, these need to be controlled before the bleaching treatment is performed.

How is the KoR treatment performed?

Prior to treatment, there will be a consultation where the dentist will outline the exact procedure. On treatment day, a deep cleaning (prophylaxis) will be performed to rid the teeth of any debris and plaque. Here is a brief overview of the KoR procedure:

  1. 1. Cheek retractors will be placed to expose the entire surface of the teeth.

  2. 2. The gums will be painted or covered to reduce sensitivity.

  3. 3. The dentist will apply the whitening gel to the teeth.

  4. 4. After 15 minutes, gel will be removed from the teeth and the mouth will be rinsed.

  5. 5. More gel will be applied for another 15 minutes.

  6. 6. Again, the gel will be removed and the mouth will be thoroughly cleansed.

  7. 7. The final treatment of gel will be applied for 15 minutes.

  8. 8. The gel will be removed for the final time.

What happens after treatment?

The same external factors that caused the discoloration in the first place can quickly work their way back onto the teeth. For this reason, the dentist recommends flossing once a day, thorough cleaning with anti-sensitivity toothpaste twice a day, and occasional retreatment with KoR Accelerated Maintenance.. These post-treatment measures will ensure that the smile stays at its whitest for a long time.

If you have questions about the KoR Chairside System, please ask your dentist.