Veneer

What is cosmetic dentistry?

Cosmetic dentistry is a branch of dentistry focused on enhancing the aesthetic appearance of a person’s teeth, smile, and overall oral health. Unlike traditional dentistry, which primarily addresses oral health issues, cosmetic dentistry emphasizes improving the visual appeal of teeth and the overall facial structure. Common cosmetic dental procedures include teeth whitening, veneers, dental bonding, crowns, and orthodontic treatments like braces or clear aligners. The goal of cosmetic dentistry is to create a positive change in the appearance of teeth, leading to a more confident and aesthetically pleasing smile for the individual.

Cosmetic treatments encompass a range of procedures, including veneers, crowns, bridges, natural tooth-colored fillings, implants, and tooth whitening.

What is a veneer?

A veneer is a thin layer of material, often made of porcelain or composite resin, that is custom-designed and bonded to the front surface of a tooth. Veneers are commonly used in cosmetic dentistry to improve the appearance of teeth by altering their color, shape, size, or length. They provide a natural-looking and durable solution for issues such as discoloration, chipping, or uneven spacing, enhancing the overall aesthetics of a person’s smile. The application of veneers is a minimally invasive procedure compared to some other dental treatments, making them a popular choice for individuals seeking cosmetic enhancements.

Why might I have a veneer?

You might opt for a veneer for various cosmetic reasons. Veneers are commonly used to address issues such as:

Discoloration: Veneers can cover teeth that are severely stained or discolored and provide a consistently brighter appearance.
Chips or Cracks: If you have minor chips or cracks in your teeth, veneers can effectively mask these imperfections and restore a smooth surface.
Uneven or Irregular Teeth: Veneers can be used to create a more uniform and symmetrical appearance for teeth that are uneven or irregular in shape.
Gaps and Spaces: Veneers can close small gaps or spaces between teeth, enhancing the overall alignment and balance of your smile.
Worn Down Teeth: Teeth that have been worn down over time due to grinding or other factors can be restored to their natural length and shape with the application of veneers.
Minor Misalignment: In cases of minor misalignment or crookedness, veneers can provide an aesthetically pleasing solution without the need for extensive orthodontic treatment.

Overall, veneers offer a versatile cosmetic solution to enhance the visual appeal of your teeth and achieve the smile you desire.

How are veneers fitted?

The process of fitting veneers typically involves several steps:

Consultation: The process begins with a consultation with your dentist. During this visit, you discuss your goals, expectations, and the desired outcome of the veneer treatment. Your dentist will also examine your oral health to ensure that veneers are a suitable option for you.
Preparation: To prepare the teeth for veneers, a small amount of enamel is usually removed from the front surface of the teeth. This ensures a proper fit for the veneers and helps create space for the thin layer of material.
Impressions: After the preparation, impressions or digital scans of your teeth are taken. These impressions serve as the basis for creating custom-made veneers that perfectly match the size, shape, and color specifications discussed during the consultation.
Temporary Veneers (Optional): In some cases, temporary veneers may be placed on the prepared teeth while the permanent ones are being crafted. This helps protect the teeth and maintain aesthetics during the fabrication process.
Veneer Fabrication: The impressions or digital scans are sent to a dental laboratory where skilled technicians craft the custom veneers. The material used is typically porcelain or composite resin, chosen for its durability and natural appearance.
Bonding: Once the veneers are ready, they are temporarily placed on your teeth to assess their fit and appearance. Adjustments may be made as needed. Once approved, the veneers are permanently bonded to the teeth using a special adhesive. A curing light may be used to harden the adhesive quickly.
Final Adjustments: After bonding, your dentist makes final adjustments to ensure the veneers align properly, feel comfortable, and provide the desired cosmetic improvements.

The entire process is usually completed over a few appointments, with the result being a transformed and aesthetically enhanced smile.

Can I have white fillings?

Yes, you can have white fillings, also known as composite or tooth-colored fillings. Unlike traditional amalgam (silver) fillings, white fillings are made of a composite resin material that closely matches the natural color of your teeth. These fillings offer several advantages:

Aesthetic Appeal: White fillings blend seamlessly with the natural color of your teeth, providing a more aesthetically pleasing result compared to silver fillings.
Versatility: Composite resin can be precisely matched to the shade of your existing teeth, making it a versatile option for filling cavities in both front and back teeth.
Conservation of Tooth Structure: White fillings require less removal of healthy tooth structure compared to amalgam fillings, as they bond directly to the tooth.
Reduced Sensitivity: Composite fillings generally cause less post-treatment sensitivity to temperature changes compared to amalgam fillings.
Mercury-Free: Unlike amalgam fillings, white fillings do not contain mercury, addressing concerns related to mercury exposure.

If you have a cavity or need to replace existing fillings, discussing the option of white fillings with your dentist is a viable choice for achieving both oral health and cosmetic goals.

My tooth is badly broken – what can I do?

If your tooth is badly broken, it’s crucial to seek dental attention promptly. Here are steps you can take:

Contact Your Dentist: Call your dentist immediately to explain the situation and schedule an emergency appointment. Provide details about the extent of the break and any pain or discomfort you may be experiencing.
Manage Pain and Swelling: In the meantime, you can manage pain and swelling by taking over-the-counter pain relievers and applying a cold compress to the affected area. Avoid using the broken tooth for chewing.
Save any Tooth Fragments: If possible, save any broken tooth fragments. Rinse them gently with water and place them in a clean container with milk or a saline solution. Your dentist may be able to use these fragments to repair the tooth.
Avoid DIY Repairs: Refrain from attempting to fix the broken tooth yourself using household materials. DIY repairs can lead to further damage and complicate professional treatment.
Protect the Tooth: If there are sharp edges or the broken tooth has exposed nerves, you can use dental wax or sugar-free gum to cover and protect the area until you see your dentist.

Remember, only a dental professional can assess the extent of the damage and recommend the appropriate treatment, which may include dental bonding, a crown, or other restorative procedures. Seeking prompt dental care increases the likelihood of saving the tooth and preventing complications.

How does the dentist make a crown?

Dentist takes impressions, prepares the tooth, sends impressions to a lab, and fits a temporary crown. Lab crafts the permanent crown, and dentist cements it in place during a second appointment.

What happens to my teeth while the crown is being made?

During crown fabrication, a temporary crown protects the prepared tooth, ensuring functionality and aesthetics until the permanent crown is ready.

What is a crown made of?

A crown can be made of various materials, including porcelain, metal, or a combination of both (porcelain-fused-to-metal). The choice depends on factors like aesthetics, durability, and the location of the tooth.

How can my dentist fill a gap in my mouth?

Your dentist can fill a gap in your mouth using several methods:

Dental Implants: Surgically placed artificial tooth roots that support a crown, bridge, or denture.
Dental Bridges: False teeth (pontics) anchored by adjacent natural teeth or implants to bridge the gap.
Partial Dentures: Removable appliances with artificial teeth to replace missing ones, ideal for multiple gaps.
Resin-Bonded Bridge: Metal or porcelain wings bonded to adjacent teeth with a false tooth in between, suitable for front teeth gaps.
Orthodontic Treatment: Braces or clear aligners to close gaps by gradually moving adjacent teeth.

Your dentist will assess your oral health and discuss the most suitable option based on your specific needs and preferences.

What is a bridge?

A dental bridge is a fixed dental restoration used to replace one or more missing teeth. It consists of artificial teeth, known as pontics, which are anchored to adjacent natural teeth or dental implants. The supporting teeth, called abutments, can be prepared with crowns to provide stability for the bridge. Dental bridges help restore the appearance and function of the smile by filling the gap left by missing teeth. They come in various types, including traditional bridges, cantilever bridges, and Maryland bridges, each designed to address specific dental needs.

What if I don’t want my remaining teeth drilled?

If you prefer to avoid having your remaining teeth drilled, there are alternative options for replacing missing teeth that may involve minimal or no alteration to your natural teeth. Some alternatives include:

Dental Implants: Dental implants do not require adjacent teeth to be drilled. They involve the surgical placement of artificial tooth roots (implants) into the jawbone, providing a stable foundation for a crown, bridge, or denture.
Removable Dentures: Traditional removable dentures can replace missing teeth without affecting the structure of existing teeth. However, they may have some impact on the underlying gums and soft tissues.
Resin-Bonded Bridge: Also known as a Maryland bridge, this type of bridge involves bonding a false tooth to adjacent teeth with minimal alteration.
Orthodontic Treatment: In some cases, orthodontic treatment may be an option to close gaps between teeth without the need for drilling.

It’s essential to consult with your dentist to discuss your preferences and explore the most suitable options for your specific situation. They can provide personalized advice based on your oral health and treatment goals.

Can implants be used to replace missing teeth?

Absolutely! Dental implants are an excellent option for replacing missing teeth. Implants serve as artificial tooth roots that are surgically placed into the jawbone. Once in position, they provide a sturdy foundation for various dental restorations, including:

Single Tooth Replacement: An implant can support an individual crown to replace a single missing tooth.
Multiple Teeth Replacement: Implants can be strategically placed to support a bridge, replacing multiple adjacent missing teeth.
Full Arch Replacement: Multiple implants can be used to support a complete denture, providing a secure and stable solution for replacing an entire arch of missing teeth.

Dental implants offer several advantages, including durability, natural appearance, and the preservation of surrounding teeth. They function and look like natural teeth, providing a long-lasting and reliable solution for tooth replacement. However, the candidacy for dental implants depends on factors such as overall health, bone density, and oral hygiene. Consult with your dentist to determine if dental implants are a suitable option for you.

Can I lighten the color of my teeth?

Yes, you can lighten the color of your teeth through teeth whitening procedures. There are two primary methods for teeth whitening:

Professional In-Office Whitening: Your dentist can perform in-office teeth whitening, which involves the application of a strong whitening agent to your teeth. Specialized lights or lasers may be used to enhance the whitening process. This method provides quick and noticeable results in a single visit.
At-Home Whitening Kits: Your dentist may provide you with custom-fitted trays and a whitening gel to use at home. This method involves applying the gel to the trays and wearing them for a specified period, usually a few hours a day or overnight, until the desired level of whitening is achieved.

It’s essential to consult with your dentist before starting any teeth whitening treatment. They can assess your oral health, determine the cause of tooth discoloration, and recommend the most suitable whitening method for your individual needs.

What does tooth whitening involve?

Tooth whitening typically involves the application of a whitening agent to lighten the color of your teeth. The process can be carried out through professional in-office treatments or at-home whitening kits:

Professional In-Office Whitening:
- Your dentist will apply a high-concentration whitening gel to your teeth.
- Specialized lights or lasers may be used to enhance the whitening effect.
- The treatment is usually completed in a single visit, providing immediate results.
At-Home Whitening Kits:
- Your dentist will provide custom-fitted trays and a whitening gel for at-home use.
- You’ll apply the gel to the trays and wear them for a specified period, often a few hours a day or overnight.
- The at-home process may take several days to weeks to achieve the desired level of whitening.

Regardless of the method, the whitening agents used typically contain hydrogen peroxide or carbamide peroxide, which break down stains on the tooth enamel. It’s essential to follow your dentist’s instructions for safe and effective tooth whitening, and consult with them before starting any whitening treatment to ensure it’s suitable for your oral health.

What other tooth-whitening methods are there?

In addition to professional in-office whitening and at-home whitening kits provided by dentists, there are various over-the-counter (OTC) tooth-whitening methods available. These include:

Whitening Toothpaste: Toothpaste formulated with abrasives and mild whitening agents to remove surface stains.
Whitening Strips: Thin, flexible strips coated with a peroxide-based whitening gel that you apply directly to your teeth.
Whitening Gels and Pens: Gels or pens containing whitening agents that you apply directly to your teeth. Some are activated by a LED light.
Whitening Mouthwashes: Mouthwashes containing a lower concentration of whitening agents, suitable for daily use.
Charcoal Toothpaste: Toothpaste containing activated charcoal, believed to absorb surface stains and toxins.

It’s important to note that while these OTC methods can provide some level of whitening, their efficacy varies, and the results may take longer to become noticeable compared to professional treatments. Additionally, it’s recommended to consult with a dentist before using OTC whitening products to ensure they are safe and appropriate for your oral health.

How safe are whitening kiosks and beauticians?

Whitening kiosks and beauticians who offer teeth whitening services may not always provide the same level of safety and expertise as dental professionals. It’s important to consider the following factors:

Lack of Professional Supervision: Whitening kiosks and beauticians may not have dental professionals overseeing the process. Without proper supervision, there is an increased risk of improper application and potential harm to your teeth and gums.
Quality of Whitening Agents: The quality and concentration of whitening agents used in non-dental settings may vary. Dental professionals typically use regulated and safe products, ensuring both effectiveness and safety.
Individualized Assessment: Dental professionals assess your oral health before recommending whitening treatments. Whitening kiosks and beauticians may not conduct proper assessments, increasing the risk of adverse effects on pre-existing dental conditions.
Inadequate Protection: Without professional guidance, there is a risk of using ill-fitting trays or inadequate protective measures, leading to irritation or damage to the gums and other oral tissues.

For the safest and most effective tooth whitening, it’s recommended to consult with a qualified dentist. Dental professionals can assess your oral health, recommend suitable whitening options, and provide professional supervision to ensure a safe and successful outcome.

Can a single tooth which has been root filled be whitened?

Yes, a single tooth that has been root-filled (undergone root canal treatment) can be whitened. The discoloration of a tooth after root canal treatment may occur due to factors such as internal bleeding, changes in the tooth’s structure, or the use of certain materials during the procedure.

To whiten a single discolored tooth, your dentist may employ internal tooth whitening, also known as non-vital tooth whitening. The process involves:

Accessing the Pulp Chamber: The dentist creates a small opening in the back of the tooth to access the pulp chamber.
Placement of Whitening Agent: A whitening agent, typically a hydrogen peroxide gel, is placed inside the pulp chamber and sealed in position.
Activation of Whitening Agent: The whitening agent is left in place for a specified period, and in some cases, a special light or heat may be used to activate the whitening process.
Monitoring and Reapplication: The process may be repeated until the desired level of whitening is achieved. The dentist monitors the progress during follow-up visits.

It’s important to note that tooth whitening for a root-filled tooth is typically an in-office procedure performed by a dentist. Attempting to whiten a single discolored tooth at home may not be effective and can lead to uneven results.

Consult with your dentist to discuss the options for whitening a root-filled tooth and to ensure that the procedure is suitable for your specific case.

When might tooth whitening not work?

While tooth whitening is generally effective, there are situations where it might not produce the desired results. Tooth whitening may not work as expected in the following cases:

Intrinsic Stains: Intrinsic stains that originate from within the tooth, such as those caused by certain medications (e.g., tetracycline staining) or developmental issues, can be challenging to whiten.
Dental Restorations: Dental restorations like crowns, veneers, or fillings do not respond to whitening agents. If these restorations are more visible than the natural tooth structure, it can result in uneven color.
Severe Tooth Trauma: Teeth that have experienced severe trauma, such as a significant impact, may not respond well to whitening. In such cases, alternative cosmetic solutions like veneers may be considered.
Enamel Hypoplasia: Enamel hypoplasia, a condition where the enamel is not properly formed, can result in discoloration that may not be effectively addressed by tooth whitening.
Excessive Fluorosis: Severe cases of fluorosis, caused by excessive fluoride exposure during tooth development, may lead to intrinsic stains that are challenging to whiten.
Individual Variation: The effectiveness of tooth whitening can vary among individuals, and some may experience more limited results due to factors like genetics or overall tooth health.

If tooth whitening is not achieving the desired outcome, or if there are specific concerns about discoloration, it’s advisable to consult with a dentist. The dentist can assess the underlying causes of discoloration and recommend alternative cosmetic solutions if necessary.

How can I look after my teeth once they have been whitened?

After undergoing teeth whitening, it’s essential to adopt good oral care practices to maintain the results and overall oral health. Here are some tips to look after your teeth post-whitening:

Practice Good Oral Hygiene: Brush your teeth at least twice a day with a fluoride toothpaste. Use a soft-bristled toothbrush and brush gently to avoid enamel wear.
Floss Regularly: Flossing helps remove plaque and debris between teeth, contributing to a healthy and bright smile.
Use a Whitening Toothpaste: Consider using a whitening toothpaste to help maintain the whiteness of your teeth. These toothpastes often contain mild abrasives and additional whitening agents.
Limit Staining Foods and Drinks: Reduce consumption of foods and drinks that can stain teeth, such as coffee, tea, red wine, and dark-colored berries. If consumed, rinse your mouth with water afterward.
Avoid Tobacco Products: Tobacco can contribute to tooth discoloration and compromise overall oral health. Quitting smoking or using tobacco products is beneficial for both your teeth and overall well-being.
Attend Regular Dental Check-ups: Schedule regular dental check-ups and cleanings to monitor your oral health. Professional cleanings help remove surface stains and plaque buildup.
Consider Touch-Up Treatments: Depending on the type of whitening treatment, your dentist may recommend occasional touch-up treatments to maintain the brightness of your teeth.
Protect Teeth from Trauma:Avoid biting on hard objects or using your teeth for tasks like opening packages. Trauma to the teeth can lead to discoloration or damage.
Stay Hydrated: Drinking water helps maintain saliva flow, which plays a role in neutralizing acids and keeping the mouth clean.

By incorporating these habits into your daily routine and maintaining regular dental visits, you can help preserve the results of teeth whitening and promote overall oral health.

What is an ‘incorrect bite’?

An “incorrect bite,” also known as a malocclusion, refers to a misalignment or improper positioning of the teeth when the jaws are closed. This misalignment can manifest in various ways, such as:

Overbite: The upper front teeth excessively overlap the lower front teeth.
Underbite: The lower front teeth protrude in front of the upper front teeth when the jaws are closed.
Crossbite: Some upper teeth sit inside the lower teeth rather than outside when the jaws are closed.
Open Bite: There is a space between the upper and lower front teeth when the back teeth are in contact.
Crowding or Spacing: Irregular spacing or overcrowding of teeth.

Malocclusions can result from a variety of factors, including genetics, improper dental development, or habits like thumb-sucking. Correcting an incorrect bite often involves orthodontic treatments such as braces or clear aligners to align the teeth and jaws properly. Dental professionals can assess and address malocclusions to improve both oral function and aesthetics.

What can happen if it is not treated?

If an incorrect bite, or malocclusion, is not treated, it can lead to various oral health issues and complications, including:

Tooth Wear and Damage: Uneven pressure on teeth due to misalignment can result in excessive wear, chipping, or fractures.
Temporomandibular Joint (TMJ) Disorders: Malocclusions can contribute to the development of TMJ disorders, causing jaw pain, clicking, and difficulty in jaw movement.
Speech Impairments: Severe malocclusions may affect speech, leading to difficulties in pronunciation and communication.
Chronic Jaw Pain and Headaches: Misalignments can strain the jaw muscles, leading to chronic pain and headaches.
Increased Risk of Tooth Decay and Gum Disease: Difficulty in cleaning misaligned teeth can result in a higher risk of tooth decay and gum disease.
Impaired Chewing Function: Malocclusions can affect the proper functioning of the jaws, making chewing less efficient and potentially leading to digestive issues.
Aesthetic Concerns: Misaligned teeth can impact the appearance of the smile, affecting self-esteem and confidence.

Early detection and treatment of malocclusions are crucial to prevent these potential complications. Orthodontic interventions, such as braces or clear aligners, can effectively correct misalignments and promote optimal oral health. It’s advisable to consult with a dental professional for a thorough assessment and appropriate treatment plan if you suspect an incorrect bite.

How can it be treated?

The treatment of an incorrect bite, or malocclusion, depends on the type and severity of the misalignment. Common treatment options include:

Braces: Traditional braces use brackets and wires to gradually move teeth into the correct position. They are effective for various types of malocclusions.
Clear Aligners: Clear aligners, such as Invisalign, are removable, custom-made trays that gradually shift teeth. They are a discreet alternative to traditional braces.
Orthodontic Appliances: Functional appliances, such as headgear or palate expanders, may be used to address specific types of malocclusions, especially in growing children.
Tooth Extraction: In some cases, removing one or more teeth may be necessary to create space and address crowding.
Jaw Surgery: For severe malocclusions involving jaw misalignments, orthognathic surgery may be recommended to reposition the jaw.
Retainers: Retainers are often used after active orthodontic treatment to maintain the corrected position of the teeth.
Early Intervention in Children: Some malocclusions can be addressed more effectively with early intervention in children, utilizing treatments such as space maintainers or functional appliances.

The appropriate treatment plan is determined after a comprehensive evaluation by a dental professional, considering factors like the type of malocclusion, the age of the patient, and overall oral health. Regular dental check-ups and early orthodontic assessments can help detect malocclusions early, allowing for timely and effective intervention.

Can my crooked or twisted teeth be straightened?

Yes, crooked or twisted teeth can often be straightened with orthodontic treatments. The most common methods for straightening teeth include:

Braces: Traditional braces use brackets and wires to gradually move teeth into the desired position. They are effective for correcting various types of misalignments, including crooked or twisted teeth.
Clear Aligners: Clear aligners, such as Invisalign, are transparent, removable trays that apply gentle pressure to shift teeth into alignment. They are a discreet alternative to traditional braces.
Retainers: In some cases, especially after braces or aligner treatment, retainers are used to maintain the corrected position of the teeth.

The suitability of each method depends on the severity of the misalignment and individual factors. Consulting with an orthodontist or dentist can help determine the most effective and appropriate treatment for straightening crooked or twisted teeth based on your specific needs. Early intervention in children or teenagers may also enhance the effectiveness of orthodontic treatment.

Are there any alternatives to orthodontics?

While orthodontic treatments like braces or clear aligners are highly effective for correcting misalignments, there are alternative options that may be suitable for certain cases. These alternatives include:

Porcelain Veneers: Veneers are thin shells of porcelain custom-made to cover the front surface of teeth, improving their appearance. While they can address some cosmetic concerns, they do not correct the underlying misalignment.
Dental Bonding: Dental bonding involves applying a tooth-colored resin to the teeth to reshape or fill gaps. It can provide a cosmetic improvement but does not align teeth like orthodontic treatments.
Tooth Contouring: Contouring involves reshaping teeth by removing small amounts of enamel. It is a conservative option for minor irregularities but doesn’t correct major misalignments.
Snap-On Smile: A removable dental appliance that snaps over existing teeth, providing a temporary cosmetic improvement without orthodontic movement.
Orthodontic Retainers: Retainers can be used to address minor tooth movement and prevent further misalignment, although they are not a primary method for significant corrections.

It’s important to note that while these alternatives may offer cosmetic improvements, they may not address the underlying orthodontic issues or provide long-term functional benefits. Consulting with an orthodontist or dentist is crucial to determine the most suitable option based on your specific needs and the nature of the misalignment.

What is tooth jewelry?

Tooth jewelry is a form of cosmetic dentistry that involves attaching small, decorative ornaments or crystals to the surface of a tooth. These ornaments are often made of materials like crystals, diamonds, or gold and are applied using dental adhesive. Tooth jewelry is a non-invasive and temporary way to enhance the aesthetic appearance of a smile.

The application of tooth jewelry is typically a quick and painless procedure performed by a dentist or a trained dental professional. It involves cleaning the tooth surface, applying a dental adhesive, and attaching the chosen ornament.

Tooth jewelry is a cosmetic enhancement and does not serve a functional purpose. It is a reversible procedure, and the jewelry can be easily removed without causing damage to the tooth.

It’s important to note that while tooth jewelry is a popular trend for some individuals seeking a unique and temporary cosmetic change, it may not be suitable for everyone, and the longevity of the jewelry can vary. If considering tooth jewelry, it’s advisable to consult with a dentist to ensure it is applied safely and does not compromise oral health.