Have you ever looked at yourself in the mirror and thought to yourself “I don’t like my smile”? You may have crooked teeth, a gummy looking smile or just worn down aged smile. The power of a beautiful smile cannot be underestimated. It is extremely potent. We can help you with Smile Rejuvenation Cosmetic Smile Makeovers. Read more.
A smile affects your self-image tremendously and has great psychological effect. It is one of your defining characteristics that affect not only your appearance and facial esthetics, but has a significant effect on your self-worth and self-confidence. It is an extension of your personality and it is one of your biggest assets.
A knock out smile represents beauty, happiness, kindness, likeability, compassion and invites friendships. It makes you more attractive to you and especially to others. It brightens your outlook. When you have a beautiful smile, you don’t only appear to be more likable and desirable, but you appear more competent and self-confidence. In getting a job, a date, a new friend, your beautiful and handsome smile will tremendously increase your chances to be accepted.
Smile Rejuvenation Process is a process of enhancing your smile and overall appearance by doing a range of Cosmetic and restorative procedures that will correct and improve any pre-existing imperfections of your teeth and their arrangements. It is a beautification treatment to achieve a personalized and custom Hollywood smile. It makes you feel and look younger and sexier. You will feel like a celebrity!
It is called many different names such as Smile Redesign, Teeth Makeover, Rejuvenation Smile, Smile Rejuvenation, 1-Week Smile Makeover, #, Smile Transformation, Instant Orthodontics, Facelift Dentistry®. The goal is the same. To create a Million Dollar smile that turns heads.
With smile makeover to Rejuvenate your smile, you can now change the appearance of your teeth and look a lot younger. Whether you want to change the shape, color or the alignment of your teeth, there is an option which is available for you.
You may want to rejuvenate your smile if you think you have any of the following
- crooked teeth
- missing teeth
- misaligned teeth
- teeth that have lost their color
- gapped teeth
- teeth that are too long or too short
- gums that are too noticeable
Smile makeovers are short series of procedures which improve your smile through one or more cosmetic dental procedures; serving as the cornerstone of restorative and advanced cosmetic dentistry. Your smile is one of your defining characteristics and it is important for you to be happy with its appearance. While they are restorative in nature, smile makeovers are generally less extensive and more cosmetic in nature than a full mouth reconstruction.
While both procedure families overlap, smile makeovers generally have a more aesthetic than reconstructive end result in mind. However, the terms are frequently used interchangeably, but there is a very important distinction. Smile makeovers generally do not include bone or gum grafts or extensive replacement of teeth.
Smile Makeovers cover a wide range of dental procedures that enhance the appearance of your smile and improve the function of the masticatory system. The following are the various processes that can achieve a smile makeover from the simplest treatments to the most involved.
Causes of Teeth Discoloration
As we go through life, it is natural that our teeth tend to yellow. There are two major factors that contribute to this: 1. Natural aging thickens the inner layer (dentine) while the outer layer (enamel) thins. 2. Staining from things we put in our mouth that have any color to them, especially drinking a lot of coffee and tea which create the most stains.
Most whitening agents in the market are effective but only to various degrees. The most common chemical agent that is used to whiten the teeth is Carbamide Peroxide. Carbamide Peroxide is an oxidizer and acts by oxidizing the coloring agents within the dentine or those on the surface of the enamel.
1. In-Home Bleaching Trays
In-Home Bleaching Trays are fabricated by dentists from a mold of your teeth. The tray is well-adapted to the contour of the teeth and can hold the solution on the tooth surface with minimal dilution. Higher percentages of carbamide peroxide are used in in-home bleaching treatments anywhere from 10-30%.
2. In-Office Bleaching
When you want to whiten your teeth in a hurry, the most efficient method of whitening is an In-Office Treatment. In In-Office Treatments, your gums are isolated and protected from the teeth by a special compound and a very high concentration of carbamide peroxide is painted on the teeth. Occasionally, the whitening agent is activated by the with a special light to speed up the process.
3. “Internal” Bleaching
When teeth have severe discoloration due to necrosis/damage to the tooth pulp, an “internal” bleaching technique is used to lighten up the discolored teeth. The prerequisite for this technique is that the tooth must have been treated by a root canal process.
Contra-Indication for Teeth Bleaching
If you have any veneers/bonding/crowns, you must realize that the bleaching agents do not affect the dental materials. Applying bleach to all teeth will allow the natural teeth to lighten while the restored teeth remain the same color. Use of bleaching during pregnancy has not been studied and therefore contra-indicated.
The limiting factor that prevents people from whitening their teeth to their maximum potential is the development of sensitivity by the bleaching agent. However, there is good news! The sensitivity is caused by dehydration of the teeth and is completely reversible, when you stop the bleaching, the whiteness will remain, but the sensitivity will be alleviated.
There are also some remedies to minimize sensitivity that we can discuss during your consultation appointment
Orthodontic Treatment refers to the procedures by which the teeth and alveolar [jawbones] bones are either guided and/or moved through mild pressure exerted by various appliances.
- Removable Appliances
Many minor teeth movements can be achieved by an appropriately fabricated active retainer. They are typically a plastic body with metal springs and clasps.
- Functional Appliances
A functional appliance is an instrument that guides and moves the teeth and alveolar bone by the energy created in the movement of the mouth. Functional appliances are a plastic body with securing metal clasps.
The best control over the teeth movement is possible through “fixed” braces, they include attachment of brackets to individual teeth and connecting the brackets through an arch wire. The shape and energy of the arch wire will bring the necessary pressure to cause tooth movement.
- Clear Aligners
You may know clear aligners by popular brands such as Invisalign® and Clear Correct®. Clear aligners are prefabricated elastic trays that guide teeth a fraction of a mm at a time. Continuous wearing of these clear progressive trays allows the teeth to move to their desired position.
*Limitation of Clear Aligners
Clear Aligners are very appealing to the adult population because as the name implies they are clear and can be removed for convenience. However, due to the limited anchorage of the aligner to the teeth, certain movement is achieved at a slower pace, is and movement at all.
Porcelain Veneers are thin layers of porcelain that are bonded on the teeth to improve their appearance. In the past, veneers were mostly used to enhance the color of severely discolored teeth, but with new innovations, materials, and methods available today, we are able to perform a wide-range of improvements to teeth including color, shape, size, and alignment.
There are various materials that are used for veneers. Feldspathic porcelain was one of the first materials that was used for this purpose. It had great aesthetic value however it was rather soft and proved brittle when making major changes to the teeth. Currently, Dr. Zadeh’s material of choice for porcelain veneers is IPS E.Max® Veneers due to its strength and sturdiness. Use of E. Max has almost eliminated the normal chipping and cracking that were common with the traditional veneers.
First, Porcelain Veneers are etched (roughened) by the dental laboratory. These roughened surfaces provide microscopic anchorages that a resin will adhere to. Teeth surfaces are roughened and etched by the dentist before the bonding process and through the use of various of chemicals, the resin is introduced between the roughened porcelain and roughened teeth that bonds the two together.
Do veneers come off?
Yes, they can however, with modern bonding techniques and by following exact protocols porcelain veneers can last decades without debonding from the teeth with normal usage. However, if you utilize veneer teeth as tools (cutting nails and opening up beer bottles), you are more likely to displace the veneer or break the tooth underneath. A more common problem occurs with individuals that heavily grind their teeth (bruxism) and clench their teeth. The excessive force of grinding and clenching can flex (bend) the teeth while the overlying porcelain is too rigid to be bent and therefore, the debonding the veneer. If you’re a bruxer or grind your teeth, you should be fitted with a nightguard to help protect your veneers at night.
Veneers can cost anywhere from $800 – $2500 per tooth depending on the number of teeth involved. A single veneer on the front tooth is very difficult to match the adjacent tooth and therefore costs almost as much as getting two adjacent veneers done, so most patients opt for getting two. This fee includes the treatment planning for the new teeth, preparation of the teeth, the laboratory fee to manufacture the veneers and the bonding of the veneers on the teeth.
Depending on what you’re trying to correct! Typically, the rule is that if you’re correcting misalignment of the teeth, you will need to correct the misalignment in pairs (2, 4, 6 veneers) at a time. However, if you’re getting veneers to correct misalignment and substantially improve the color of your teeth, you should correct as many teeth as you show when you smile. A point to remember is that the color of porcelain veneers are very stable and they will not discolor over the years, however, the natural teeth next to them turn yellow with time and age. Although we can match the two front teeth to the surrounding teeth today, 2-3 years down the road the veneered teeth will look whiter than the adjacent, non-veneered teeth.
Dental Bonding is among the easiest and the least expensive cosmetic dental procedures. Composite resin is used in bonding, as it binds to your natural tooth; It can be shaped and polished to match the surrounding teeth.
First, the tooth needing treatment will be made slightly rough, and then a special conditioning liquid is applied to the tooth’s surface to help the resin adhere properly. After the dentist permanently bonds the composite resin material to your tooth by using a special ultraviolet light, he will mold, shape and smooth the material to give it a natural appearance.
- Repairing a chipped tooth
- Restoring discolored teeth that do not respond to teeth whitening treatments
- Repairing a tooth damaged by decay
- Closing a space or gap between teeth
- Making a tooth appear longer
- Altering the shape of a tooth
- Minimal pain – The vast majority of patients require no anesthesia to undergo a dental bonding treatment.
- Low cost – Dental bonding is relatively inexpensive, compared to other cosmetic dental procedures.
- Less time – Whereas many cosmetic dentistry treatments require multiple trips to the dentist, dental bonding procedures can be completed within a single visit.
- Safe – Dental bonding uses a composite resin material that does not contain any metal components, and is, therefore, biocompatible with your body
E. Reconstructive Dentistry
Full Mouth Reconstruction/Full Mouth Rehabilitation
These terms refer to a series of processes that involve all the teeth in one arch or the teeth in both arches. In full mouth reconstruction, the bite (occlusion) is often improved/changed. Before dental implants became common, a full mouth reconstruction included replacing missing teeth, a removable dental bridge, a removable partial denture, fixed dental bridge, or a denture. In the age of implant dentistry, these modalities are considered obsolete and are offered as a provisional or in cases of limited finances. To change the occlusion, a separate set of instrumentation, training, and skill are required which are not part of General Dentistry training.
Full Mouth Rehabilitation is achieved improving the bite with crowns and bridges.
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In addition to the color, alignment and balance of your teeth in the aesthetic zone of your smile (the section of upper and lower teeth that show when you smile), there are several attributes of your teeth and smile that your cosmetic dentist will evaluate with you when planning your makeover. These include:
Tooth Length: Long teeth lend a youthful appearance. Aging produces wear and tear that often results in shorter teeth, and a gummy smile also can make teeth appear shorter. A treatment for shorter teeth may include reshaping and lengthening the two front central teeth with composite bonding or porcelain veneers. If you have a gummy smile, your cosmetic dentist may provide treatment to modify the gum line and lengthen the appearance of the teeth using laser dentistry procedures. You may also be referred to a periodontist for crown lengthening if necessary.
Teeth lengthening may also impact your overall facial appearance. For example, shapely, long, square teeth on a round-faced individual can provide a slimming effect.
Smile Line: The smile line is an imaginary line that follows the edges of your upper teeth from side to side, which ideally should be the same as the curve of your lower lip when you smile. This standard point of reference may be used to help determine how long your new teeth should be.
Tooth Proportions: Your cosmetic dentist will examine your teeth to determine if they are in correct proportion with each other. Most people recognize a pleasing smile as one in which the two central front teeth are dominant and have a width-to-length ratio of 4-to-5. This proportion guides the length and width of other teeth in the aesthetic zone so that the smile line appears balanced.
Tooth Texture and Characterization: An artistic dentist can characterize your crowns or veneers to create a more feminine or a more masculine appearance, in addition to matching the look and feel of natural teeth or those you’ve seen in photographs.
Maintaining Your Results
Cosmetic dentistry procedures require regular oral hygiene care and may require maintenance over time. For example, teeth whitening must be repeated on occasion in order to maintain brightness. Porcelain veneers may chip or break off and need replacement. Permanent composite bonding may stain and require enhancement or replacement. Dental crowns typically require replacement after 10 to 15 years. Gummy smile improvements may also require enhancement over time.
Your ceramist, lab technician and the materials chosen by your dentist also impact the longevity of your smile makeover. To achieve the best results, take special care in selecting your cosmetic dentist and inquiring about your material options.
Your oral health must be evaluated before a cosmetic dentist develops a plan for your smile makeover. Your dentist will conduct a comprehensive evaluation of your teeth, gums, underlying support structure and bite (occlusion) to determine candidacy for a smile makeover. If your evaluation reveals that you have an oral health problem – such as a misaligned bite (malocclusion) or gum disease – you will need to have that taken care of first.
Cosmetic dentists incorporate a variety of dental technologies to show you the changes that you can expect to see in your smile. For example, during your oral health evaluation for veneers and crowns, your cosmetic dentist may create a wax model mockup of temporary teeth to accurately communicate the requirements of your procedure to the dental lab technician. Temporaries and wax mockups also offer you a preview of the expected outcome to ensure that you are comfortable with the proposed treatment plan.
Other methods available for you to preview your smile makeover include the following:
Dental Imaging Software: Imaging technologies offer a preview of your results. Your dentist may use imaging technology to communicate the specifications for your procedure to the dental lab technician or any other dental professionals involved in your treatment plan. However, a digital image only gives you an idea of what you might look like when the treatment is complete; it may not fully match your final results.
Before and After Photos: Before and after photos of other patients who have had smile makeovers offer examples of the results you may expect to see. The photos may also give you an idea of the quality of work performed by your cosmetic dentist.
Dental Study Models: Your dentist will take an impression of your teeth and fill it with plaster to form an exact model of your teeth. The plaster can then be reshaped by trimming away excess areas or enlarging areas that require more volume. Dentists use study models to show you every aspect of the changes you can expect to see with your makeover. Dental lab technicians also use study models as guides for fabricating materials like crowns or veneers.
Your dentist may work with a laboratory that incorporates digital technologies. In such instances your dentist may be able to use digital scans of your teeth, rather than traditional impressions, for use in making the models of your teeth and smile.
Dental Composite Bonding Mockup: Dental composite bonding may serve as a mockup of your smile makeover. The dentist can temporarily bond composite resin material to your teeth so you can fully visualize the impact of the procedure before treatment begins. In the case of veneers, dental composite bonding allows you to identify how comfortable you are with their look, feel and fit. Adjustments may be made until you are comfortable with the function and appearance of your new smile. Temporary mockups have no lasting impact on your teeth once they are removed.
The duration of treatment and cost of your smile makeover will vary depending on your dentist, your location, your level of dental insurance, the state of your oral health and the extent of your customized makeover plan.
Your treatment may be more expensive and take longer if your dentist identifies any underlying oral health issues before beginning treatment. Although these restorative procedures may be covered in part by your dental insurance carrier, you will still pay more for treatment than someone with immaculate oral health.
With proper care and regular dental visits, your smile will look good and your crowns, veneers and other restorations will last for many years. In fact, resin-based restorations (such as tooth-colored fillings) can last anywhere from three to nine years or longer with proper care. Porcelain restorations can last 10 years or more before they need to be replaced.
Maintaining Your Results
Knowing how to modify your oral hygiene habits to best care for your restorations will help you maintain your new smile for years to come.
Highly abrasive toothpastes and tooth brushing habits can scratch the surface of restorations, dulling their polish and luster. As such, non-abrasive fluoride toothpastes are recommended. An example of non-abrasive toothpastes is Rembrandt, which was originally developed for use by people with cosmetic restorations. Brush two-to-three times each day for maximum effectiveness.
Flossing is a key factor in removing debris and plaque from the teeth, and actually increases the lifespan of restorations and helps prevent tooth decay. Flossing is important for everyone, but is especially important for people with veneers, since impeccable gum tissue health is important.
Mouthwashes containing alcohol have been shown to have a negative effect on composite fillings. What’s more, the alcohol content in mouth rinses, over time, can degrade the bond between your restorations (crowns and veneers) and your teeth. Use alcohol-free mouthwashes instead.
Food and Drinks to Limit or Avoid
Avoid foods high in sugar and limit between-meal snacks to prevent cavities. Limit consumption of coffee, soda, tea, etc. to keep your smile stain free.
Do not drink alcoholic beverages excessively. Too much alcohol can ruin your dental work.
Refrain from biting and/or chewing hard objects such as pens, staples, metal, bottle caps, etc.
If you grind your teeth (bruxism) and were fitted with a night guard to prevent damage to your teeth and restorations, wear it.
Considering that the cost of porcelain veneers ranges from $900 to $2,500 per tooth, and the cost of composite bonding is approximately $250 to $1500 per tooth, you’ll want to follow your dentist’s and hygienist’s maintenance recommendations in order to maximize longevity.
Although cosmetic dental restorations are not indestructible and will eventually need to be replaced (five to seven years for composite; 10 to 15 years for porcelain), the life of your new smile depends as much on how well you take care of it as on the skill and talent of your cosmetic dentist.
Replacing a broken or fractured veneer or crown involves impressions, shade matching, a temporary and waiting for a permanent restoration. And, depending on your dentist’s policy, you may be responsible for the full cost of replacing the damaged dental crown or veneer.
Follow your dentist’s instructions to ensure the long-term beauty of your new smile, and be sure to keep all follow-up and regular cleaning appointments with your dentist and hygienist.
In our office, we will work with you very closely by gathering as much information as possible and by paying attention to detail. It is with this attitude and exact approach to each step that allows us to find your unique look and craft exceptional results that will turn heads.
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