Posts for category: Dental Procedures
If you were a well-known actor, how far would you go to get inside the character you’re playing in a movie? Plenty of stars have gained or lost weight to fit the role; some have tried to relate to their character by giving up creature comforts, going through boot camp, even trying out another occupation for a time. But when Jamie Foxx played a homeless musician in the 2009 film The Soloist, he went even further: He had part of his front tooth chipped out!
“My teeth are just so big and white — a homeless person would never have them,” he told an interviewer. “I just wanted to come up with something to make the part unique. I had one [tooth] chipped out with a chisel.”
Now, even if you’re trying to be a successful actor, we’re not suggesting you have your teeth chipped intentionally. However, if you have a tooth that has been chipped accidentally, we want you to know that we can repair it beautifully. One way to do that is with cosmetic bonding.
Bonding uses tooth-colored materials called “composite resins” (because they contain a mixture of plastic and glass) to replace missing tooth structure. The composite actually bonds, or becomes one, with the rest of the tooth.
Composite resins come in a variety of lifelike tooth shades, making it virtually impossible to distinguish the bonded tooth from its neighbors. Though bonding will not last as long as a dental veneer, it also does not require the involvement of a dental laboratory and, most often, can be done with minor reshaping of the tooth.
Cosmetic Bonding for Chipped Teeth
A chipped tooth can usually be bonded in a single visit to the dental office. First, the surface of the tooth may be beveled slightly with a drill, and then it is cleaned. Next, it is “etched” with an acidic gel that opens up tiny pores. After the etching gel is rinsed off, the liquid composite resin in a well-matched shade is painted on in a thin layer, filling these tiny pores to create a strong bond. A special curing light is used to harden this bonding material. Once the first layer is cured, another layer is painted on and cured. Layers can continue to be built up until the restoration has the necessary thickness. The bonding material is then shaped and polished. The whole procedure takes only about 30 minutes!
If you have questions about cosmetic bonding, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Artistic Repair of Chipped Teeth With Composite Resin.”
Dental implants are one of the best tooth replacement systems available. But while they can rejuvenate patients’ smiles and potentially provide a lifetime of service, they require thorough planning and preparation before the implant is inserted.
The process begins with the assembling of your treatment team. Implants require the training and expertise of a number of professionals who collaborate during the process: a dental specialist, like an oral surgeon, periodontist or a general dentist trained in implant dentistry, who surgically installs the implant; a dental technician who fashions the permanent life-like crown that will attach to your particular implant; and a restorative dentist who begins and ends the process with you — from initial consultation and planning to the permanent crown attachment. You, the patient, are also part of the team — your input and informed choices are essential to a successful outcome.
Your restorative dentist will take the first steps to develop your treatment plan. It begins with both a dental examination and a general health assessment to determine your fitness for any surgery. The dental examination serves to evaluate the site where the proposed implant or implants will be placed, along with x-rays for assessing the quantity and quality of bone at the site. Next, the dentist will create study models of your mouth to assess bite, and possibly take photographs to guide decisions on the implant crown’s color and appearance. The last step may be the development of surgical guides to ensure accurate placement of the implants by the surgeon.
One of the biggest questions to answer at this stage is whether or not you have sufficient bone mass to support the implant. You may have experienced significant bone loss due to disease or from resorption (the dissolving of bone) because of tooth loss. Insufficient bone mass can be remedied with a bone graft placed within the site that stimulates bone growth, which if successful will provide enough bone to support the implant.
While this preparatory phase before implant placement can be very involved, it’s absolutely necessary for ultimate success. The careful planning and prep work performed by your implant team — and your own participation in the process — will ensure that you’ll be happy with your new implants and your new smile.
If you would like more information on dental implant options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants.”
She received an academy award for best supporting actress in Chicago (2002); she regularly stars in big Hollywood films like Oceans Twelve and Side Effects. And she’s been named one of People magazine’s “most beautiful people” of the year… a total of five times so far. According to big-screen heartthrob Antonio Banderas, “She has one of the most beautiful close-ups in cinematography today.”
So would it surprise you to learn that Catherine Zeta-Jones had a little help from cosmetic dentistry along the way? In her childhood, the actress said, “I was teased because I had a really flat-looking nose, and before I got braces, my teeth used to stick out a bit.” According to press reports, she has also had various dental treatments to make her teeth look whiter and more even.
Because she’s been in the spotlight since a young age, Zeta-Jones had her cosmetic dental treatments performed over a number of years. But if you’re unhappy with your smile right now, there’s no need to wait: Getting a complete “smile makeover” starts with a consultation at our office. How does it work?
We begin with a thorough dental exam to check for any underlying issues, and some basic questions, including: What do you (and don’t you) like about your smile? Are your teeth as even and as white as you’d like them to be? Is your smile too “gummy”, or do the teeth seem too large or small in proportion to your facial features? Do gaps, chips or cracked teeth detract from your appearance?
Next, working together with you, we can develop a plan to correct any perceived problems in your smile. We’ve already mentioned two of the most common ways to enhance a smile that’s less than perfect: orthodontics for straightening crooked teeth, and whitening treatments for a more brilliant smile. If your teeth are otherwise healthy, both treatments can be performed at any time — in fact, more and more of today’s orthodontic patients are adults.
Other treatments that are often used include cosmetic bonding to repair small to moderate chips or cracks in teeth; crowns (caps) to restore teeth with more extensive structural damage; and veneers to remedy a number of defects — including discoloration, small irregularities in tooth spacing, and even teeth that appear too long or too short. Plus, we have even more procedures designed to remedy specific dental issues.
Will having a better smile get you on the “most beautiful people” list? We can’t say for sure. But we think you’ll feel better about yourself… and people will notice.
If you would like more information on smile makeovers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor articles “The Impact of a Smile Makeover” and “Great Expectations — Perceptions in Smile Design.”
It's not just your teeth that are on display when you smile; it's also your gums. For a smile to look appealing, there needs to be a frame of healthy pink tissue to set off those pearly whites. But just as there can be cosmetic issues with teeth, the shape or condition of the gums, too, can create an aesthetic problem. If you feel the appearance of your gums is in any way detracting from the appeal of your smile, we can help with a variety of in-office surgical procedures.
Here are some common cosmetic gum problems — and possible solutions:
Problem: Too Much Gum Tissue. A smile can look “gummy” when excessive gum tissue covers more of the enamel surface of a tooth's crown (upper portion) than normal.
Solution: Crown Lengthening. This is a procedure in which gum tissue (and rarely but sometimes a small amount of bone tissue) is removed to expose more tooth surface.
Problem: Not Enough Gum Tissue. Sometimes your gums can shrink down (recede), exposing some of a tooth's root — which is more yellow than the enamel surface of the tooth.
Solution: Gum Grafting. There are various grafting procedures that can be used to cover exposed roots by moving gingival (gum) tissue from one site in the mouth to another. Sometimes laboratory-processed donor tissue can even be used to minimize the surgery.
Problem: Uneven Gum Line. This means that some teeth are covered by more gum tissue than others, which can make a smile seem off-kilter.
Solution: Gum tissue can be recontoured (reshaped) for a very pleasing effect with either conventional surgery or the newer dental laser technology.
All of the above procedures can be performed at the dental office — usually with only a local anesthetic (numbing shot). In fact, for laser surgery you may need only a topical anesthetic gel. An examination is required to determine whether conventional or laser treatment is in your best interests. Whatever your cosmetic gum surgery needs may be, the procedures are routine and predictable — and they can work wonders for your smile!
If you have any questions about cosmetic gum surgery, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Gummy Smiles” and “Periodontal Plastic Surgery.”
Fans of the classic bumbling-buddies comic film “Dumb and Dumber” will surely remember the chipped front tooth that Jim Carrey sported as simpleminded former limo driver Lloyd Christmas. Carrey reportedly came up with the idea for this look when considering ways to make his character appear more “deranged.” He didn't need help from the make-up department, however… He simply had his dentist remove the dental bonding material on his left front tooth to reveal the chip he sustained in grade school!
Creating a Bond
A dental cosmetic bonding involves application of a composite filling material that our office can color and shape to match the original tooth. Bonding material can be used to replace the lost portion of tooth or to seamlessly reattach the lost portion if it has been preserved and is otherwise undamaged. Little to no removal of existing tooth surface is needed. This is the quickest and lowest-cost option to repair a chip.
When a relatively large portion of the tooth is missing, a crown is often the better choice. It fully encases the visible portion of the remaining tooth above the gum line and is shaped and sized to match the original. It can be made of tooth-colored porcelain fused to metal crowns or all-ceramic (optimal for highly visible areas). A small amount of the existing tooth surface will be removed to allow the crown to fit over it.
A veneer can be used to hide smaller areas of missing tooth. This is a thin, custom-made shell placed on the front of the tooth to give it a new “face.” Some removal of existing tooth surface also may be necessary to fit a veneer.
A chipped tooth makes an impression, but generally not a flattering one. Nearly 20 years after “Dumb and Dumber” hit the theaters, the only thing Jim Carrey had to do recently to hint at a sequel for his nitwitted character was tweet a photo of that goofy grin!
If you would like more information about repairing a chipped tooth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Artistic Repair of Front Teeth With Composite Resin.”