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Cosmetic Dentistry

Porcelain Veneers

Porcelain VeneersPorcelain veneers are thin shells of porcelain that are bonded to your natural tooth structure to give you a beautiful, custom designed, smile. Porcelain veneers are as thin as a contact lens, and they fit directly over the outer surface of the teeth. They can be made in any color, shape, and size. Porcelain veneers are used to straighten, lengthen and whiten teeth and to close spaces between teeth. In order to avoid creating teeth that look too bulky, a small amount of tooth structure must be removed to allow space for the porcelain. Doing so makes the final result look and feel more natural. Porcelain veneers are a popular cosmetic dental procedure because they can dramatically change a smile in as little as two visits and the procedure is virtually painless.


Porcelain Crowns

Porcelain CrownsWhen teeth are badly broken down, have large fillings, or do not have enough natural tooth structure to support porcelain veneers, porcelain crowns are the procedure of choice. During this procedure the entire outer surfaces of the teeth receiving the crowns are removed and full coverage crowns are fabricated. Although crowns can be made out of all metal, porcelain-fused-to-metal, or all porcelain, the all porcelain crowns are the most esthetic. When crowns are made of out all metal or porcelain-fused-to-metal, they do not transmit light like natural teeth do and they tend to look dull and flat. All porcelain crowns, however, transmit light similarly to natural tooth enamel, thereby making them appear more life-like in the mouth. Another problem associated with porcelain-fused-to-metal crowns is the black line phenomenon. When a crown is made with a metal substructure, the metal tends to show at the gum line, creating a "black line." Even if the black line does not show at first, if the gums recede over time the black line will eventually show. All porcelain crowns do not have any metal, so there is no black line phenomenon. Porcelain crowns can also be placed over dental implants to replace missing teeth. This is a great alternative to a bridge or a removable partial denture. All porcelain crowns look like natural, beautiful teeth.

Porcelain Bridges

Missing ToothWhen a tooth or teeth are missing from the mouth, there are three options to restore the resulting space: a dental implant and crown, a removable partial denture, or a fixed bridge. A fixed bridge is often chosen if there are teeth remaining on either side of the space and the person is not a candidate for dental implants. In order to have a fixed bridge made, the teeth on either side of the space need to be prepared for crowns. Crowns are placed on the teeth and a fake dummy tooth is fused to the crowns to cover the space. Fixed bridges are permanent restorations that cannot be removed. Fixed bridges, like crowns, can be made of porcelain-fused-to-metal or all porcelain. Once again, all porcelain bridges look the most esthetic and natural.

Here we have a severely constricted arch with no room for the patient's maxillary right lateral incisor. As a result the tooth was pushed in towards the tongue. This patient did not want to spend two years in braces to straighten her teeth. Once the lateral incisor was removed, her teeth were restored with eight porcelain veneers. Her right canine was shaped like a lateral incisor and her right first bicuspid was shaped like a canine to create the illusion of a normal, pretty smile.

Here we see a patient with a prognathic mandible (his lower teeth were forward and in front of his upper teeth upon closing). Correction would have required extensive maxillofacial surgery and orthodontic treatment. It's hard to believe that his cosmetic problem was solved with eight porcelain veneers in just two visits.

Decayed and crooked teeth really detracted from this young woman's smile. After removing all the tooth decay eight porcelain veneers were placed, changing her smile forever in a mere two visits.

This woman noticed that her right central incisor was moving forward over time and spaces were developing around the other anterior teeth. With six porcelain veneers, she was able to get her incisors back in line and eliminate those spaces that always bothered her.

This young man always felt self conscious about his short maxillary teeth. He wanted to show more tooth structure when he smiled. With just six porcelain veneers, he was able to attain that smile he had always imagined.

Crown Lengthening Surgery

This woman's two front teeth received root canal treatment years earlier. Over time they became dark and unslightly. She also wanted to get rid of her "pointy" canines and rounded lateral incisors. Instant Orthodontics provided a solution for her. By placing a combination of porcelain crowns and porcelain veneers, her teeth were lengthened and brightened, giving her a smile to be proud of.

Here we see a gummy smile, decayed and crooked teeth, and hypocalifications (white spots). Crown lengthening surgery was performed over her four anterior teeth to eliminate the gummy smile. This was followed by eight porcelain veneers.

The large space (called a diastema) between the two central incisors always bothered this patient. She did not want to go through extensive orthodontic treatment. By placing just six porcelain veneers, her diastema was closed and a magnificent smile was created.

A trauma to the maxillary anterior incisors left the edges chipped, disfiguring this woman's otherwise perfect smile. With six beautiful porcelain veneers, her magnificent smile was restored in just one week.

This woman wanted to revitalize her face. Her first step was to remove old and discolored bonded restorations. By placing 18 porcelain veneers and three porcelain crowns, a more youthful smile returned, making her look 10 years younger.

This patient wanted more teeth to show when she smiled. The old bonding material was removed from her teeth. The smile was made wider using eight porcelain veneers.

Here we have a situation with small and slightly intruded lateral incisors and pointy canine teeth. Her concerns were satisfied by placing four porcelain veneers on the lateral incisors and canines.

Here we have a combination of smile detractors. This patient has worn, yellow, crooked teeth and unmatched lower posterior crowns. Dark tunnels on each side of the smile make his maxillary arch seem narrow. It's amazing how so many problems can be corrected with ten porcelain veneers and four porcelain crowns in just two visits.

This young girl had congenitally missing lateral incisors. Her canines moved into their position. In the back of her mouth, she was missing bicuspids and retained her primary (baby) teeth, thereby giving her an immature smile. After she had her primary (baby) teeth removed, her smile was restored with two porcelain veneers and two all porcelain bridges.

This man was leaving for overseas and did not have the time to straighten his teeth with traditional braces. The solution was placing six porcelain veneers in just two visits!

This mouth shows classic tetracycline stained teeth. There is also slight overlapping of her central incisors and a crooked right lateral incisor. The entire problem was solved quickly with ten porcelain veneers.

This woman did not like to smile because of the short, worn edges of all her maxillary teeth. By placing a combination of porcelain crowns and porcelain veneers, her teeth were lengthened giving her a beautiful new smile.