14122 West McDowell Road Suite 200
Goodyear, AZ 85395
Gilbert, Shawn D D.D.S.
702 E Bell Rd # 120
Phoenix, AZ, 85022-6639
Elseed, Mohammed A D.D.S.
2979 W Elliot Rd # 4
Chandler, AZ, 85224-1641
North Canyon Ridge Endodontics
2525 W Carefree Hwy # 164
Phoenix, AZ, 85085-6097
Pace, Scott D.D.S.
7972 W Thunderbird Rd # 103
Peoria, AZ, 85381-4903
If you require a dental crown to be placed, it is a good idea to talk to your cosmetic dentist about how you feel about the color of your existing teeth before beginning the process. If you like the color of your teeth, your cosmetic dentist will then find a color that matches the crowns.
On the other hand, teeth bleaching may be an option for you. If you feel you would like to whiten or lighten your teeth, it is a good idea to communicate this to your cosmetic dentist beforehand. Once the final restorations are made, it will not be possible to change their color without redoing them.
If you desire whiter teeth before the cosmetic crowns are placed, the best way to achieve this is to talk to your cosmetic dentist about at-home teeth bleaching. With this procedure, custom-fitted plastic trays will be made for your teeth and you will be given some small tubes of teeth bleaching material.
Your cosmetic dentist will show you how to place a small amount of teeth bleaching material in the tray and then place the tray in your mouth. If any excess material squirts out of the tray onto your gums, you will want to remove it with your finger or a toothbrush.
The tray is then worn for one to two hours in the evening, depending on the type of teeth bleaching material. The biggest advantage of this method of teeth bleaching as compared with procedures that are done in your cosmetic dentist's office is that you are the one that can control how white you want your teeth to be.
Since you are the one in control, you can stop the teeth bleaching whenever you feel you have achieved the desired color. The typical teeth bleaching time is one and one-half to two weeks, but it may be longer.
You may experience that your teeth become sensitive to cold air or liquids during the teeth bleaching process. This is normal and will subside and finally go away when you stop the teeth bleaching.
There are a couple of things you can do to decrease this sensitivity if it arises during the teeth bleaching process. One is to only bleach every other night. By taking a break after each night of teeth bleaching, your teeth will not be as sensitive.
The other is to have your cosmetic dentist prescribe you a fluoride gel that you can place in your custom teeth bleaching trays every other evening. The fluoride acts to decrease the sensitivity by coating or sealing the tooth surface and it will not affect the color of your teeth. This is the most reliable way to decrease sensitivity while you bleach.
Once you get your teeth to the desired color , your cosmetic dentist will have you wait about three to four weeks before taking a color match of your teeth in order to make the final restoration. During this time, the color of your teeth is stabilizing.
Teeth bleaching is very predictable, but the results will not last forever. Since the restorations were placed when your teeth were at their whitest, you will most likely find that in one and one-half to two years, the restorations may begin to appear lighter than your natural teeth.
This result is to be expected. It is not caused by a change in color of the restorations, but rather by your own teeth getting darker. At this point, all that is required is to, once again, bleach your natural teeth until the color is evened out. Usually, this only requires teeth bleaching a couple of times.
After the color is evened out, you can then expect to have the color stability last for another one and one-half to two years. On the other hand, if no restorations were placed by your cosmetic dentist after your teeth bleaching, you will most likely not notice the teeth changing color because there is no reference to help judge this change.
By Greggory Kinzer, DDS, MSD
There are many cosmetic dentistry situations which arise that lend themselves to treatment with dental veneers by your cosmetic dentist. One indication is for restoring teeth with discoloration that have been unaffected by the more conventional teeth bleaching approaches. Some examples of this are teeth that have severe tetracycline (an antibiotic) staining or discoloration from a previous injury to the tooth.
Another major indication is for teeth that require significant changes in their shape or contour. By placing dental veneers, small or misshapen teeth can be built up to regain a more natural appearance, spaces between teeth can be closed by making the teeth wider and teeth that are too short can be lengthened.
Porcelain dental veneers or composite veneers are a very popular dental care treatment option for a variety of reasons. They are one of the most conservative restorations that can be done by your cosmetic dentist. This means that the amount of tooth structure that must be removed is very small. Generally, only 0.3 to 0.7 mm needs to be removed from the surface of your tooth.
Dental veneers are then made and bonded to the teeth, incorporating the desired changes in shape and color. Since veneers are so thin and there is no metal in them, the esthetic potential is very high. Veneers can be made of two different materials, either composite or porcelain.
The major advantage of composite veneers is treatment time. If composite is used, the dental veneers can be done in one appointment. The dentist will actually make the veneers directly on the prepared teeth.
The veneers are then smoothed and polished to look like your natural teeth. Since it takes only one appointment, you can leave your dentist's office with a brand new smile.
One of the disadvantages of composite veneers is that they are not as strong as porcelain veneers and therefore are more prone to fracture. However, if a fracture does occur, they can be easily repaired because the same material that was used initially to make the veneers can be added in the same manner to fix it.
Another disadvantage is that the color, although stable, is not as stable as the same porcelain veneer restoration. This means that over time the veneers may get darker or turn yellow. Eventually, this change in color can warrant the replacement of the composite veneers.
Porcelain veneers require a longer treatment time. At the first appointment, your teeth are prepared and an impression is made of them. Temporary dental veneers are made out of plastic and placed on your teeth. They are used to protect your teeth while the real porcelain veneers are being fabricated. You can also use them to evaluate the look and feel of your teeth so that any changes you desire can be incorporated into your real veneers.
At the second appointment, the temporary veneers are removed and the porcelain veneers bonded to your teeth. Although they are thin, porcelain veneers are much stronger than composite veneers, so the risk of fracture compared to the composite veneers is much less. However, if a fracture does occur, repairing it is more difficult and may result in the veneers having to be remade.
In general, porcelain veneers can be used in a greater variety of situations with a higher level of predictability. Since they are made outside the mouth, the shape and color can be easier to control, thus enhancing the final result.
By Greggory Kinzer, DDS, MSD