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Considering Porcelain Veneers?

Maybe you've thought about cosmetic dental work - but felt a little vain to consider it.

Or the appearance of your teeth never bothered you much, because your dental health is pretty good.

But fixing a small functional problem can sometimes yield wonderful, unanticipated dividends. Mary, for instance, had a few dental imperfections most of us could live with. But she was hampered from time to time by a lispy "s" sound.

Mary had gapped teeth, a diastema, which caused a slight but noticeable speech defect. She also showed evidence of life in the fast lane, too: teeth worn down, probably from nervous clenching of the jaw muscles or grinding teeth.

In Mary's case - and every case is different - porcelain veneers saved the day. Her cosmetic dentist began with a functional and esthetic evaluation to determine what shape and contour would best solve Mary's diastema problem. More tooth length was proposed, to give her a more youthful, proportioned appearance, too.

Impressions were taken, and sent off to the lab for fabrication. On the next visit, her teeth were cleaned and etched chemically, the dental veneers were cemented into place, and "cured" with a special light to seal them.

Mary's speech problem evaporated. Dentistry fixed that. But cosmetic dentistry did more than perfect her speech.

WHEN FUNCTION = BEAUTY

Like an acrylic fingernail, veneers cover the front surface of the teeth. Porcelain dental veneers are strong and, by the way, look great.

As an architect of more that 60 years, I have learned that only the beautiful is practical. And universally, anything that is truly practical, functional, and useful is beautiful.
-Frank Lloyd Wright

Dental Crown Lengthening

There are two reasons why individuals need a dental crown lengthening procedure: to properly restore a tooth or to make a "gummy smile" more attractive and cosmetic dentistry can help with both.

To properly restore a tooth, several millimeters of healthy tooth structure must be available above the crest of supporting bone. However, this often is not the case when teeth are fractured, severely decayed, or worn. If enough tooth structure is not available, and the restorations are placed too close to the bone, the body reacts by creating a chronic inflammatory reaction that can create red, swollen, and sensitive gums. The gums can bleed easily and even become painful. Eventually, the inflammatory reaction may lead to bone loss around the tooth. To prevent these problems and to properly restore the tooth, the patient should have a dental crown lengthening procedure before restorative treatment.

The gummy smile may be the result of gum tissue growing over teeth that are of proper size. Often times teeth that appear small are, in fact, normal-sized teeth that are hiding under excess gum tissue. Dental crown lengthening removes the excess gum tissue and establishes a more appealing gum line.

What to Expect from Dental Crown Lengthening

Dental crown lengthening is a surgical procedure in which gum and bone tissue is removed from the circumference of the tooth. It is done in the dentist's office with local anesthesia (lidocaine). One or several teeth can be treated at the same time. After carefully reshaping the gum and the bone to expose healthy tooth structure, stitches (sutures) are placed to aid in healing. The stitches are usually removed five to ten days after the surgery. Follow-up appointments are scheduled as necessary to evaluate healing and plaque control. The gums should be allowed to heal for six to eight weeks before making any new restorations. At that time, the gums are more stable and better esthetic results can be achieved.

Post-surgical discomfort can last a few days and is usually minimal. It can be easily managed with commonly available over-the-counter medications such as aspirin, acetaminophen, or ibuprofen. Patients can expect to follow their normal routine the day after surgery.

Benefits of Dental Crown Lengthening

Crown lengthening is recommended to properly restore a broken down tooth or to improve the esthetics of a gummy smile. If a general or cosmetic dentist does not frequently do surgeries, he or she may refer the individual to a periodontist who specializes in dental crown lengthening.

By Laura Minsk, DMD