15303 Amberly Drive, Suite D
Tampa, FL 33647
Juan C. Portuondo, D.D.S.
555 Biltmore Way
Coral Gables, FL, 33134
Cosmetic Dentistry Melbourne
501 North Harbor City Blvd.
Melbourne, FL, 32935
Dr. Kenneth A. Mogell D. M. D
2900 N Military Trl Ste 212
Boca Raton, FL, 33431-6308
1906-A 59th Street West
Bradenton , FL, 34209
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
When you decide to have crowns done, especially if they involve your front teeth, you will want to be able to give your input regarding how the final crowns will look. One way to do this is with temporary dental crowns. When your teeth are prepared for crowns, the dentist will place temporary dental crowns for you to wear while the final crowns are being made.
There are some differences between temporary dental crowns and final crowns that you should be aware of. Temporary dental crowns are made of a different material, usually some sort of a plastic or acrylic. Since these materials are not as strong as your own teeth, you will have to be careful of what you eat. You should avoid hard foods such as nuts, and tough foods such as bagels or French bread.
Another difference is that temporary dental crowns are cemented on with a dental cement. The reason for this is that the cosmetic dentist will need to be able to remove the temporary dental crowns when it is time to cement the permanent ones. Since the cement is not as strong, sticky foods may cause them to come loose.
If your temporary dental crowns come off or are loose, you should call your dentist so that they can be re-cemented. It is important not to wait, as the tooth may be sensitive, it may move, or, if a long enough period of time passes, the tooth may get decay. As far as home care, your temporary dental crowns should be cleaned with a toothbrush, just like your own teeth. When flossing, though, it is important to floss towards the gums and then slide the floss out by one end rather than lifting it back up through the teeth. This will help ensure that your temporary dental crowns do not come off while flossing.
By Greggory Kinzer, DDS, MSD