A porcelain veneer is an extremely thin shell of porcelain that bonds to the front of a tooth (enamel). Our cosmetic dentist use veneers to change the shape, color. size and symmetry of the teeth and smile. In cosmetic dentistry, porcelain is the material of choice because it replicates human enamel the most naturally.
If you have teeth, chances are you are a candidate for porcelain veneers. Porcelain veneers are ideal for people who want to improve their smile. Popular reasons include worn teeth, uneven teeth, discolored teeth, crooked teeth, chipped/broken teeth, or a desire to have a gorgeous smile. Porcelain veneers are a conservative treatment, and can improve the color, shape, symmetry and overall appearance of your smile. Porcelain veneers are not just for elective purposes.
Many people spend years disliking their smile. They are embarrassed to smile for pictures, and they cover their mouths when laughing. Sometimes people misjudge a person as unfriendly just because the person doesn’t smile very much. Sometimes a person is so self-conscious of his or her smile that he or she feels they can’t interview for certain jobs even though they are highly educated and qualified. Some grandparents don’t want to show their teeth when they smile at their grandchildren because they are afraid of looking unattractive to a child they love so much. Obviously, cosmetic dentistry using porcelain veneers can be life-changing for many individuals.
Noprep or prepless veneers are very thin porcelain veneers that are used to give you a smile makeover without having to numb you or drill on your natural teeth. They are dental veneers that bond to the front of you teeth, improving the appearance, symmetry, color, and shape, resulting in a new and gorgeous smile.
No-Prep veneers, like Lumineers, have been around for decades. While they were able to achieve porcelain bonded to enamel without drilling teeth, unfortunately, they were lacking in aesthetics and durability. However, for the past decade, the technology has been improving significantly. The results we are able to achieve are now extraordinarily beautiful and long-lasting.
What is the difference between no-prep veneers and traditional veneers?
No-prep veneers achieve the same gorgeous results we have always achieved in our smile makeover procedures using traditional dental veneers. The major difference between traditional veneers and no-prep veneers is that no-prep veneers require no numbing or drilling of your teeth.
Even though our prepless veneers are paper thin (0.2-0.3mm thick!), they are just as strong as your enamel once we bond them in place. And because they are so thin, they do not look or feel bulky. They can be used to improve the color, shape, symmetry and overall appearance of your smile.
3. Tooth bonding (white fillings and cosmetic bonding)
What is Dental Bonding?
Dental bonding is the use of white (or tooth-colored) composite (filling material) for filling, or repairing, or making aesthetic improvements to a tooth. The procedure is – what we in the profession call – “technique-sensitive,” which means the systems in the procedure have to be performed precisely and without error.
Unlike placing mercury fillings where you essentially fill a hole, placing composite bonding takes precision and detail or the tooth bonding will fail (the filling will leak, fall out, crack, break, or the patient will have sensitivity after the filling is placed. Done correctly, however, dental bonding is an excellent, highly aesthetic, and long lasting result for repairing, restoring or enhancing a tooth.
There are two basic types of dental bonding procedures :
Restorations (fillings/repairs of chips, cracks, etc)
Cosmetic Bonding (prepless veneers)
White or tooth-colored fillings have been a preferred method of filling teeth for decades. These fillings are an excellent option for filling a small cavity, replacing a small old mercury or composite filling, and repairing an otherwise healthy broken tooth.
Limitations of the bonding material exist when the cavity or old filling is large, if the tooth to be restored has cracks or fractures, or if there is are heavy chewing forces on the tooth to be restored. Sometimes a porcelain filling is a better option than dental bonding.
we use a highly aesthetic bonding material applied directly to your teeth to fix dark or white spots, repair chips/fractures/cracks, reshape teeth, reduce the poor appearance of crooked teeth, and whiten your smile.
Are they’re any drawbacks to Dental bonding? Even though dental bonding material is an advanced polymer, it is still a type of plastic. And, a drawback to plastics as a restorative material is that they are porous (on a microscopic level), and therefore they absorb stain. So, in the smile zone, if we are covering all of the teeth with chairside bonding/veneers, these restorations will require more maintenance (polish, stain removal, chip repair) than using porcelain (which is resistant to stain because it is not porous
In modern dentistry, the most aesthetic option for a crown (or cap) is the all porcelain crown. Nothing replicates natural enamel and dentin better than porcelain. In the past, the porcelain systems were weaker, thus the base of the crown had to be made of metal and THEN porcelain was fused to that metal. Ever wonder why you see a dark line at the gumline of some people’s teeth? It’s because of the metal that exists underneath the porcelain.
So we offer different kinds of crown category depending upon requirement and will of the patient
1) Having a pre-existing denture that you want replaced with cosmetic dentures or high-end porcelain or acrylic teeth
2) There is the presence of such massive decay and advanced periodontal disease present. The most predictable and effective option might be a beautiful denture.
3) An edentuluous arch( no teeth in mouth)
Before Dentures and After Dentures
What types of dentures are there?
Dentures held in the mouth by nothing other than passive retention. This means that impressions are taken of the mouth (without teeth) and dentures are fabricated precisely to the underlying gum.
Typically, people who have a denture in this situation have to rely on denture adhesives or pastes to keep the denture in place throughout the day.
This is especially the case on lower dentures because the ridge of bone and gum on the lower is not as substantial as that on the top, so the denture "flops" around more. The upper denture is usually a little more stable in this situation because it utilizes the surface area of your palate to help keep things in place.
A denture that is essentially attached to either two dental implants or two mini-implants. You can see how this option helps to stabilize and retain the denture in the mouth. The denture will actually "click" into the two positions.
Old dentures (or your existing denture) can usually be retro-fit to accommodate the denture. As far as dentures go, this is the second best denture option for long term. almost all lower dentures should be an over denture because otherwise they just "flop" around, making it difficult to speak and talk. This option still makes the denture removable each night.
Implant Dentures (hybrid bridge):
This option is not really a denture – it's more like a fixed bridge. Typically 4 or 6 dental implants are placed on the upper and lower arch. The denture hybrid (implant dentures) is actually fixed to the implants in the mouth.
The advantage to implant supported dentures is that they are the most stable and most aesthetic option, however, due to their complex nature and the amount of dental implants necessary to support them, they are also the most expensive.
A dental implant (or tooth implant) replaces a missing/lost tooth. dental implants consist of 3 parts: a titanium screw that replaces the root of the tooth, a porcelain crown that replaces the missing tooth, and a piece in the middle (called an abutment) that connects the screw and the crown.
If you lose a tooth or are missing a tooth resulting in a gap between your teeth, your remaining teeth, jaw, and bite will become unstable. Dental implants replace missing teeth (fill in the gap) and restore stability to your mouth/teeth.
Who is a candidate for dental implants?
Dental implants are an ideal treatment option for most healthy people. In most cases, dental implants are a better option than a porcelain bridge. Exceptions to this rule are patients who are long-term heavy smokers, uncontrolled diabetics, and patients who have undergone bisphosphonate treatment. To find out if you are a candidate for dental implants, schedule a consultation visit to discuss all of your options for restoring your teeth.
What are the advantages to dental implants?
There are several advantages to choosing dental implant treatment. First, the tooth implant replaces the whole missing tooth (crown and root). Because the root of the tooth is restored, the bone supporting the implant remains healthy and strong. Left without a root or implant, the bone will resorb (atrophy) away leaving a defect in the jaw.
Another advantage of dental implants over a bridge is that the teeth next to the imlpant do not require any work/drilling. When we use a bridge to replace missing teeth, we have to file the teeth on either side of the space. A great advantage of implants is that once they settle in, they rarely fail. You may need to replace your implant abutment or implant crown after a long while, but it is extremely rare to ever need to replace the entire tooth implant system.
From the patient’s perspective, an implant looks and acts just like a normal tooth. You can floss it just like a tooth, and it looks and functions like a natural tooth. Dental implants are one of the most successful procedures available in dentistry today.
What are the disadvantages to dental implants?
One drawback to dental implant treatment is that the process takes a while. From start to finish, the process takes between 4 and 6 months. After the tooth implant is initially placed, it has to have time to settle into the jaw (through a process called osseointegration). After the implant settles in, the implant can be completed in 2 to 3 weeks.
7. Full mouth Restoration
Full Mouth Reconstruction is the systematic approach to restoring all (or nearly all) of your teeth at the same time. There are different reasons for needing this full-mouth restoration treatment.
teeth that are severely worn down
multiple missing teeth
a deep bite (the top teeth bite too far down over the bottom teeth)
patients who want instant orthodontics (using porcelain veneers, bridges, or other restorations on all of the teeth to ideally reshape and reposition the teeth)
severe decay in all or most of the teeth
severe erosion of the enamel
congenital disorders that cause missing teeth, missing enamel, or poorly-formed teeth
Who is a good candidate for teeth whitening?
Almost everyone is a candidate for teeth whitening or teeth bleaching. However, some dark teeth are much more resistant to the dental whitening procedures. Teeth that are discolored with dark gray or reddish shades are the most resistant to teeth whitening; an example of this type of dark shade appears in teeth affected by tetracycline. Still, even these dark teeth will whiten to some degree with long-term compliance. Depending on the results you desire, whitening may be an option for dark (gray/red) teeth. Otherwise veneers are an excellent option and allow you to choose how white you want your smile to be.
What is the material used for teeth whitening?
Peroxide (either hydrogen peroxide or carbamide peroxide) is the agent used in professional dental whitening procedures. The peroxide enters the teeth and whitens the inside layers (dentin) of the teeth.
How does it work?
We place protective barriers and coatings on your lips, cheeks, and gums so that the peroxide is isolated to contact only your teeth. Your job is to sit back, relax. After two or three cycles of the peroxide gel placed on your teeth, your teeth will get shades whiter in just 45mins.
It takes an average of 3 in-office dental whitening procedures to get your teeth to the whitest shade your teeth can attain. It does not work better than the trays or strips, it just works faster. This system is great for someone who just can’t follow through with wearing trays or strips for an hour-a-day. Basically, we do it for you so you don’t have to. For people with sensitive teeth, this system may exacerbate the sensitivity for a few days after the procedure. We do have some medications you can use after your in-office dental whitening in order to reduce some of the sensitivity. For patients with extremely sensitive teeth, lower-strength strips or trays may be a better option.
If you don’t want to “mess” with the trays, and you prefer a more “instant” result, our clinic might be the perfect teeth-whitening solution for you.
Custom Trays: “Take-Home Trays”
Whitening with custom trays is the system that has been most widely used over time. It is considered the gold standard for teeth whitening. It entails us making models of your teeth and fabricating a clear plastic tray that fits perfectly to your teeth. You are given syringes of whitening gel to place in your trays. Then you wear your trays with the gel in them for an hour each day or — if you are able — at night while you sleep. The peroxide gel enters your teeth and, though the same process as other professional whitening systems, whitens your teeth from the inside-out. One of the benefits of having these trays is that when you run out of gel, you only need to purchase more gel syringes- not a whole new system. So, it’s great for touch-ups .
How long will it take to whiten my teeth?
The answer depends on which system you are using, how dark your teeth are to start with, and how white you want to get your teeth. If you are using an at-home system, the typical systems require you to whiten every day for 10 days to 2 weeks. If your teeth are very dark to begin with, it may take several weeks of wearing trays while you sleep. Finally, if you are using an in-office system, it takes – on average – 3 procedures to reach maximum brightness. Sometimes, patients will use the in-office dental whitening procedure as a jump-start to an at-home teeth whitening procedure in order to maximize the results.
How white will my teeth get?
On average, with an Atlanta Dental Spa professional whitening system, you can expect your teeth to get approximately 3 shades whiter. If your teeth are already very bright to start with, they may only get a couple of shades lighter (there is a limit to how white natural teeth can get). Up to this maximum whiteness (or plateau), the more you whiten, the whiter your teeth will get. For people who want their teeth whiter than nature will allow (or people who want the really results right now, conservative porcelain veneers (even no-prep veneers) are an excellent treatment option. Porcelain veneers are not limited to natures “plateaus”, and they give you the freedom to choose any shade you desire for your smile.
There are two known pathways leading to oral cancer. This first is tobacco and alcohol use. The other is through exposure to HPV (human papilomma virus – HPV16). When oral cancer is detected early, survival rates are good (80-90%). Unfortunately, most oral cancers are not detected until late stage, which is why the death rate from oral cancer is high (45% five years after diagnosis). In the India, oral cancer kills one person every hour of every day; this is why our doctors believe taking an oral cancer screening test is vital to helping maintain your oral health.
Emergencies always happen at the most inconvenient times. Especially tooth pain, which seems to happen when we least expect it. Such as, when you are heading out of town for vacation, on your way to a special event or trying to get through your work day. Don't worry.
We will assess your level of pain, how long you've been in pain and whether or not the pain is keeping you up at night.
Chipped a tooth
Lost a filling
A mouth sore, etc.
If this is the case, we still want to see you as soon as possible. At times, these happenings can start out pain free but then get to a painful level very quickly. We never want our patients to be in pain, especially if it is preventable by having services completed prior to this pain beginning. Occasionally, we can recement a crown for you as long as the crown still fits and the tooth structure underneath is healthy. This can be done without numbing or drilling many times! It is important to note that leaving these "minor" emergencies untreated can result in a bigger problem. We always recommend seeing your dentist as soon as possible, if you chip a tooth or lose a restoration.
Why a Root Canal is needed
A root canal is needed when damage occurs to a tooth’s pulp. This can happen due to injury or due to severe tooth decay. A root canal is often a dreaded procedure but this can be an alternative to a tooth extraction and can be a very effective way to eliminate tooth pain. While root canals can take two or more appointments, we will work to make each appointment as comfortable as possible for you; we strongly believe in practicing gentle dentistry.
The extent of the procedure and effectiveness will depend on how extensive the tooth damage is. During the root canal treatment, the area is assessed and then the damaged and / or dead pulp is removed and the area is then sealed.
What is needed after a Root Canal?
After a root canal, you should consider having a crown put over the tooth as this will help prevent tooth breakage. This is especially helpful if extensive restoration was done, leaving a thin shell of a tooth.
A wisdom tooth, in humans, is any of the usual four third molars. Wisdom teeth usually appear between the ages of 17 and 25. Most adults have four wisdom teeth, but it is possible to have fewer or more, in which case the extras are called supernumerary teeth. Wisdom teeth commonly affect other teeth as they develop, becoming impacted or "coming in sideways." They are often extracted when this occurs.
Why wisdom tooth should be extracted?
Wisdom teeth are extracted for two general reasons: either the wisdom teeth have already become impacted, or the wisdom teeth could potentially become problematic if not extracted. Potential problems caused by the presence of properly grown-in wisdom teeth include infections caused by food particles easily trapped in the jaw area behind the wisdom teeth where regular brushing and flossing is difficult and ineffective. Such infections may be frequent, and cause considerable pain and medical danger. Other reasons wisdom teeth are removed include misalignment which rubs up against the tongue or cheek causing pain, potential crowding or malocclusion of the remaining teeth (a result of there being not enough room on the jaw or in the mouth), as well as orthodontics.
13. Filling( removal of caries)
A dental restoration or dental filling is a dental restorative material used to restore the function, integrity and morphology of missing tooth structure. The structural loss typically results from caries or external trauma. It is also lost intentionally during tooth preparation to improve the aesthetics or the physical integrity of the intended restorative material