Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Many of us choose haircuts or clothes based on our facial or body shape so why not our teeth? We are all born with a set of teeth that may or may not be perfect to us. There may be minor flaws or major ones to our eyes. With modern cosmetic dentistry, teeth changes can be made to improve your overall appearance and look very natural.

Cosmetic Dentistry Marielaina Perrone DDS

Cosmetic Dentistry Can Change Your Smile!

Facial Analysis and Cosmetic Dentistry To Transform Your Smile

It is essential for your dentist to do a facial analysis in treatment planning for cosmetic dentistry. The face drives the shape and position of the teeth. If someone smiles at you and it’s a high and wide smile, the teeth might be out of balance or out of proportion to the face. If this is the case, the smile needs to be altered to bring about balance and proportion.

Simply put, the face, mouth, and lips direct the size of the teeth. The facial aesthetic drives the tooth size and position. Your dentist will need to look at the face from both the front and the side, the relationship between the lips and the teeth and the teeth’s shape, color, size and position.

“There is an important harmony that exists between teeth and facial features for a successful cosmetic dentistry result.”

The shape of the head, size and position of the eyes, nose, lips, cheekbones all play a role in determining the size, position, shape and contour of the teeth. Your cosmetic dentist should do a complete analysis with models of your mouth and records may include extra oral photographs of the full face, profile, smile and intra oral photos of the teeth, bite, gums, and arch form, and measurements. The architecture of the mouth, including the patient’s lip line (e.g., a high lip line give a “gummy smile” appearance), and gum line contours are an integral part of facial analysis.

Cosmetic dentistry utilizes many procedures to make the changes necessary to make your smile complement your face. The goal in cosmetic dentistry is to create a natural looking smile, so that only the dentist and patient know what was done. This becomes especially important as we age. Listed below are some of the cosmetic dentistry procedures that can be used to make complementary changes:

Cosmetic Dentistry Marielaina Perrone DDS-Dental BondingDental bonding is the process in which tooth colored dental materials are bonded to a tooth. This might be one of the easiest cosmetic dentistry procedures to change our look. Using dental bonding we can change shape, size, color, length, and close any spaces that might be present. Dental bonding is generally completed in the dentist office in as little as an hour. The main drawbacks of dental bonding are chipping, wearing, and staining. The final product is not as strong as a porcelain restoration and may need to be updated over time, but can be done in less time for less money. While dental bonding is also used to restore teeth damaged by tooth decay it can also be used as a cosmetic veneer. This procedure can easily alter your smile in as little as an hour, and is minimally invasive. Dental bonding is a very easy way to make your smile youthful looking again.

-Porcelain Veneers and Porcelain Crowns. Often referred to as “instant orthodontics”, porcelain veneers can change the alignment of teeth, if the alignment issues are not too extreme. Porcelain veneers and porcelain crowns can be a great way to replace lost tooth structure and alter imperfect teeth creating a more youthful appearance. These cosmetic dentistry procedures tend to require more than one visit, but the results will give you a beautiful, youthful smile that lasts. Porcelain Veneers are custom made, ultra thin, tooth colored shells that are adhesively bonded to the teeth, and do not change color over time. This allows the cosmetic dentist to not only alter color of your teeth, but shape and lengthen as well. Porcelain crowns can be used on teeth that either already have crowns or need more extensive work (having large restorations or tooth decay). Both porcelain veneers and porcelain crowns can as used in cosmetic dentistry to give the patient a flawless, more youthful and attractive smile.

Tooth Shapes To Complement Your Face Type

A good cosmetic dentist will note all factors during treatment planning. Individual facial type is one of those important factors in cosmetic dentistry. The following is a guide to different facial shapes and their complementary teeth shapes:

-Small Face: A small face requires smaller porcelain veneers or porcelain crowns. Long, square shaped tooth shapes should be avoided. If the teeth are too long it will notCosmetic Dentistry Marielaina Perrone DDS be in line with overall proportions of your face.

-Angular or Square Shaped Face: For this type of face softer edges are required. This will help soften the overall smile and merge it better with the rest of your face. Sharp angled teeth may be too harsh of a look.

-Fuller Face: Just like vertical stripes make a person look slimmer, slightly longer teeth can create a slimming effect.

-Thin Face: The key here is to avoid thin, long teeth. They will only make your face appear longer. Wider, fuller teeth will broaden your smile and add fullness to your smile.

Other factors to consider:

-Tooth color - Lighter teeth are what most of us desire when altering cosmetics. Keep in mind, that skin color, lip color, and hair color effect how whit your teeth appear. You, and your dentist should go through several options to see what will work best for you.

-Tooth size - As we age our teeth tend to shift, chip, and wear. Tooth size and shape consequently change. Restoring back to proper proportions make your teeth appear healthier and more youthful.

Cosmetic Dentistry Conclusion

Many dentists call themselves cosmetic dentists, but not all have the proper training, experience, and skill to take an ordinary smile and make it extraordinary. The key to it all, is overall improvement, while keeping it looking natural. The best cosmetic dentistry procedures is make your smile appear natural with the proper color, shape, and light reflecting properties. Your friends and loved ones will love your new smile, without realizing what you have had done!

 

gummy smile fix

Fixing a Gummy Smile

What is a Gummy smile? A person’s smile can be called a gummy smile if a significant amount of gingival (gums) tissue can be seen by others when that person smiles.  A gummy smile by itself is not considered to be unhealthy or abnormal. It has been long considered by dentists a normal variation of human anatomy. Many people with a gummy smile tend to be very self conscious of how they smile, and tend to not smile as broadly.

A gummy smile tends to make the teeth look short and unhealthy. The gingival tissue should be at or just above the neck of the tooth, called the cementoenamel junction. In cases of a gummy smile, the tissue may cover 50% or more of the teeth. The gummy smile can be caused by a variety of things. These can include higher than normal bone tissue, possible incomplete eruption of the tooth, excess gum tissue, or abnormally thick gingival fibers. The presence of excess gum tissue makes maintenance of oral hygiene very difficult or at least more difficult than for patients without a gummy smile. This can lead to unhealthy tissue that can bleed easily as well as increased risk for tooth decay. The excessive tissue will allow food and bacteria to get lodged underneath, causing red, swollen gums and bleeding. This early situation is called gingivitis. Gingivitis is the earliest form of periodontal disease. If this goes untreated the gingivitis

Gummy smile before fix

Gummy Smile – Before

leads to  periodontal disease with progression toward tooth loss. Most people notice this just on the front teeth but it can also happen in the back teeth as well.

Cosmetic dentistry is a great way to fix the gummy smile problem and can be quite rewarding for patient and doctor alike. Upon final completion of a case the results are usually quite dramatic. The completed result is usually noticed by everyone around the patient increasing their self esteem almost immediately. Changing the way you smile can positively change your outlook on life. Patients tend to smile more, and feel more confidence and pride in appearance. When patients return for follow up visits they almost always report they should never have waited so long to have this treatment done. It is that dramatic.

Using cosmetic dentistry to correct a gummy smile is very straightforward. There are two separate procedures to fix a gummy smile. The type of procedure needed depends on the cause of the gummy smile. Whether it is removal of excess gum tissue or, removal of excess bone, or a combination of the two.

gummy smile after fix

After – Gummy Smile procedure

Cosmetic Dentistry Procedures to fix a Gummy Smile

1) Gingivectomy. A gingivectomy is simply the removal of excess gum tissue. By removing the excess tissue and reshaping the gums, you end up with a very cosmetic result. During this procedure a very small amount of gum tissue needs to be removed. The Dentist will generally use a laser, an electrical cautery unit, or periodontal incisions to complete the reshaping and removal of gum tissue. Although the procedure is generally quite painless, local anesthetic is necessary. The treatment requires no sutures and typically the gingival tissue heals within 1-2 weeks. A gingivectomy is usually the prescribed procedure when only a few teeth are affected by the gummy smile. Sometimes, the bone must also be remodeled to correct the problem. Which leads us to #2…

2) Crown Lengthening. During this procedure, excess gum and bone tissue is removed and reshaped to expose more of the natural tooth. This can be done to one or more teeth to expose a natural, even, wide smile. This procedure is a bit more advanced but still relatively easy to perform by a trained dentist or specialist. The gum tissue is removed in the same way as in a gingivectomy, the bone removal requires rotary instrumentation.

There is a very low risk of complications for both procedures. Any discomfort following the procedures can usually be handled by over the counter medications. Patients will see results immediately. But over the next few weeks following the procedure it will look even better. This is because the gingival and bone tissues need time to fully heal. Once fully healed they will see the full effect of a beautiful and healthy smile and can say goodbye to their old gummy smile!