Family & Cosmetic Dental Care in a Relaxed Environment.

Exceptional Dentistry Las Vegas and Henderson NV Since 1999.

Dental Implants, Teeth Whitening, Porcelain Veneers, &
Botox Cosmetic.

Las Vegas Dental Implants Marielaina Perrone DDS

Dental Implants – Solution for Tooth Loss

In today’s world, when a tooth is lost, most of us would like it replaced permanently with another tooth. The options for patients varies among different cases and situations. In the case of a lost or missing tooth, there have been traditionally several ways to restore it. The removable flipper, a cemented 3 tooth bridge (fixed bridge), or dental implants. If you have ever seen or worn a flipper, basically a removable retainer with a tooth attached, you know that it is not the best option. A fixed bridge may be necessary if there is inadequate bone or health issues deeming implants a higher risk. Dental implants have become the optimum choice, basically replacing the tooth with a whole new tooth.

Traditional Dental Bridge

A traditional dental bridge, utilizes one or more adjacent teeth for stability. A bridge is anchored to healthy teeth at either end. With a traditional dental bridge, the  tooth behind and in front of the missing tooth are trimmed down, to accommodate the fitting of crowns.  The bridge usually consists of 3 crowns fused together, and is custom fabricated by a laboratory technician.

There are three types of Fixed Dental Bridges:

-Traditional bridges involve fabricating a crown for the tooth on either side of the missing tooth, with a pontic (fake tooth) fused in between. Traditional bridges are the most common type of bridge and are generally made of either porcelain fused to metal or all porcelain.

-Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth. The cantilever extends out over the missing tooth space without end support. This type of bridge can cause rocking and damage to the tooth or teeth it is attached to.

-Maryland bridges (also referred to as a resin-bonded bridge) are made of plastic or porcelain teeth and gums supported by a metal framework structure. Metal wings on each side of the bridge are adhesively bonded to your existing teeth. The metal can show through and hamper cosmetics.

Dental Implants

A dental implant is essentially a new root for your new tooth. The implant is surgically placed into your jaw, the bone grows around it and actually sticks to it. The process is called osseointegration. This is what gives the implant it’s strength. It is actually stronger than a natural tooth. The best part, is you do not have to disrupt the surrounding teeth, and it will never decay.

Las Vegas Dental Implants Marielaina Perrone DDSPros and Cons

-Dental implants may be less noticeable and provide a more natural cosmetic appearance.

-Dental implants can be flossed, brushed , and treated like a normal tooth, bridges require more complex hygiene maintenance.

-Dental implants provide more efficient chewing than bridges, which may chip, break, or shift.

-Dental implants have a 98% success rate.

.-Bridges require healthy, stable teeth on either side of the missing tooth or teeth for placement. This is not required in the case of dental implants.

-The teeth to which a traditional bridge is attached are permanently affected by the procedure of placing crowns on them. With dental implants, adjacent teeth are not affected or prepared in any way. If one tooth to which a bridge is attached develops problems, the entire bridge will likely need to be replaced.

- Dental implants are generally a bit more expensive than bridges.

-Dental implants can fail. They may not integrate with bone, may develop periodontal disease, or may break.

-Dental Implants generally take a few months from start to finish of treatment, whereas a dental bridge can be completed in about 2 weeks.

Longevity

The average life span of a bridge, with proper oral hygiene, is eight to 15 years. Dental implants are considered permanent, although any crowns or bridges attached to them are subject to normal wear and tear and may need to be replaced at some point. Proper oral hygiene is crucial to the success of any restorative dental work.

Conclusion

In today’s modern dentistry, dental implants are quickly becoming the first choice for many. The choice of an implant has become more affordable, and more successful. Life is all about choices. The dentist can give the patient the pros and cons of each procedure and allow the patient to make the most educated decision they can.  The procedure  you choose will solve the problem of a missing tooth, in the way that works best for you.

cosmetic dentist - lumineers

Cosmetic Dentistry – Lumineers

Lumineers are a very popular option for the cosmetic dentist. It gives the cosmetic dentist the ability to modify a patient’s smile with minimal preparation of the teeth. This cosmetic dentistry technique is best used for patients who have spacing between their teeth and only minor tooth rotations. Most cosmetic dentists employ conservative bonding techniques in which they only remove enough surface enamel to allow a laboratory technician to create custom veneers for the patients.

Often Lumineers do not require the cosmetic dentist to remove any tooth structure for their placement. Lumineers are bonded adhesively to the front (also called the facial surface) of the teeth. This allows the process to be as minimally invasive as possible.

Traditional porcelain veneers are generally thicker than Lumineers. They also require removing part of your natural tooth structure. Traditional porcelain veneers are utilized when there is a greater modification need by the cosmetic dentist for the perfect result. This can include extensive tooth rotation, teeth not in alignment, fractured teeth as well as changing the length.

Lumineers are unique in that they are quite thin (about 0.3 mm) and very translucent. This allows them to replicate the enamel’s natural appearance and light reflection properties. Lumineers are so thin they require little to no tooth reduction and no anesthesia. When the procedure is completed they look and feel natural. Since there is no tooth reduction in most cases there will be no post-op sensitivity or placement discomfort.

Lumineers Vs Porcelain Veneers

Porcelain Veneers are wafer thin custom fabricated shells that adhesively bond to the teeth. Porcelain Veneers are permanent, custom-shaped and require the removal of approximately .5 mm of the original tooth to allow space for the new porcelain veneers.
Lumineers are far thinner and are about the thickness of a contact lens. The original tooth structure does not need to be shaped for placement. If a patient wishes, Lumineers are reversible.

Lumineers are the perfect choice for minor adjustments to your cosmetic look. They are not recommended for a major cosmetic dentistry makeover or instant orthodontic work. However, without removal of some tooth structure, Lumineers may feel bulkier than porcelain veneers.

cosmetic dentist - lumineers

Cosmetic Dentistry – Lumineers

Lumineers are best to extend small teeth, fix a minor chip in tooth, or change color of the teeth. For patients who want to close a larger gap between teeth, traditional porcelain veneers are preferred over Lumineers. Porcelain veneers allow more flexibility in molding and shaping to give the best cosmetic outcome. One size does not fit all, that’s why cosmetic dentistry is all about options.

Lumineers Benefits

-Lumineers are easily completed in 2-3 visits.

-Temporaries are usually not necessary due to limited or no reduction of tooth surface.

-Longevity is similar to porcelain veneers.

-Reversible. If no tooth reduction was needed the entire process can be reversed.

-Cost. Lumineers are generally less expensive than traditional porcelain veneers.

-Lumineers are able to be placed over existing bridgework or crowns. This however is generally not recommended.

Lumineers Disadvantages

-Lumineers may end up making teeth look bulky.

-The thinness of the Lumineers could allow darker teeth to show thru. They are not able to hide darkly stained teeth like porcelain veneers can.

-Patients with a tight bite are not good Lumineers candidates. This is because applying Lumineers to the tooth surface slightly increases the biting surface in the mouth, and can change the patient’s bite pattern.

-Patients who frequently grind or clench their teeth are not good candidates for Lumineers.

lumineers - cosmetic dentist