Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Many of us see a beautiful smile and wish that it could be ours. Few of us are born with perfectly shaped, straight, white teeth. In the past, “natural smiles” were the norm, but today, cosmetic dentistry has evolved to offer many corrective options. This has allowed many patients to take advantage of these modern options to give them that “perfect smile” they have always dreamed about. What about those patients who choose not to go that extra step for that perfect smile?

What Is Snap On Smile?

Snap on smile is a revolutionary solution for many cosmetic dental issues. The beauty of the snap on smile is that it is a totally reversible cosmetic dentistry option. The snap on smile is much more affordable than porcelain veneers or porcelain crowns. In general, the snap on smile procedure costs as much as a single porcelain crown.

Snap on smile is a removable arch of “teeth” which is designed to snap over the existing teeth. The snap on smile removable appliance is made from an extremely strong dental resin. It can be used as a short term or a long term cosmetic dentistry option. The following are the steps involved in the fabrication of a custom snap on smile:

-Dental Impressions. This will include impressions of the teeth, photographs, along with a bite registration. A bite registration allows the dental lab to know the relationship between the upper and lower teeth. At this visit you and your dentist will also pick out the style, shape, and color of your new smile.

-Dental Laboratory. The information gathered by the dentist is then sent off to the dental laboratory. The dental technician will digitally create the custom made snap on smile.

-Snap On Smile Insertion. Following fabrication by the lab technician, your dentist will then place the final product over your teeth. The snap on smile pops right in over your own teeth and fits perfectly.

The snap on smile is so simple to complete without the need for removing any of your natural tooth structure or need to use any anesthesia. The beauty is that it is completely removable at any time with no effect to your natural teeth.

Common Snap On Smile Questions

-Will Snap On Smile Affect My Speech? It usually takes about 2 weeks to get used to the new teeth and speak as yo did before.

-Is It Covered By My Dental Insurance? Snap on smile is considered a cosmetic procedure and is therefore not covered by dental insurance.

-Will It Stain? Your dentist will supply you with special snap on smile cleaning supplies. This kit includes a cleaning solution and an antibacterial gel. Using this kit regularly will help keep your new smile looking like new.

-How Long Does It Take? The entire process can be completed in as little as 3 weeks. The initial appointment (includes photos and impressions) should take 15-20 minutes. The laboratory needs about 2 weeks to complete fabricating your new snap on smile. And the final appointment is a short one ensuring proper fit and comfort.

-Is There A Warranty? There is a 1 year warranty, but an extended warranty can be purchased.

-Can I Cover All Of My Teeth? Upper and lower snap on smiles are available, however most people choose to do the upper only.

-Can I Eat And Drink While Wearing My Snap On Smile? Yes, your new smile is designed to wear during eating and drinking. However, be aware your new smile can stain just like your real teeth if not cleaned properly.

With the movement of modern cosmetic dentistry into all porcelain crowns from traditional porcelain fused to metal crowns (PFM crowns), many have wondered if the

Porcelain Crowns Marielaina Perrone DDS

The Natural Look of Porcelain Crowns

porcelain crowns would be as effective in the long term. Well, recent studies have shown that they are just as strong and maintain their beauty over time as well.

The main differences in porcelain crowns are the type of porcelain used, and how they are fabricated. Different porcelain types and strengths are used for different reasons. Remember also, that a lab created porcelain crown, is of higher fabrication quality and fit, than an in office computer milled crown.

Porcelain Crowns Long Term Study

The researchers at the Medical University at Innsbruck studied a little over 1,300 all porcelain crowns placed between 1987 and 2009. They were tested for predictability and strength and found to have a high,(93.5% probability of survival) success over a 10 year period. The study was published in the International Journal of Prosthodontics). The study included those with root canal teeth, and those who grind their teeth.

A total of 302 patients (120 men and 182 women) participated in the study. They were examined at the university during regularly scheduled visits for dental examination. Patient-specific data about sex, age, tooth sensitivity, smoking, and grinding  were noted, as well as self-reported data regarding their level of

Cosmetic Dentist Marielaina Perrone DDS

satisfaction with their restorations: excellent, good, medium, or none. The porcelain crowns were broken down into areas of mouth as well, into front( anterior), and back( premolar, and molar) regions.
All 1,335 porcelain crowns had been placed at the university between November 1987 and December 2009. Of these porcelain crowns, 451 were observed over a 10-year period, 84 for 15 years, and 24 over 20 years.

Dental examinations were completed by two dentists in the spring of 2010. One dentist had placed the majority of porcelain crowns, whereas the other dentist involved in examinations had placed none of them. California Dental Association/Ryge criteria were used to rate each porcelain crowns as a success, relative failure, or absolute failure.

Any porcelain crowns that had severe enough issues to warrant replacement were considered an absolute failure. If a finishing procedure or polishing was able to fix the issue, the porcelain crown was labeled a relative failure.

Of the 1,300+ porcelain crowns in the study, only 95 porcelain crowns were rated as failures, 79% of which were absolute failure. Most failures occurred in the anterior region, with 65, while 19 occurred in premolars and 11 occurred in molars.

Success rates remained strong over time. The estimated survival rate was 97.3% at five years, 96% at eight years, 94% at 10 years, 85.8% at 15 years, and 78.5% after 20

Porcelain Crowns Marielaina Perrone DDS

The Beauty Of Porcelain Crowns

years. Almost half of all porcelain crown failures happened in the first 8 years..

The most frequent reason for failure was fracture,(cracks) of the ceramic, according to the researchers, followed in order by cracks in the ceramic and decay.

Root canal teeth and patients who grind their teeth, had higher failure rates.

Patient responses to questions about satisfaction were very positive. With 96% rating it as excellent and 4% rating it as good. The surprising thing about this study was that even patients with failures thought that porcelain crowns were an ideal dental restoration and would do it all over again.

Porcelain Crowns Conclusion

Porcelain crowns are a proven part of cosmetic dentistry and with recent advances in dental porcelain (like e.max porcelain crowns) these results will be even better into the future. Porcelain crowns are an ideal restoration due to their color, shape, and light reflecting properties. The study just proves that they are an asset to any dental patient.

 

Dental Bonding (also referred to as Adhesive Dentistry) is the process whereby your dentist or cosmetic dentist rebuilds, reshapes, and/or covers tooth defects using tooth-colored materials (composite resins).

Chipping a tooth is one of the most common dental emergencies  that patients and dentists face. Luckily, with modern materials and techniques, it is a situation that is can very easily and quickly be fixed. If the chipped or missing area of tooth is less than about 1/3rd of the tooth surface, dental bonding can be utilized as an option to replace the missing tooth structure with a matching tooth colored material. In situations like this, the dentist can restore your tooth in as little as 45 minutes, sometimes, with no need for local anesthesia. If the chipping covers more than 1/2 of the tooth surface, dental bonding is not generally, a good long term answer. The dentist may instead, recommend a traditional crown PFM (Porcelain fused to a metal framework crown) ,an all porcelain crown or a porcelain veneer.

What is Dental Bonding?

Dental Bonding is a procedure used in cosmetic dentistry to restore a tooth after it has discolored, decayed, broken or chipped. The cosmetic dentist will use a tooth colored material called a dental composite to rebuild the tooth to its former shape,color, and size.

Steps Involved in Dental Bonding

-Preparation. Very little preparation is needed for dental bonding, especially in the case of a chipped tooth. Anesthesia is usually not even needed unless the dental bonding is needed to restore a deeply damaged or traumatized tooth, a fracture close to the nerve, a sensitive tooth, or a tooth damaged by a tooth cavity. Your dentist will need to roughen up the surface and clean the edges to prepare the area to accept the dental bonding. Your dentist will also select a color match for the composite resin they will use. This is generally done by matching to your existing tooth structure.

-The Actual Dental Bonding Process. As mentioned earlier the surface of the tooth will be roughened and an acid etch (phosphoric acid), will be applied to the tooth. The etch removes surface debris and  opens up tiny tubules to bond to. Next, a primer is applied to wet the surface and allow the adhesive  to flow into those tubules. Third, the adhesive bonding agent is applied, this  allows for the material to adhesively bond to the remaining tooth structure. The tooth-colored composite resin is then applied to the effected area, molded, and smoothed to the desired shape. A special light is then used to harden or cure the material. Once the material is hardened, your dentist will need to do more shaping and polish it to match the sheen of the rest of the tooth surface. One of the most important parts of the entire process is in the final shaping and polishing. It is important to blend the composite resin properly to get a result that looks and feels like your natural tooth structure. Once the dentist is happy with the result, they will check your bite. By checking your bite the dentist ensures that your teeth are all biting evenly and not hitting the new restoration first when biting and chewing. The correct bite will allow the bonding a better chance to last.

The entire process should take anywhere between 30-60 minutes depending on size of chip. If done properly, dental bonding should not be noticeable to anyone. It should match your existing tooth structure perfectly.

Dental Bonding - Marielaina Perrone DDS

Dental Bonding – Chipped Front Tooth

Advantages of Dental Bonding

-Dental bonding is probably one of the most fulfilling cosmetic dentistry procedures to perform.

-Dental bonding can be completed in office in one short visit. As opposed to a porcelain crown or porcelain veneer which take 1-2 hours . Crowns and veneers take multiple visits to complete and need a dental laboratory to custom fabricate the porcelain crown or porcelain veneer.

-Local Anesthesia is usually not needed unless there is trauma or tooth decay involved.

Disadvantages of Dental Bonding

-Dental bonding can stain over time

-Dental Bonding can break down over time. It is not as strong as an all porcelain crown or even a porcelain veneer.

-Dental Bonding can chip just like a natural tooth. Precautions need to be taken when eating and chewing.

Dental Bonding - Marielaina Perrone DDS

Dental Bonding – Replacing older Metal Restorations

 

Dental bonding is an effective and cost effective way to repair and reshape damaged teeth. If you think you may need dental bonding, your dentist can let you know if this procedure is a good option for you.

Porcelain crowns have been a staple in cosmetic dentistry for years. It gives the dentist and patient a much more aesthetic appearance as a final product. In the past crowns and bridges were traditionally made of porcelain fused to metal (PFM). With the development of modern porcelain, which are incredibly strong and reflect light similar to natural teeth, full porcelain crowns can be used in most areas in which porcelain fused to metal crowns were used. This is especially true in a cosmetic area of the mouth.

Porcelain crowns are very versatile and used in many ways. The cosmetic enhancement use of porcelain crowns include, changing color of teeth, closing gaps between teeth, fixing teeth that are crooked or crowded, changing shape or size of teeth. Porcelain crowns are also used to cover and protect damaged teeth, (tooth that has a root canal, broken, cracked, large fillings), and to act as a new tooth in the case of dental implants. Their versatility gives the dentist a greater flexibility in using them to fix potential issues for the patient.

cosmetic dentist emax crown

Emax Porcelain Crowns

The first step often times includes impressions for study models and photos. The patient and dentist can then discuss and plan what the end result should be. The treatment includes preparation of the tooth surface for the porcelain crowns. The outer enamel and sometimes a bit of  the dentin are removed. This allows room for the porcelain crowns to fit over the teeth and be in perfect cosmetic alignment with the others. Impressions are taken of the newly reshaped teeth and temporary crowns are made.  The porcelain crowns are custom made in the laboratory. The porcelain crowns are then cemented or bonded onto the teeth using an adhesive bonding material. The placement of the porcelain crown will normally take about 30 minutes (depends on amount of porcelain crowns being placed). Once completed,  the patient can eat normally and enjoy the benefits of a beautiful new porcelain crown that matches and blends perfectly with the patients existing teeth. Only you and the dentist should know anything was done.

Advantages of All Porcelain Crowns

-No PFM gray or black lines at the Gum Line of Teeth. You may have noticed a person with a dark line in the gum area along a PFM crown edge. With PFM crowns, the soft tissue around the tooth can recede over time. This allows a reveal of the metal framework underneath. This cannot happen with an all porcelain crowns because they are metal free.

-Perfect Fit. Porcelain crowns are created in state of the art facilities. Porcelain crowns will fit so well you will even forget they are present.

-Cosmetically Perfect Match. All porcelain crowns have the ability with modern porcelains to match your existing shade of tooth color as well as mimic the light reflecting properties of your natural teeth. Porcelain crowns will be undetectable to anyone but you and your dentist. Dental porcelain can be shaped custom colored and sculpted to closely copy the look of your own natural tooth enamel. All the while providing the desired strength and resilience.

Some disadvantages of an all porcelain crowns:

-Higher cost over traditional PFM crowns.

-Durability. While porcelain crowns are very durable, they do not have the flexibility of natural teeth, they can fracture. Avoiding certain foods may be necessary. For example, Biting into sandwich with a hard bread. Patients who grind and clench their teeth will need to be fitted with a mouth guard to protect the porcelain crown from unnecessary and excessive pressures.

-Porcelain crowns may need a bit more reduction of tooth structure than traditional PFM crowns.

-Sensitivity may happen for a short time, (hot, cold sensitivity), especially with bonded porcelain crowns.

Follow-up Maintenance of All Porcelain Crowns

The maintenance of porcelain crowns is actually very easy.  They require routine brushing with non-abrasive fluoride toothpaste and regular flossing as well as regular visits to the dentist. A follow-up appointment will be scheduled to evaluate the porcelain crowns about 2-4 weeks after they are placed in the mouth This allows the dentist to review the work with tissues all healed and see how your oral tissues are reacting to the crowns. Even if you think the crowns are successful, this appointment is an important part of your future oral health.
There are several types of all porcelain crowns generally used in dental offices today. They have all proven to give the best cosmetic dental results.
-Zirconia Crowns or Lava Crowns (made by 3M Espe). This type of all porcelain crowns are made out of a zirconium core with porcelain pressed or layered over the crown to follow the natural contours of teeth. These crowns offer good strength and durability. Due to great strength, the material can be used to make a bridge.
-Procera Crowns (made by Nobel Biocare). These are made of an Alumina core with porcelain pressed or layered over the crown to follow the natural contours of the teeth. These crowns offer great strength and durability and are esthetically quite beautiful. Often used in the back of the mouth, (premolars, molars), these are cemented in with traditional cement and have less post-placement sensitivity.
-Empress II Crowns (made by Ivoclar Vivadent).These highly cosmetic porcelain crowns are used in the front of the mouth. They are used mostly for cosmetics, are very beautiful, but can fracture.
-eMAX Crowns or IPS e.MAX Crowns (made by Ivoclar Vivadent). These porcelain crowns are entirely made out of porcelain without a underlying framework. The absence of this framework offers a great advantage over Zirconia crowns, Lava crowns and Procera crowns in that e.MAX crowns allow for more light transmission through the crown translating to a more superior cosmetic dental result. The strength of these porcelain crowns is such that they can be used in any area of the mouth, can be made thinner than most porcelains, and can be used for an implant without much worry of fracture.
Cosmetic Dentistry is the art and science of creating a beautiful smile. The all porcelain crowns are just one more tool that the dentist can use to give you that smile you’ve always dreamed of.
Procera Porcelain CrownsLava Crowns Ivoclar VivadentPorcelain Crowns 3M Espe