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Serving Las Vegas and Henderson, Nevada since 1999.

Cosmetic dentistry is usually not the first place people look when they are desiring to look younger. Generally a plastic surgeon is the first stop for that task. Cosmetic Dentistry procedures such as teeth whitening, porcelain veneers, or even dental bonding can make a dramatic effect on a person’s outward appearance. Studies have shown that a person’s smile has a significant impact on how people look at them. More importantly, it affects how a person perceives themselves. Not only will they look younger but they will feel younger too.

Top Cosmetic Dentistry Procedures

1) Teeth Whitening.  This is the most common cosmetic dentistry procedure in the United States. It is not a classified secret that whiter teeth are considered more beautiful. But most people do not consider that teeth whitening can even make you look younger and healthier. Teeth whitening allows you to remove staining caused by drinking coffee, smoking, red wine, or even certain types of foods. Teeth whitening is considered a simple procedure that can be done in office or at home. Although simple it can give dramatic results that can instantly transform a dull, lifeless smile.

2) Porcelain Veneers and Porcelain Crowns. As we age our teeth and smiles can change dramatically. Teeth can shift, they can become worn down, or maybe they were never perfect to begin with. Porcelain veneers and porcelain crowns may be the answer to give you that Hollywood smile you always dreamed about. Porcelain

Veneers are custom made, ultra thin, tooth colored shells that are adhesively bonded to the teeth. This allows the cosmetic dentist to not only alter color of your teeth but shape and length as well. Porcelain veneers are sometimes referred to as instant orthodontics. This is because porcelain veneers can change the alignment of teeth if they are not too misaligned. Porcelain crowns would be utilized on teeth that either already have crowns or need more extensive work (having large restorations or decay). Both porcelain veneers and porcelain crowns can as used in cosmetic dentistry to give the patient a flawless, more youthful and sexy smile.

3) Dental Bonding. This cosmetic dentistry procedure can be completed in as little as one visit and along with teeth whitening can dramatically alter the look and color of your smile. Dental bonding is the process in which tooth colored dental materials are bonded to a tooth.  This is a cosmetic dentistry procedure that can be used to repair or improve the cosmetic appearance of a tooth that has been stained, fractured or chipped. This procedure is also used to close spaces or gaps between teeth.

4) Dental Implants. Many patients do not think of cosmetic dentistry when you mention dental implants. But dental implants can be extremely aesthetic especially in the front of the mouth. Missing teeth has long been a sign of old age. Having a full complement of teeth screams youth especially when they are bright, white, and sparkling.

When a person is missing a tooth they have several options. There are partial and complete dentures, traditional bridges, and dental implants. A dental implant can look and feel just like a natural tooth. It is often easier to keep clean as well vs a traditional bridge. Dental implants are placed directly into bone creating a solid foundation for a natural tooth replacement.

5) Bite Reclamation. Over time as we use our teeth we tend to lose some height on our teeth. This loss of height of height is also referred to as loss of

vertical dimension. Some other factors that cause this loss include acid reflux or teeth grinding (bruxism). Reclaiming a person’s bite utilizing dental implants and porcelain crowns will increase vertical height which will also remove some of the wrinkles around the mouth. These wrinkles develop as our mouth’s sag from this loss of dimension.

Evolution of Cosmetic Dentistry

Modern cosmetic dentistry has evolved to a point where your dentist is able to complete a smile makeover to make you look and feel younger. Procedures we consider routine today were unheard of 15-20 years ago. Modern materials allow us to create smiles that reflect light just like your natural teeth.

Cosmetic Dentistry techniques have also changed over time. Dentists main role was simply preventive and treatment of pain.  Now with cosmetic dentistry, dentists are able to transform the smile of anyone into one they can be proud of and want to smile all the time.

 

 

Cosmetic Dentistry and the Fountain of Youth
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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