Marielaina Perrone DDS Cosmetic, Family, and Implant Dentist
Choosing the right dentist or doctor is always a difficult thing to do. Some of us rely on friends and family for a referral, while many turn to internet reviews. There are over 150,000 dentists nationally, with new graduates added every year. Many of these dentists are not trained beyond general dental school knowledge to perform more complex dental procedures.
A recent survey revealed that this year about 10% of Americans (and the number grows every year) received at least one cosmetic dental procedure to transform their smiles. Receiving cosmetic dentistry from an experienced, skilled cosmetic dentist can transform your appearance, but poorly executed dentistry can prove to be a disaster.
A sobering statistic, well over 25%, (that is 1 out 4 procedures done) of all the money spent by Americans on cosmetic dentistry is spent re-doing and correcting poor dental work from previous visits.
Things That Can Go Wrong During Cosmetic Dentistry
-Restoration Failure - When any dentistry is done, there can never be decay from cavities left behind. Fillings must be properly shaped and hardened so that they do not cause new problems to arise. Improper technique will not only mean your new fillings, porcelain veneers or dental crowns will eventually fail, it could also mean the possible need for root canal therapy or even potentially the loss of the tooth if left untreated.
-Pain and Discomfort - A skilled, experienced, dentist knows that dentistry is about more than just appearances. If you do not plan to address bite issues, periodontal issues, and sensitivity problems, restorations will fail and cause pain and discomfort for the patient. If the bite is off, even slightly, the dental work and tooth will be prone to cracking, wearing, and pain. Root canals can be incomplete and cause reinfection, extractions of teeth can be improperly performed causing severe bone infection, fractures, and pain.
-Lost Time - Cosmetic dentistry is usually lengthy, necessitating multiple visits to the dentist. A typical cosmetic treatment takes at least 2-3 appointments, and can take 1 hour to more than 5-10 hours in the dentist’s chair. The work is an investment of your time and money. If this work is performed poorly and needs to be redone, patients will need to take off more time from work to have it repaired or redone elsewhere.
-Increased Cost - In addition to losing time, the original cost budgeted could explode to fix poor dental work. There is an old saying “You Get What You Pay For”. The same is true in cosmetic and traditional dentistry. It is smart to be cost conscious but many dentists who call themselves cosmetic dentists will offer inferior materials in order to cut costs and lower the price to the consumer. Using a poor dental lab or lower quality materials will cut into the longevity as well as the final appearance of any dental work. When dentistry goes bad, it usually needs to be redone from the beginning. This means losing what you initially invested and paying again for the re-do work. It is not unusual to have a patient spend money initially only to have to spend a much higher amount to re-do all the work just a short time later.
Choosing a dentist is never an easy decision so do your best to get information from friends, family, and internet. Request a free consultation to tour the office and meet not only the doctor but the staff. Dentistry tends to be an intimate experience and you need to feel confident and comfortable in the dental chair. Choosing the right dentist will make all your dental work a breeze. Most importantly, good dentistry will keep you healthy and end up saving you money in the long run.
For many adults, braces or orthodontics have just not been an option. They do not want to invest the time and effort to make their teeth straight. For those that do want to correct their occlusion, it is a worthwhile investment. Orthodontics is a great way to fix bite issues as well as some cosmetic issues. However, if you do not have any bite issues and are looking for a fresh start with a new smile, instant orthodontics may be the answer for you.
How Does Instant Orthodontics Work?
Instant orthodontics is achieved using multiple cosmetic dentistry procedures in a fairly short time to give you the white, bright, straight smile you desire. Depending upon how extreme your smile issues are to begin with, instant orthodontics can range from 2-3 visits to 2-3x times that number. Let’s take a look at some of the cosmetic dentistry procedures involved in instant orthodontics:
-Porcelain Veneers. This is a hallmark procedure in cosmetic dentistry for an instant orthodontics case. Porcelain veneers are a custom made thin shell of porcelain that is bonded to the existing teeth (after a small amount of preparation to the teeth). Once in place you have a long lasting durable dental restoration that can change color, shape, and size of your teeth. These are generally used on the top front teeth and sometimes, bottom front teeth. Porcelain veneers work best in cases where minor changes need to be made in alignment, shape and color of teeth. Preliminary models of the teeth should be made to assess whether veneers can correct issues properly. If after diagnostic workup, it is found that the issues are too severe, a different method of correction will be necessary. So, porcelain veneers are ideal in cases where there is a limited amount of misalignment of teeth and/or the patient’s desire is to not only bring them back in line but also to change the color and shape of their teeth.
-Porcelain and Zirconia Crowns. These types of crowns are the most cosmetic offered in dentistry today. They are made from modern dental porcelains that range in strength and esthetics. If done properly, no one should ever be able to tell a porcelain crown from natural tooth. Modern porcelains possesses strength, color properties, and light reflection properties that very closely mimic our natural teeth. Porcelain crowns can be used to change bite alignment issues as well as change alignment of front teeth which are more extreme such as those issues that porcelain veneers alone cannot fix. More natural tooth structure needs to be removed in preparing a porcelain crown vs a porcelain veneer.
-Dental Bonding. This cosmetic dentistry procedure can be useful when closing a gap between teeth, changing a surface imperfection, or altering tooth shape. Dental bonding is much less expensive in the short term, but can change color,(stain), and chip requiring frequent replacement. Porcelain crowns or porcelain veneers do not change color and are more resistant to fracture. That said, dental bonding does a great job in closing gaps on teeth as well as changing the size, shape and color of one or more teeth much in the same circumstances diagnostically as veneers.
Why Choose Instant Orthodontics Over Traditional Orthodontics?
While traditional orthodontics has a necessary and important place in dentistry. Traditional orthodontic movement of teeth into correct anatomical position is the generally the more conservative approach due to the fact that the teeth do not require alteration to their anatomy. Many adult patients choose instant orthodontics over traditional orthodontics for the following reasons:
-Time. Traditional orthodontics can take a year or longer to achieve the results you are looking for. Orthodontics will not whiten teeth or change color or tooth shape.
-Periodontal disease. This needs to be under control prior to any type of dental work of this magnitude. Traditional orthodontics can make a situation where there is bone loss present even worse as the teeth move. Teeth moving into place may cause increased bone loss, tooth looseness, root resorption, and gum tissue recession.
-Tooth Decay/Old restorations present. When there is tooth decay present or an older dental restoration (such as a crown or previous dental bonding) that needs replacing, it may actually be easier and more cost efficient for the patient to get new dental restorations and re align the teeth in that manner.
-Bite Reclamation. Over time, our teeth wear (this is especially true for those who grind their teeth). This wear can cause a loss in what is called vertical dimension, collapsing our bites. A good cosmetic dentist can not only make your new restorations look perfect but they can also add the extra function of restoring that lost vertical height. This will give the effect of smoothing out the skin and wrinkles around the mouth thus giving you a more youthful appearance. Instant orthodontics can not fix loss of tooth structure.
Instant Orthodontics Conclusion
Instant orthodontics is not for everyone. For those who are unhappy with their smile and looking for more than just teeth whitening it could be just the answer for their needs. If traditional orthodontics is not feasible for you, instant orthodontics may be a great option. You can expect your smile to look great in just a few weeks, but be aware, over time some of those restorations may need to be redone if they break or tooth decay becomes an issue. Remember, dental hygiene is the foundation of any cosmetic dentistry work. If you wish any restoration to last, you must brush, floss, rinse, and see your dentist regularly for examinations and professional cleanings.