Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Teeth Whitening is a common procedure in general dentistry but especially so in the field of cosmetic dentistry. There are different types of teeth whitening including in

Internal Bleaching Marielaina Perrone DDS

Internal Bleaching Can Make You Smile Again!

office and at home options like the use of teeth whitening strips. But did you know there was a procedure available to perform a deeper teeth whitening from the inside of the tooth out? This procedure is commonly known as internal teeth whitening or internal bleachingInternal bleaching is used to lighten a discolored tooth that has had root canal treatment.

Internal bleaching is a more conservative option compared to restoration with veneers or crowns, but is sometimes used to lighten teeth before the application of these techniques to prevent the discoloration of the natural tooth from showing through. In addition, porcelain veneers or crowns may be required not only to achieve improved color, but also to strengthen a root canal treated tooth.

How is Internal Bleaching Performed?

Internal bleaching is a dentistry technique that is used to lighten the color or whiten the appearance of a tooth or teeth. Internal bleaching is only to be done under the direct supervision of a dentist. This is because the procedure involves inserting a chemical oxidizing agent directly into the tooth.

Internal Bleaching Before Marielaina Perrone DDS

Internal Bleaching Before

The internal bleaching procedure is performed on a non vital tooth that has received root canal treatment. The root canal treatment could have been the result of infection or dental trauma. Whatever the reason, the tooth in question did not require a crown and has maintained its natural tooth structure. When a tooth dies or becomes non vital it loses the blood and nutrient flow to it. This sometimes results in a changing of tooth color to a darker shade than the surrounding teeth.

Following completion of root canal treatment, the dentist will place a chemical oxidizing agent into the chamber of the tooth and leave it there for about 2 weeks time. This process can be done a few times over that 2-3 week period until the tooth achieves the level of whiteness desired by dentist and patient. Once the color is correct, the opening is sealed closed with a white tooth colored composite filling to keep out foreign matter and bacteria that could cause further problems.

Internal Bleaching After Marielaina Perrone DDS

Internal Bleaching After

Internal bleaching may be used by itself for whitening teeth or  in combination with exterior teeth whitening products.  Your dentist will evaluate the current condition of the teeth and determine if it is necessary to make use of two different kinds of teeth whitening procedures at the same time. When it is decided to use both products at the same time, the dentist will choose two products that are compatible to one another so that they do not interact poorly with one another. If chosen incorrectly, the interaction between the two bleaching products could ultimately damage the teeth they are designed to treat.

How well does Internal Bleaching work?

Internal bleaching is very effective for whitening teeth that have been damaged by trauma or infection. The process allows the dentist to focus on one tooth to raise its level of whiteness back to the level of the other teeth to give a more natural appearance overall.

Internal Bleaching Conclusion

Anyone who has had a tooth turn color after receiving root canal treatment can understand the difference between natural, undamaged, tooth structure, and dark, non-vital, tooth discoloration. While internal bleaching is very specific in it’s applications, it is an easy choice for someone with a dark front tooth. Internal bleaching is a great tool for cosmetic dentists to restore one or more teeth back to their natural white condition. It is a fairly simple procedure with great reward. If you have a tooth that does not whiten as all the others do, ask your dentist about internal whitening, and see if this is an option for you.

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!

 

Cosmetic dentistry has become such a common term that almost every dentist calls themselves a “cosmetic dentist”. The American Dental Association does not recognize

Cosmetic Dentistry Marielaina Perrone DDS

Cosmetic Dentistry As An Art

cosmetic dentistry as a specialty in dentistry. The fact is, that even though cosmetic dentistry is not officially recognized,  it does take extra skill, experience, and training. A good cosmetic dentist is concerned with both the esthetic outcome as well as the functional outcome working together in harmony.

Common procedures used in cosmetic dentistry include teeth whitening, porcelain crowns, dental implants, limited tooth movement, gum sculpting, dental bonding, and porcelain veneers. With the exception of teeth whitening, all of the other procedures require extra skill on the part of the cosmetic dentist. The goal in any cosmetic dentistry procedure is to have the final product look and feel as natural as possible. This includes proper treatment  planning before and skilled preparation during the procedure. Choosing the ideal procedures, utilizing the highest quality materials, and pairing with the best dental laboratories are what makes for ideal cosmetic dentistry results. Being able to correct or fix any issues that might arise are just as important.

Cosmetic Dentistry Case Example

Patient came to the dentist with a  list of things she did not like about her teeth. She did not like spaces between teeth, wanted whiter teeth, and also had a badly decayed tooth in the upper molar area.

Step 1 – Fully explain your wants and needs. You and your cosmetic dentist need open lines of communication. An agreement should be reached about what can and cannot be done based on time, budget, and  function.

Step 2 -Full treatment planning records need to be taken. Pre operative x-rays, study models, and digital photographs. These are essential for a good cosmetic dentistry outcome.

Before Cosmetic Dentistry Marielaina Perrone DDS

Cosmetic Dentistry – Before

Step 3 – Options for treatment should be presented. Discuss options and develop an agreed upon treatment plan. In the pictured case, the mouth was healthy (except for decayed molar) and free of periodontal disease. Patient was shown what the final treatment could look like. Such visual cues can be very helpful in decision making. In this case the treatment plan decided upon included:

-Removal of an extremely decayed molar, and replacement with a dental implant.

-Porcelain Veneers to correct shape, size, color, and spacing of the front six upper teeth.

-Teeth Whitening – This will allow the patient to whiten the teeth to a more desirable color, so that the new porcelain veneers, and implant crown can be matched to a more visually appearing, cosmetic color.

Step 4 – Patient has badly decayed molar removed and is referred to periodontist for implant consultation and placement. Following placement of dental implant patient will wait 4-6 months for healing and bone strengthening to occur before final porcelain crown can be placed.

Step 5 – Begin Teeth Whitening. This procedure can either be done in office (in one hour), or the patient can complete teeth whitening at home over the course of 2-4 weeks. This step is important as the final porcelain veneers and porcelain crown will be fabricated to match the new, lighter, final shade following teeth whitening.

Step 6 – Following teeth whitening, porcelain veneers procedure can begin. Porcelain veneers (also referred to as porcelain laminates) are super thin, custom fabricated

After Cosmetic Dentistry Marielaina Perrone DDS

After Cosmetic Dentistry

shells of tooth colored porcelain designed to cover the front surface of teeth to improve your smile’s overall aesthetic appearance. These shells are adhesively bonded to the front of the teeth changing their color, shape, width, and/or length. At end of this appointment patient will be sent home in temporary veneers while the laboratory can fabricate the custom porcelain veneers.

Step 7 – Placement and bonding of final veneers. This is a critical step in this case as the porcelain veneers must not only line up properly to close gaps but also be the right color and shape.

Step 8 – Placement of porcelain crown following healing of the dental implant.

Step 9 – Happy Smile!

Cosmetic Dentistry Conclusion

There you have the steps involved in a typical cosmetic dentistry case. Sometimes there are extra visits if any issues arise but if planned for properly the patient should know exactly what to expect in terms of the cosmetic dentistry treatment schedule as well as finances. Cosmetic dentistry can transform an ordinary smile into one that makes the patient smile bright for a long time to come.

Cosmetic Dentistry has evolved over the years to allow dentists to give patients what they crave…..A beautiful long lasting smile that changes their life. In the past, dentists could do minor changes to a person’s smile or more drastic ones using orthodontics. Today, modern cosmetic dentistry techniques and materials allow drastic changes as well as minor ones that can alter a patient’s smile for the better.

Do you believe having a great looking smile can improve your appearance and enhance your social life?

In a recent poll by the American Academy of Cosmetic Dentistry (AACD) revealed that about 96% of those surveyed agreed that it can. In the same study about 65% of the participants said they were unhappy with one or more aspects of their smiles. Cosmetic dentistry has the ability to change that.

Cosmetic Dentistry Procedures

Cosmetic Dentistry procedures come in all sizes from a one office visit for teeth whitening to a multiple visit complete smile makeover. Let’s take a look at some of the most sought after cosmetic dentistry procedures…

-Teeth Contouring. This might be one of the simplest and easiest cosmetic dentistry procedures of all. It is generally done without anesthesia and can be as simple as filing down a tooth that appears longer or is slightly out of alignment with the others. Most patients are quite surprised at how such a small adjustment can alter their smile for the better.

-Gum contouring. Evening out gum levels can help teeth to look more evenly sized and can make short teeth appear longer.

-Teeth Whitening. In the United States, teeth whitening is the most common cosmetic dentistry procedure performed by dentists. It has been proven by research time and again that people find a whiter smile to be more attractive.  People tend to feel better about themselves when they are happy with their appearance. The teeth whitening procedure can be done at home or in the office. Either procedure is generally very successful, and can give patients a dramatic change to their smile with minimal cost and time invested.

-Dental Bonding. While dental bonding is also used to restore teeth damaged by tooth decay it can also be used as a composite veneer to change color or shape, fix chipped teeth, or close small gaps in your smile. Dental bonding is the process in which tooth colored dental materials are bonded to a tooth. This procedure is also a quicker fix and can usually be completed in a single visit easily altering your smile in as little as an hour.

-Replacing old silver restorations. Many of us have a few silver fillings. Replacing silver fillings with new white fillings or porcelain onlays can make your whole smile brighter.

-Porcelain Veneers and Porcelain Crowns. Our smiles are constantly changing over time with wear. Teeth can get worn down, can shift, or maybe you were born with an imperfect smile. Porcelain veneers and porcelain crowns can be a great way to replace lost tooth structure and alter imperfect teeth. These cosmetic dentistry procedures tend to require multiple visits but the results will give you a beautiful smile. 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 called instant orthodontics. This is because porcelain veneers can change the alignment of teeth if the alignment issues are not too extreme. 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 sexy smile.

-Dental Implants. These are the newest addition to cosmetic dentistry. Dental implants allow cosmetic dentists another option in tooth replacement. Whether it is a singleCosmetic Dentistry Marielaina Perrone DDS tooth or a full mouth restoration, dental implants can fill that need. Missing teeth has long been considered a sign of old age. Having a full set of white 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 (including the all on 4 dental implants system), traditional bridges, and dental implants. A dental implant can look and feel just like a natural tooth. It is also easier to keep clean than a traditional bridge. Dental implants are placed directly into bone creating a solid foundation for a natural tooth replacement.

-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 we age and our mouth’s sag from this loss of dimension. Cosmetic dentistry can fix some of this.

Cosmetic Dentistry Conclusion

Cosmetic Dentistry gives the dentist the ability to give patients the smiles they have always dreamed of. Not everyone wants a complete Hollywood style smile makeover and just want minor issues fixed that have always bothered them. Modern cosmetic dentistry allows for both minor fixes as well as extreme ones. Whichever cosmetic dentistry procedure you choose, please be sure that you keep your teeth healthy by visiting your dentist regularly for dental examinations and professional cleanings.