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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.

Conclusion

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.



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.



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.

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 bleaching. Internal 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 dental method of whitening a single tooth from the inside out. First, root canal therapy is performed to remove any dental pulp that is infected. Then, a safe sodium perborate paste is placed deep inside of the tooth. This sodium perborate reacts with stains and dissolves their particles, making the teeth appear whiter.

Internal bleaching is a dental 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.