Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

A beautiful smile is important to many. For many adults with misaligned teeth there are easy excuses to avoid orthodontic treatment. Typical response for many is….”I am too old” or “Orthodontics take too long”. With recent advances, cosmetic orthodontics can become a reality for many who put it off. Below you will find some common questions about cosmetic orthodontics.

Common Questions About Orthodontics

“I am just too old for braces. Braces are for children.”

An important note to remembet is that you are never too old to feel better about yourself. Improving your smile with orhtodontics will make you feel better about your appearance. There is no age limit for adults with a healthy periodontal condition to undergo orthodontic treatment. Cosmetic orthodontics lets you have the perfect smile you have always wanted without putting your life on hold. FACT: One out of every five orthodontic patients is an adult.

“I have previously had braces. Will they just move again?”

The key to aftercare is retention. A fixed retainer is necessary to be worn for a period following treatment to allow the bone to remodel properly. A good way to think of this is that retention is a protection of your investment.

“Orthdontics take too much time to complete.”

For many adults, cosmetic orthodontics can be completed in as few as six months. Depending upon the appliances used and the amount of movement required, treatment can be quite short in length. Six months can totally transform your smile.

“Orthodontic treatment can be painful.”

There should be no pain during orthodontics but there will be some amount of discomfort as your teeth move and you adjust to the brackets and retainers. Most of the discomfort is only for a few days at a time after an appointment. If the brackets or wires pinch or feel uncomfortable a small application of wax will alleviate the issue. A good tip is to take tylenol or alleve right before your appointment to ensure that discomfort is limited.

“Cosmetic orthodontics makes it more difficult to maintain your dental hygiene. Will this cause tooth decay?”

Good oral hygiene will take a bit more attention than it did before the orthodontic appliances were in place, but is very manageable with the right information and tools. Waterpiks, electric toothbrushes, fluoride rinses, and threader floss can make it much easier to keep everything clean and cavity-free.

“Orthodontics is too expensive.”

It is actually a cheaper alternative than a complete smile makeover. It is also much more conservative treatment as no tooth reduction is necessary. Also, for many smiles orthdontics are the only option to get the smile you want. Cost can be overcome using payment plans like CareCredit. This type of credit is offered by most dentists and can make any and all treatment easier to attain.

Cosmetic Orthodontics Conclusion

Using orthodontics can make a huge difference in a smile. For many it will actually be an easier way to achieve the smile of your dreams. Talk to your dentist about orthodontic options and see if they are right for you.

Women have known for years that different changes to their hair, makeup, or clothes can give them a whole new look. Makeup has been used for centuries by women trying to highlight

and define their individual facial features. While these techniques have long been known….Did you know that changing your teeth can give you similar results?

Some of us are born with teeth that complemnts our facial features. But not all of us are so lucky.

A bright, white, beautiful smile creates a first impression that poeple are sure to take note of. Without a spoken word, your smile can give off a confident, optimistic and friendly personality. An esthetically pleasing smile is an attractive quality that brings people to you, making them respond in a positive way towards you.

Physical characteristics aside, a winning smile can also have a major mental and emotional influence on you. People who are self conscious about their smiles tend to appear timid, hesitant, withdrawn or even angry. You may not feel as attractive as you can be.

Modern advances in cosmetic dentistry has allowed a growing number of people to benefit from smile makeoversCosmetic dentistry smile makeovers are capable of transforming a person’s smile to produce dramatic life changing results. A cosmetic dentist will examine your smile and make notes of the changes that need to be made.

Cosmetic Dentistry - smile makeover

Cosmetic Dentistry – smile makeover

Smile Design Principles or Smile Design for Cosmetic Dentistry

A smile design influences the overall cosmetic impact of an person’s smile. Smile design can be divided into four separate components:

-Facial Esthetics. A person’s facial esthetics varies greatly from patient to patient. A cosmetic dentist can evaluate this using a visual examination and the use of photography. Facial Esthetics will include not only the teeth but also the bone structure of the face and the musculature. It will also inlcude the way your lips frame your smile when you speak, smile, or laugh.

-Gingival (Gum) Tissue Esthetics. A smile with diseased gum tissue will never bo one that is considered attractive. Healthy gum tissue is an essential element in smile design. Common cosmetic dentistry complaints include a gummy smile, uneven gum tissue, and exposed root surfaces from recession. All of these things take away from a person’s smile appeal.

-Microesthetics. This component deals with the subtle attributes that make your teeth appear the way they do. This includes how they reflect light, any unique marks or colorations. This technique is applied when restoring a tooth from decay. Cosmetic dentistry will restore the tooth to give it qualities closely resembling the natural tooth. The anatomy and coloration of natural teeth is a unique quality that varies from patient to patient.

-Macroesthetics. This area allows the cosmetic dentist to analyze the relationship and proportions between a patient’s front teeth, surrounding tissues, and facial characteristics. Analyzing these characteristic will ensure the final result will be natural and attractive for the patient. Working together, your cosmetic dentist and dental laboratory technician combine their technical and artistic abilities to create a natural and esthetically pleasing appearance in which the shapes, sizes and arrangement of individual teeth blend with and complement your particular features.

Anatomy of a Smile in Cosmetic Dentistry

The following are the important anatomical structures or landmarks used in cosmetic dentistry:

-Lips. In cosmetic dentistry the lips are usually compared to a picture frame. The lips frame your smile, teeth, and gums. Lip enhancements correcting shape, fullness, and symmetry of your lips can make your smile seem broader and fuller.

For optimal cosmetic effect, your facial features should line up to your teeth and lip lines. When your lips form a broad smile, an imaginary line can be drawn through the corners of the mouth, from one side to the other. The amount of upper front (maxillary anterior) tooth revealed below this line helps create a vibrant, youthful image. In a youthful smile, the upper front teeth should fill between75-100% of the space between your upper and lower lips in a full smile.

-Midline. The facial midline is an important landmark in cosmetic dentistry. It is an imaginary vertical line drawn between the front two upper teeth. For optimum esthetics the facial midline should line up with the middle of the face.

Sometimes facial features can throw the midline off. These include the eyes, nose, and chin. A portion of the population has uneven eye levels or a nose that is slightly off center. If not taken into account this will throw the whole analysis off. Cosmetic Dentistry uses a more accurate landmark on the face. The point between the eyebrows and the cupid’s bow in the center of the upper lip is used. By using these two landmarks, cosmetic dentists can draw and locate the facial midline wile also determining its direction.

Whenever possible, the midline between the upper front teeth (central incisors) should coincide with the facial midline. In cases where this is not possible, the midline between the central incisors should be perpendicular to the imaginary line that could be drawn through the corners of the mouth.

-Smile Line. Your smile line is the line created by the top of your lower lip. In an ideal smile line, the edges of your upper teeth should be parallel to your lower lip when you smile. The bottom of your lower lip should have the same line as the gums of your lower jaw. This should always be a standard, regardless of the size or shape of your smile. Once your cosmetic dentist has determined the orientation of your smile line, they can design its curve, or shape, and determine the length of your new restorations for your smile makeover.

-Teeth. Smiles that tend to be considered attractive usually hve a few things in common. These features include white teeth, teeth that are unstained, and evenly spaced with no crowding.

Upon smiling, your top teeth show fully in a good proportion to your gums. The line where the gums and teeth meet is smooth and even. The smile line of the upper teeth follows the curve of the lower lip. The midline of the upper front teeth ideally is in the center of the face. Tooth reveal is a term that describes the amount of tooth structure that shows during smiling and various angles of your face.

Cosmetic Dentististry Variations

The impact of a smile cannot be judged just by the individual beauty of teeth and gums. Each and every patient has their own unique qualities, quirks, and traits. These include age, sex, personality traits, as well as cosmetic dentistry expectations.

When considering  person’s ideal smile, the cosmetic dentist will always consider an individuals personal traits. These include facial features, skin tones, hair color, as well as how your teethare framed by your overall appearance. Occlusal and functional considerations will also play a role in the final treatment.

Macroesthetic concepts provide only guidelines and reference points for beginning esthetic evaluation, planning and treatment. The artistic component can be applied and perfected in cosmetic dentistry by dentists who understand the rules, tools and strategies of smile design. In modern cosmetic dentistry there are tools such as digital imaging, lasers, teeth whitening procedures that allow a skilled cosmetic dentist to create smile makeovers.

The cosmetic dentistry procedures range from teeth whitening to dental bonding to porcelain veneers, crowns, and dental implants. Cosmetic dentists also have at their disposal the ability to augment soft tissues. The use of dermal fillers can correct certain facial feature such as thin lips or even facial asymmetry. Advances in cosmetic dentistry and sedation dentistry make it possible to do these procedures with less patient anxiety and pain.

Ultimately any cosmetic dentistry smile makeover is in the eye of the beholder. Just because certain procedures are possible it does not mean it should be done on each and every patient. Many patients embrace their uniqueness and are fine with the way they look. Others are looking for a change and thats where cosmetic dentistry can come in and make that happen for them.

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

 

 

Your big day is fast approaching. You have done all the hard work of planning for the wedding. You have chosen the invitiations, the flowers, the caterer, and even your first song to dance to together. You have left nothing to chance to make this your perfect day to start your new lives together.

You are wearing a beautiful, flowing white gown, your hair is perfect and you are carrying a rose bouquet fit for a queen as you stare into your partner’s eyes. It’s exactly how you always imagined your wedding day to be.

Then the photographer says “everyone smile”. You begin to panic. Afraid that the gap between your front two teeth or your discolored, uneven smile will forever mar the photos. This should be the happiest most worry free day of your life. Instead you are now being self conscious of your smile and appearance.

Your wedding day will be celebrated on your anniversary every year and commemorated in beautiful photos that will last the test of time. It is a special occasion you, your family, and your friends will always remember. But how will you and your family look in those photos? Will it be the way you imagined? You have an opportunity to visit your cosmetic dentist and get makeovers that will make your smiles shine like a movie star, and not only in your album. Your makeover will improve your esthetic appearance, your self confidence, and your oral health far into the future.

In a recent online poll, almost 80% of those polled planned on visiting their cosmetic dentist before their big wedding day. For many, this will merely include a thorough cleaning to remove stains and plaque/tarter and freshen both their smile and breath. However, a growing number of brides, grooms, and even parents (and grandparents) are seeking cosmetic dentistry procedures or more specifically, a cosmetic dentistry smile makeover, to transform their smile for their special day as well as their own futures.

To create your ideal smile of your dreams, you should schedule a visit to your cosmetic dentist to discuss your concerns regarding your teeth, goals, expectations and timeline for the big event. A good place to start would be to peruse thru magazines and pick out images of smiles that you consider beautiful and attractive. This will help both you and your cosmetic dentist find out what you find attractive. Each person’s definition of beauty can vary greatly from patient to patient. During your initial consultaion, you will become educated on the various procedures available to you. A lot of what can be done for you will be based on amount of time until big day and cost.

At a minimum, you will probably need a professional cleaning to make sure that your teeth and gums are healthy. You will need to have any cavities treated before doing any cosmetic dentistry work. Sometimes the treatment of these cavities can be cosmetic in nature with the use of tooth colored fillings. If you have not already done so, now is a great time to establish healthy oral hygiene habits including proper daily brushing and flossing.

For some subtle improvements we may consider teeth whitening and dental bonding (staples of cosmetic dentistry). Both of these options can take place in just a few office visits and produce very attractive, cosmetic results. Porcelain veneers and porcelain crowns are another option that can provide you with longer lasting results that can last from 10 to 20 years with proper oral health care. Porcelain Veneers and Porcelain Crowns typically require a longer lead time to complete properly. It is important to plan this treatment out as far in advance as possible to ensure you have more than enough time prior to your special day.

Another procedure in cosmetic dentistry that can play a dramatic role in improving your smile makeover is something called peridontal plastic surgery. This allows you to improve and change your gum tissues and their relationship to your teeth.

Periodontal plastic surgery is performed to improve the look of the gum line prior to restorative and cosmetic dentistry procedures. If your teeth look short, or if you feel you have a gummy smile, you can dramatically improve your smile in as little as an hour through a procedure called esthetic crown lengthening (also known as gum lift, or gingivoplasty). During this procedure, excess gum and sometimes, bone tissue, is reshaped to expose more of the natural tooth. This can be done to one tooth, or to several teeth to even your gum line, and expose a wider and more beautiful smile.

The following cosmetic dentistry procedures can be used to dramatically alter your smile for your big day:

-One Visit Teeth Whitening or at home teeth whitening. Usually completed in one visit our in office teeth whitening

procedure is fast, effective, and long lasting. Imagine how wonderful it would be to walk into your cosmetic dentist’s office with stained,

discolored teeth and walk out with a bright, sparkling wedding picture ready smile. The cosmetic dentist will also give you custom made trays to take home so you are able to maintain that pearly white smile for a lifetime. At home teeth whitening is also available but will take longer than one hour. It generally takes about 2-4 weeks depending on discoloration.

-Dental Bonding. If your teeth are badly stained or damaged, your cosmetic dentist may recommend dental bonding to restore them to their natural beauty. Bonding involves the use of a tooth colored material that allows the dentist to shape, contour, and polish to look like your natural teeth. It is very effective if you have just a few teeth that need work. Dental bonding is a durable, long lasting cosmetic dentistry procedure to achieve that amazing look on your wedding day. This procedure can often be performed in one visit.

cosmetic dentistry

Cosmetic Dentistry at work in the form of Porcelain Veneers and Teeth whitening

-Porcelain Veneers or Porcelain Crowns. This would be the ultimate cosmetic dentistry restoration available. This is generally reserved for patients with more extensive cosmetic issues. More extensive staining or damage that would be unable to get the result we want with other methods or techniques. A porcelain veneer is a permanent, custom made, ultra-thin shell that is permanently adhered to your natural tooth structure. Each one is custom made to look as good, if not better, than your natural teeth. Porcelain crowns are needed if you need full coverage over your teeth for repair of tooth structure. A porcelain crown gives the advantage over traditional crowns in terms of esthetics as well as not having a dark metal line present along the gum line.

-Orthodontics. Braces are not just for children and teenagers anymore. The heavy silver braces you may remember are not the only option anymore. Modern cosmetic dentistry has moved past this to newer materials that are more esthetically pleasing. In their place dentists are able to use clear or even “invisible” braces. Braces can help straighten crooked teeth, reduce crowding or close spaces where teeth do not meet properly. While technology has changed the appearance of braces, they still do not work overnight. Start treatment as early as possible if you want a perfectly straight smile by your wedding day.

A Cosmetic Dentistry Smile Makeover Will Make You Shine On Your Special Wedding Day!

Your wedding will be remembered forever by both you and your husband but also by your family and friends. A wedding smile makeover will give you a fantastic new smile that will still look great long after the honeymoon is over. All of this thanks to cosmetic dentistry.

Periodontal Plastic Surgery

Cosmetic Dentistry – Before Gingivoplasty

Cosmetic Dentistry

Cosmetic Dentistry – After Gingivoplasty