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Serving Las Vegas and Henderson, Nevada since 1999.

Cosmetic dentistry gives an experienced cosmetic dentist the ability to transform any smile from ordinary to extraordinary. Porcelain veneers can be a major component in that transformation. Unfortunately, not every patient who wants porcelain veneers is a good candidate for them. Below you will find what is needed to be a good candidate for porcelain veneers.

Criteria For Porcelain Veneers

-Desire For A Beautiful Smile. when one desires a change, especially one requiring a financial investment, they are usually open to being diligent to maintaining it. If the porcelain veneers are not cared for they will break down overtime. Regular dental examinations, professional cleanings, and excellent homecare are an integral part of keeping your smile transformation.

-Healthy Teeth And Gums. If extensive tooth decay, fractured teeth, or periodontal disease are present, you will not be considered a good candidate for porcelain veneers. A stable platform is needed for porcelain veneers. The mouth needs to be  in a healthy, stable state to allow porcelain veneers to be considered an option. You will need a full dental evaluation to assess your dental health. If your mouth is unhealthy, it is best to avoid porcelain veneers due to the high liklihood of failure.

-Alignment Of Teeth. Severely misaligned teeth will cause issues with preparation of teeth for porcelain veneers. Most dentists try to be quite conservative when removing natural tooth structure. If the teeth are too far out of alignment it means more tooth structure will need to be removed to accomodate the spacing. Removing too much tooth structure can lead to tooth sensitivity and even nerve exposure (requiring root canal therapy). For teeth that are severely misaligned, invisalign, 6 month smile, or traditional orthodontics may be needed to bring them into better alignment.

-Sufficient Tooth Enamel Present. Tooth enamel is needed for the porcelain veneers to bond to your teeth. If the tooth  is severely worn down or damaged, porcelain veneers will not bond well and may not be a good option for you. In this case a full crown may be a better option.

-Tooth Color. In general, veneers look best when they are thin and translucent. If you have severely stained teeth (developmental dentin staining, tetracycline staining, root canal staining), it is usually best to whiten your teeth prior to veneers. Blockout of color is possible, but doesn’t look as natural.

-Gum Tissue Alignment. Proper gum contours are necessary to proper tooth shaping of veneers. If the gum heights are out of proportion, they will need to be recontoured with a gingivectomy procedure prior to veneer placement.

- Oral Habits: Nail BitingTeeth Clenching/Grinding (Bruxism). Severe teeth clenchers or teeth grinders are not good candidates for porcelain veneers. Veneers are not able to handle the powerful stresses put forth by grinding and clenching. If a patient only grinds their teeth at night then it is possible to still complete porcelain veneers but only with the use of a night guard at night. Other oral habits such as, biting nails, chewing on pens, opening packages with your teeth, etc. will also cause damage to veneers and may cause them to fail.

Porcelain Veneers Conclusion

Porcelain veneers when done on the right individual can change a persons smile dramatically. It is important to remember that veneers are not right for every situation. Be sure to have a thorough evaluation by your dentist to see if your cosmetic options may include porcelain veneers.

Why do teeth change color? Our teeth can stain and darken over time for many reasons. In many instances, yellowing of the teeth comes with age,  staining of the enamel,  and the accumulation of plaque on the teeth due to poor dental hygiene. Whatever the cause, most people prefer whiter teeth as they as a sign of health and youth.

What Causes Yellowing Of Teeth?

Yellowing of teeth is due to many factors. It is different for each individual. For some, it might start with one or two teeth while, for others, it might be more pronounced. The entire tooth may not discolor in the traditional sense, either. Some teeth may exhibit spotting, pitting, or streaks of white or yellow.

Luckily, the initial yellowing of teeth does not generally cause pain or discomfort. What it can cause is a person being self conscious and trying to hide their smile. There are certain factors involved with the changes in tooth color.

-Staining. Also referred to as yellowing. The enamel of the teeth yellow or darken due to staining from coffee, red wine, soda, tobacco, and other foods and drink.

- Thin and discolored enamel.  Sometimes, thin enamel is genetic, or discolored because of issues during tooth development. Over exposure to high amounts of minerals in water or tetracycline use during tooth development as a child can cause gray or mottled looking teeth. Fevers during tooth development can also cause malformed enamel. For others with stronger enamel, wear can happen over time,  from trauma and use. This wear can be caused by aggressive brushing, physical trauma such as grinding and clenching, high exposure to acids from foods or health issues. As the enamel thins out over time, the dentin on the inside of the tooth will begin to show through. This thinner enamel will also allow more uptake of stain deeper into the teeth. The yellow color will be more prominent due to the thin enamel layer on the outside.

-Age. As we get older yellowing of teeth is quite normal. From wear and use our enamel layer will become thinner thus allowing more of the underlying tooth structure to show thru.

How To Treat Yellowing Teeth?

-Teeth WhiteningTeeth whitening products and treatments are able to whiten our teeth by removing stains and discolorations. Across the globe, teeth whitening is the most popular cosmetic dentistry procedure. It works best when teeth are stained from foods, beverages, and smoking. The results for malformed enamel can vary in effectiveness, and sometimes look worse.

There are two main types of teeth whitening: in office treatment and at home treatment. In office whitening involves application of whitening products to the teeth while in the dental office. Results up to several shades lighter are achieved the same day. The process is fast, and easy. At home procedures involve application of whitening products to the teeth by the patient daily, for approximately 1 week to 1 month. The at home process is slower to achieve results, generally less expensive, and usually easy. Both cosmetic dentistry whitening procedures are very effective, and can help you to achieve the whiter smile you have been dreaming of. Any type of whitening can cause sensitivity, which is usually short term.

-Porcelain VeneersPorcelain veneers are a great option for teeth that will not whiten the way you would like.  Mottled enamel, and tetracycline stained teeth do not evenly whiten, some of us have see through or translucent which do not whiten well either. Porcelain veneers give the cosmetic dentist the ability to change the color of teeth, keeping them natural looking and have low incidence of staining when taken care of properly.  Porcelain veneers are custom made ultra thin porcelain restorations that are bonded to the front surfaces of the teeth. Modern porcelain veneers offer a natural looking, beautiful smile. Porcelain veneers generally last between 8 to 12 years, but if cared for properly can last for much longer . The lifespan of porcelain veneers (and any dental restoration) depends upon your oral hygiene maintenance, the forces on the teeth(hard use, grinding), tooth decay, and maintaining regular dental visits.

-Porcelain CrownsPorcelain crowns give the cosmetic dentist the ability to restore a tooth to its natural look without the use of metal. This allows the dental laboratory to fabricate a tooth that reflects light just like our own natural teeth.  Porcelain crowns can be used on teeth that either already have crowns or need more extensive work. Teeth with large, deep, silver fillings, root canals, or extensive tooth decay generally have deep staining which needs to be covered with a crown to restore strength and beauty.

-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 color, shape, size, and close any spaces that might be present. Dental bonding is generally completed in the dentist office in as little as an hour. This is especially useful when treating damaged, thin, or malformed enamel.

Conclusion

Yellowing teeth does not have to be an issue. Protect your smile by limiting acidic and highly staining foods. See your dentist to help you stop grinding and clenching habits. See your hygienist to have your cleaned teeth regularly. Maintain good oral hygiene, without being overly aggressive. If you already have deep staining or damaged enamel, see your dentist to see which options will work best for you.You can achieve the bright white smile you desire with a little help from your dentist!

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.

White fillings are a dental restorative material used to restore function, integrity and morphology of missing tooth structure. The missing tooth structure can occur from cavities, external trauma, and also lost intentionally via preparation of the tooth by the dentist for the dental filling. The development of tooth colored or white fillings has provided the cosmetic dentist and patients with a far more cosmetic alternative to traditional metal fillings.

Because the white fillings can be blended and mixed, a skilled cosmetic dentist is able to precisely match the tooth color of the fillings with the natural color of your teeth. Thus, they are able to place fillings that are virtually undetectable. This means only you and your dentist will know you have these fillings. These fillings are commonly called composite resins after their ingredients. These resins are metal free and are composed of a variety of materials. The most popular ingredients include acrylic resin and powdered particles similar to glass.

Tooth colored white fillings are done in one visit, in a procedure much like that for metal amalgam fillings, except that a high intensity curing light is used to bond the composite material to the tooth. Most patients will select tooth-colored composite fillings when they have a new cavity. As the availability of white fillings has increased more and more patients are having their cavities filled with cosmetic tooth colored fillings.

Metal fillings do not bond with the tooth structure. They merely rested on it and provided a degree of protection but over time the margins will open causing bacteria to leak inside. This causes a new cavity to form. Decades of research has led us to know so much more about the interface Tooth Colored Fillingsbetween dentin and enamel. This has led scientists to discover new ways of bonding fillings to teeth to create a stronger, more sealed connection between filling and tooth and also to be more aesthetic.

Composite resins allow us to keep more of your natural tooth structure intact than amalgams. Most dentists believe in being as conservative as possible. The more natural tooth structure we maintain, the better teeth you will likely have in the future.

Mild sensitivity is felt by some patients following the placement of composite resin fillings. This is usually temporary in nature and resolves on its own, usually in a few days. The only caution that is usually mentioned is that coffee, tea, and other staining foods and beverages may discolor your white fillings over time. These restorations have been shown to last an average of 7-10 years. It is vital to see your dentist regularly so they can be evaluated at every visit for possible breakdown of the material or further cavity formation.

Dental bonding can provide dramatic, aesthetic results in a very short period of time, usually in one appointment. With dental bonding, we can:

-Close gaps or spaces between teeth.

-Restore decayed teeth.

-Change the contours of small, misshapen teeth.

-Repair chipped or cracked teeth.

-Cosmetic tooth color fillings.

-Replace old metal amalgam fillings with a cosmetic alternative.

-To protect an exposed root surface following recession of gums.dental bonding

Cosmetic dentists can shape and color a single tooth, or they can change your entire smile.