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Marielaina Perrone DDS Orthodontics Vs Porcelain Veneers
Orthodontics Vs Porcelain Veneers

A well trained cosmetic dentist has a list of procedures to use to give you the smile you have always dreamed of. Many do not think of orthodontics as a cosmetic dentistry procedure. It is more than that, as it can not only change your smile but the function of your teeth as well as the way your face appears. Porcelain veneers can bring about a dramatic change but in a much shorter time period. Let’s discuss each and how they work for your smile.

Porcelain Veneers

Porcelain veneers are also referred to as “instant orthodontics”. The placement of porcelain veneers can correct small mis alignments in your teeth to bring them into better balance. Cosmetic dentistry is an art form and smiles can be recreated or they can be designed perfectly. Perfection is different for each patient. Some like having small gaps between their teeth or a tooth slightly out of alignment. Porcelain veneers work very well when cosmetic changes need to be made without the need for more invasive dental procedures. Porcelain veneers also work very well in conjunction with botox or a dermal filler like Juvederm. They can work hand in hand to improve your smile and overall appearance very quickly.

What Are Porcelain Veneers?

Porcelain Veneers Marielaina Perrone DDS
Natural Looking Porcelain Veneers

Porcelain veneers are wafer thin, custom fabricated shells of tooth-colored materials designed to cover the front surface of teeth to improve your smile. These porcelain shells are adhesively bonded to the front of the prepared teeth. Porcelain veneers have the ability to change the color, shape, size, or length of your teeth.

Porcelain veneers have the following characteristics:

Translucent qualities — Like natural tooth enamel, porcelain veneers are translucent. This means they allow some light to pass through and reflect off the natural dental material. This gives the veneer a natural depth, providing for a deep, dazzling smile.

Color matching — If you are replacing multiple teeth, then all your porcelain veneers can be a natural, bright color. When covering just one or two teeth, porcelain veneers can easily be matched to the surrounding natural teeth. This will provide a consistently natural, beautiful smile.

Non-porous surface — Porcelain veneers are ceramic glass and are non-porous, preventing future stains from ruining your new smile.

Patients with severely misaligned teeth are not good candidates for porcelain veneers. This will cause issues with preparation of teeth for porcelain veneers. A well trained cosmetic dentist will make every attempt to be quite conservative when removing natural, healthy tooth structure. If the teeth are too far out of alignment from one another, it means more tooth natural 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. This could require the possibility of root canal therapy in the future. For teeth that are severely misaligned, invisalign or traditional orthodontics would be the better treatment option to bring your smile into proper alignment.

A major advantage to porcelain veneers vs orthodontics is that they give you the ability to change the color of your teeth. Your dentist can give you a bright, white smile almost instantly.

Orthodontics Braces

Marielaina Perrone DDS Orthodontics
Invisalign Clear Aligners

Orthodontics generally comes in 2 forms…..invisalign and traditional orthodontic braces. Both will achieve the same goal but in severe mis alignment cases your dentist may recommend traditional orthodontic braces as your treatment may require more extensive movements.

It is important to note when orthodontics is the recommended treatment it can also be for functional reasons and not just cosmetic. A well trained dentist will note issues with the way your teeth fit together or issues where you have a dental overbite or dental underbite.

This crowding or bite issue can lead to increased risk of tooth decay and periodontal disease as well as increased difficulty in chewing and speech issues. Orthodontic braces can fix that creating a smile that is in harmony not only cosmetically but functionally as well. This will lead to being able to maintain dental hygiene easier which will lead to longer tooth life.

Sample Orthodontics Treatment Schedule

Your initial consultaion will generally be a no cost orthodontics evaluation. In addition to the thorough visual examination, x rays and photographs will be taken of your smile as well as your face. There may be an additional charge for these. These x rays and photographs will help the dentist and orthodontist map out your treatment safely and effectively. At your initial consultation you will discuss with dentist or orthodontist why you are there. They will examine you and look at the following factors to develop a personalized orthodontic treatment plan that is right for you and your smile.

-What is the orthodontic issue that brings you in?

-Multiple orthodontic options to correct the problem or problems.

-Customized treatment goals that you wish to achieve.

-Will any teeth need to be removed to accomplish these goals?

-Whether other dental services are required prior to orthodontic treatment to bring your dental health to optimal levels.

-A rough estimate on the length of your orthodontic treatment

-Estimated cost of orthodontics for adults care.

Orthodontic Treatment

As mentioned previously, teeth are moved with controlled directional forces over time. Orthodontists use clear aligners (invisalign) or braces to guide and move your teeth into their ideal positions. The tooth movement occurs as the underlying bone is broken down and then rebuilt. If the process goes too fast the bone does not recover properly. Timing is critical for long term health. Following orthodontic treatment, you can expect to wear a retainer to maintain the movements you have gained while undergoing active orthodontic treatment.

Orthodontics Vs Porcelain Veneers Conclusion

Luckily, in the choice of orthodontics vs porcelain veneers there is enough separation between the 2 dental procedures that a decision can be made quite easily. Porcelain veneers tend to be a cosmetic procedure only with limited orthodontic advantages while orthodontics can and usually comes with functional advantages as well. Talk to your dentist about the options available to you to give you the smile you always dreamed of. A well educated patient is the best kind of patient as they will make informed decisions and ask questions before proceeding into any major dental treatment. As always see your dentist regularly for dental examinations and professional cleanings.



A dental overbite is when your upper front teeth overlap with your lower front teeth. Most patients have at least a small dental overbite. Orthodontic braces can fix many issues including a dental overbite. An overbite can have a negative impact on our cosmetic smile.

Causes Of A Dental Overbite?

The term occlusion is a dental term that refers to how our teeth align with each other. A dental overbite is a type of malocclusion (a deviation form normal occlusion). A malocclusion is a misalignment or incorrect relation between the teeth of the two dental arches when they approach each other as the jaws close. A dental overbite is when a patient’s upper teeth sticks out fart beyond the lower teeth. Dental overbites are usually a genetic trait passed on down from parents. It can also be caused by a behavioral habit leading to malformed jaw development. These can include thumb sucking, prolonged use of a pacifier, teeth grinding, tongue thrust issues, biting our nails, or chewing on objects. TMJ disorder can also cause a malocclusion as well as loss of teeth as the our teeth shift.

Dental Overbite Henderson NV Marielaina Perrone DDSDental malocclusions can fall into 1 of 3 categories:

Class One Malocclusion. This type of malocclusion indicates when a normal dental bite is with a slight overlap of the upper teeth. This is the most common malocclusion.

Class Two Malocclusion. This type of malocclusion is diagnosed when the dental overbite is severe. Another term for this is retrognathic.

Class Three Maloccluison. This is a severe dental underbite (when the lower teeth overlap the upper teeth). Another term for this is prognathic.

2 Types of Dental Overbites

-Vertical Overbite. This occurs when the top teeth significantly overlap the lower teeth.

-Horizontal Overbite. This happens when the top teeth protrude over the lower teeth.

Dental overbites can also be classified as either dental or skeletal. A dental overbite means that the teeth are the root cause of the dental overbite. A skeletal overbite identifies the jaw as the root cause of the dental overbite.

Treatments Of A Dental Overbite

Orthodontic braces are the #1 treatment for a dental overbite. A dental overbite can be diagnosed by a dentist or orthodontist. There is not an age limit on overbite treatment. It will just be easier on still growing children vs adults. It is usually very easy to see visually so parents can understand easily. In some cases, radiographs and dental impressions will be needed to fully assess the dental overbite. Orthodontic braces along with dental elastic bands . These bands along with orthodontic braces will slowly and methodically place forces on the jaw and teeth to bring things into a more cosmetic alignment thus eliminating the dental overbite.

In a severe dental overbite, removal of teeth (usually premolars) may be necessary or even dental surgery to re position the lower jaw.

A dental overbite can create issues in dental hygiene which can lead to an increased incidence of tooth decay and periodontal disease.

Possible Dental Overbite Treatment For Children and Young Adults

-Early removal of baby teeth. This will give permanent teeth extra room for eruption into the mouth.

-Growth modification appliance. This will be used during growth periods to help better position the jaw

-Orthodontic Braces. Use of braces will apply forces in a direct way slowly moving the teeth to correct the overbite along with the jaw.

-Orthodontic Retainers. These orthodontic devices are used following orthodontic treatment to help to keep the teeth in place after completion of treatment.

Possible Dental Overbite Treatment For Adults

– Orthodontic Braces. This allows movement of the teeth to correct a dental overbite.

-Teeth removal. Both dentists and orthodontists try to avoid removing permanent teeth but this will become necessary in very severe dental overbite cases. This is to allow the teeth more freedom to move.

-Dental Surgery. This may be needed for skeletal dental overbites that can only be corrected with surgery.

Untreated Dental Overbite?

If a dental overbite is left untreated there can be significant issues both dentally and for our health. The following are possible complications that can arise from not treating a dental overbite:

-TMJ Disorders including jaw pain.

-Increased risk of tooth decay and periodontal disease.

-Headaches.

-Pain upon eating and chewing.

Sleep Apnea.

Speech issues like lisps.

Dental Overbite Conclusion

Your dentist or orthodontist will be able to easily diagnose your dental overbite and offer you options to correct it. We all want a perfect smile but a dental overbite can cause other dental issues beyond cosmetics. Remember to see your dentist regularly for dental examinations and professional cleanings to keep your smile healthy and happy for a lifetime!



Orthodontic braces has always been a very popular dental service especially for children. The use of orthodontic braces can straighten our teeth, fix issues with the way our teeth fit together, and cosmetically enhance our smiles. Orthodontic braces are not just used for cosmetic reasons. Having straight teeth will improve dental hygiene and decrease chance of developing tooth decay or periodontal disease. Orthodontic braces can also help correct speech issues like a lisp.

Do I Need Orthodontic Braces?

The average age most children will see their dentist or orthodontist regarding orthodontic braces is right around age 7. In general, your family dentist will be able to evaluate when it is the appropriate time to see an orthodontist. If you see them every 6 months like expected orthodontic braces will not be a surprise. Orthodontic braces treatment is determined by the type of problems each patient presents with. Certain issues can be treated prior to all of the primary teeth coming out while others must wait until all the adult teeth are in. Obviously this is very common in adult orthodontic braces treatment.

Orthodontic Braces Las Vegas Marielaina Perrone DDSBelow you will find a list of the possible reasons many children need orthodontic braces. These include:

Early loss of primary teeth. Sometimes there will be a lag between loss of primary teeth and eruption of permanent teeth. This could be due to early tooth loss from tooth decay or genetics. Our primary teeth act as space savers and if they are not present the permanent teeth will find it harder or easier to erupt into the mouth.

Overcrowding of teeth or crooked teeth. This may seem like strictly a cosmetic issue but it is not. Overcrowding or crooked teeth will cause issues with dental hygiene issues as well as increased incidence of tooth decay and periodontal disease. Crowded teeth is the #1 issue addressed by orthodontic braces.

Too Much Space Between Teeth. Over crowding is not the only issue that can cause problems. Some patients may be missing a tooth due to genetic factors or thru loss or could have proportionally small teeth. Luckily, in most cases too much space generally makes orthodontic braces treatment a bit easier.

Jaw Development Issues. This can include a recessed lower jaw or a protruding lower jaw. Either of these are significant developmental issues that may need surgery to correct. You may experience popping or shifting of your jaws as well. This may be corrected with orthodontic braces.

Teeth Alignment Issues. This can include the molars not lining up properly which may result in you biting your inner cheeks often while chewing or it may be an overbite or underbite. An excessive overbite may cause your lower front teeth to cause trauma to the tissue on the roof of your mouth making chewing/eating extremely painful. All of these alignment issues will require orthodontic braces to correct the situation. This can also cause nutrition issues as you may have a difficult time chewing food which could lead to nutritional deficiencies.

Thumb Sucking History. A child who is a thumb sucker will likely have issues that need correcting via orthodontic braces. Generally, the upper teeth will flare out following the shape of the thumb.

Orthodontic Braces Evaluation

The American Dental Association statistics show most orthodontic braces treatment occurs between the ages of 8 and 14. Modern orthodontists have learned that sometimes treatment needs to occur in 2 phases. The first phase will make some adjustments while primary teeth are still in place setting up final phase treatment once all the permanent teeth have fully erupted. Orthodontics like dentistry is a very personalized treatment. Every patient will be different in approach and final treatment. It is recommended that most children be evaluated by age 7 to make orthodontic braces treatment easier and more efficient.

Orthodontic Braces Vs Invisalign

In today’s orthodontics, patients have choices. Gone are the days of bulky brackets and braces. Modern orthodontic braces come in many different colors as well as ones that match your teeth. Another advancement is invisalign orthodontic retainers. These clear retainers are made of a smooth, clear plastic. Another advantage to invisalign that they can be removed for dental hygiene as well as for eating (no dietary restrictions).

Do I Need Orthodontic Braces? Conclusion

Orthodontic braces are a wonderful tool for both function and cosmetics. Both kids and adults can enjoy straighter smiles for a lifetime. See your dentist today for an orthodontic braces evaluation.




Orthodontics have become a new tool to recreate our smiles. For the longest time, orthodontic braces was a treatment only for children. Advances in orthodontic materials have led to changes in the appearance of orthodontic appliances, and increased speed of movement of our teeth. Orthodontics have become a treatment of choice for many teens and adults. There are multiple options for orthodontic treatment today to make them as aesthetic as possible with shorter treatment lengths along with more cosmetic appearance. While teeth are being moved, changes occur to the mouth, lips, chin, and cheeks. The million dollar question is…..Can Orthodontic treatment change a person’s facial appearance?

Once orthodontic treatment is completed, many patients will look in the mirror and notice changes in their facial appearance. The bigger change happen when exhibiting a full smile, as this will show off the new found symmetry of your smile. The change will be even more noticeable if there are major corrections during your orthodontic treatment.

 Orthodontic Corrections = Changing Facial Appearance

Correction Of Overbite.  An overbite can cause the upper lip to protrude otward. In very extreme cases the upper lip is so far advanced that the lips are not able to completely cover and close the mouth at rest. In side profile the upper lip flares and the convexity of the mid face is pronounced. After completion of orthodontic movement, the facial area from nose down to chin flattens and the appearance can soften.

Correction Of Underbite. An underbite causes the chin to protrude and lower lip to retrude, giving you a “Moon Shape” profile. After orthodontic movement, the face loses much of this concavity. This again helps to flatten and soften the features, bringing the lips together in a more natural look. Underbite correction may in some cases require surgery.

Open Bite Correction. Prior to correction, the mouth and lips may seem a bit overstretched. In more severe cases the lips do not touch at rest. After movement, The mid face appears more relaxed and the lips come together at rest. Severe open bite may require surgery to be fully corrected.

Upper Or Lower Jaw Expansion. There are times when a patient has too little space in one or both of their arches.  The middle of the face may be narrow, and cheeks a bit hollow. If space needs to be opened, a device is custom fabricated called an orthodontic expander. If it is used on top jaw it is referred to as a palatal expander and if used on lower jaw it is called a mandibular expander. Expanders are used more often on children but they can also be used on adults in coordination with surgery. The expansion is usually done in very small increments and usually will go unnoticed by many. A more symmetrical smile and wider mid face will be the end result.

Conclusion

Orthodontic treatment can change a person in multiple ways. These changes can include a bigger smile, straighter teeth, and balancing of one’s facial appearance. The changes to a person’s face are usually more pronounced when surgery is involved.  A person’s side profile is what changes most dramatically. When teeth are in proper alignment, the profile of a person will be more in line with the rest of their facial features creating a more symmetrical balanced appearance.

The facial changes can usually be predicted prior to treatment. Ask your dentist what changes you can expect based on your individual smile