Cosmetic Options for the Young Dentition

For the young dentition, conservative treatments such as teeth whitening and bondings are great options to help enhance a smile. In the case below the patient spent sometime whitening his teeth with the take-home kit we prescribed. After the teeth have lightened up to a shade where the patient was happy with, we used resin filling materials of various shades to bond to his front teeth. Chips and gaps can easily be filled in without any removal of tooth structure.

The “After” smile looks beautiful in person, and at conversational distance it is near impossible to detect where the bondings were placed.

Click on the photos below to see the transition.

Different Veneers for Different Purposes

Veneers are commonly used to enhance people’s smiles. Some patients choose to have a full arch of veneers to help change their entire smile. Some patients choose only a select number of veneers to help restore teeth with imperfections.

In the case below we used only four veneers on the upper four front teeth to rejuvenate the smile and get rid of old broken down composite fillings and bondings.

Click on the image box below to view and before and after photos.

Definitive dental diagnosis using 3D X-rays

Often time patients would present with a tooth that may feel unusual, uncomfortable, or slightly painful. However, traditional X-rays do not always show the exact problem due to the fact that bone morphology and root structures may overlap each other and create inaccurate images. Stitched together from precise individual slices of images, 3 Dimensional X-rays (Cone Beam Scans) provide very detailed images which can help clinicians see exactly what is going on with the questioned site.

The first X-ray below shows a tooth that may have something going on at the tip of the root, yet the information is limiting and non-diagnostic. The second X-ray below is an actual slice of a 3D Scan which shows definite lack of bone support on the front side of the tooth. The image also shows slow growing infection lesions that have been dissolving the bone around the roots of the tooth. The red arrows point to the problem area.

Based on the information from the 3D X-ray, this tooth cannot be saved because hanging on to it will allow further destruction of the jaw bone surrounding the tooth. Early detection of bone loss and infection can help make the treatments much more predictable, and 3D X-rays are now a very important part of our dental diagnostic tools.

Traditional X-ray showing possible problem at the end of the root.

Traditional X-ray showing possible problem at the end of the root.

A slice of a 3D X-ray showing definite bone loss and infection around the same tooth above.

A slice of a 3D X-ray showing definite bone loss and infection around the same tooth above.