Cosmetic Dentistry Overview
Enhancing the smile's aesthetic appearance can lead to increased self-confidence, improved social skills, and even a more positive outlook on life. Modern cosmetic dentistry merges advanced technology with fine art, and can often produce amazing results in less time than you would expect.

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Teeth Whitening
Problem
Stained, dull teeth.

Solution
Zoom whitening, which is an in-office whitening procedure that takes one visit and 1.5 to 2 hours, can be used to restore your teeth to your original color. Zoom whitening will erase most stains from coffee drinking and tobacco, as well as tooth yellowing associated with aging, producing a brilliant, bright white smile.

Alternatives
Customized trays will erase the same stains as mentioned above and will produce a brilliant, bright white smile.. Teeth whitening may not be an appropriate treatment for all stains. For hard-to-treat stains, porcelain veneers or crowns are a better option.

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Bonding

Problem
Teeth that are chipped, discolored, uneven, stained or gapped.

Solution
Bonding with composite resin. The composite resin used in bonding is a tooth-colored material that is applied directly to the enamel of teeth and shaped to correct the patient's aesthetic concern. When exposed to a special ultraviolet light, the resin hardens into place.

Alternatives
Porcelain veneers and crowns, while more expensive, last considerably longer than bonding.

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Porcelain Laminate Veneers
Problem
Teeth that are chipped, discolored, uneven, stained or gapped. Teeth that are out-of-proportion in relation to the mouth. Teeth that are crooked or worn.

Solution
Customized, wafer-thin veneers (also called porcelain laminates) are cemented directly onto the front of the tooth, resulting in a natural appearance that covers any irregularities or aesthetic concerns.

Alternatives
Veneers are not an ideal choice for patients with tooth decay, advanced periodontal disease, or severe misalignment. In cases where veneers are not advisable, orthodontic treatments and porcelain crowns may be better choices.

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White Fillings
Problem
Tooth decay that has led to the development of a cavity, or small hole, in the tooth.

Solution
Fillings. Your dentist will remove all areas of decay, and replace with a filling made of composite resin. Composite resin fillings have surged in popularity because their appearance perfectly matches the natural appearance of teeth.

Alternatives
In cases of more extensive decay, porcelain inlays and onlays are an advisable alternative.

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Porcelain Onlays
Problem
Tooth decay, weakened tooth structure, need for tooth restoration and reinforcement.

Solution
After the decay is removed, your dentist will take an impression of the area to be restored. A dental laboratory works from this impression to create a restorative inlay or onlay, usually out of gold or porcelain, that fits perfectly on the tooth. Inlays cover one or more tooth surfaces, where onlays are used on the chewing surface of the tooth. The inlay or onlay is cemented securely into place, for an incredibly durable, stable tooth restoration. Porcelain is the preferred restorative material; it is extremely strong and can perfectly match the patient's natural tooth color.

Alternatives
Crowns may be the only alternative when tooth decay is in advanced stages.

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Porcelain Crowns

Problem
Teeth that are chipped, cracked, badly decayed, or otherwise weakened.

Solution
Porcelain Crowns maintain the aesthetic appearance of teeth by covering the entire visible surface of the tooth, while adding significant reinforcement and protection to the tooth. After removing all areas of decay, your dentist will take an impression of the tooth to be crowned and send it to a dental laboratory to create the crown. Porcelain crowns are extremely natural looking; virtually indistinguishable from other teeth, making them an ideal choice for visible teeth.

Alternatives
Teeth that are badly decayed may require extraction, leaving bridges or implants as viable alternative treatments.

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Porcelain Fixed Bridges
Problem
Patients who are missing a tooth or several teeth may experience difficulty chewing and speaking, dental shifts, and an undesirable sunken facial appearance. In addition, missing teeth can eventually lead to jaw and joint problems that are costly to treat.

Solution
Porcelain Fixed Bridges can improve chewing and aesthetic appearance, restoring the smile with a more permanent solution than dentures. Bridges replace missing teeth with artificial teeth. Your dentist will take a mold of the gap where a tooth is missing, and then send it to a laboratory to prepare a customized bridge. Before inserting the bridge, the surrounding teeth are prepared. The bridge is set into place and the artificial tooth is securely cemented to the adjacent teeth, restoring the attractive natural appearance and functionality of the tooth that was lost. If a resin-bonded bridge is chosen, the artificial tooth is secured by means of a metal appliance that attaches to the backs of adjacent teeth.

Alternatives
Dental implants are permanent, stable alternatives to bridges that do not rely upon surrounding teeth for support.

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