Archive for the Cosmetic Category

Dentures

Posted in Cosmetic, Dental, Dentures, Smile Designs with tags , , , , , , , on June 27, 2011 by dukeslc

Have you been considering dentures in  Salt Lake City, UT? If so, come on in to Dental Designs of Salt Lake and meet with Dr. David Duke and his team for a free consultation today.

Below is some information about dentures along with its advatages and disadvantages. If you have any questions regarding dentures please feel free to give us a call at (801)355-2202.

 

What are Dentures?

Dentures are removable replacements for missing teeth typically made out of an acrylic resin which at times incorporate porcelain or metal for additional structural support. There are two main types of dentures. Both Complete Dentures and Partial Dentures are finely crafted, custom-fitted. If you properly maintain your dentures they will appear natural and provide a perfect smile. Additionally, dentures help strengthen muscles controlling your expressions that require the support of your teeth, rid you of pronunciation problems caused by missing teeth and aid with chewing.

Who is a candidate for dentures?

If you’ve lost, or are losing, all of your teeth a Complete Denture is something to discuss with your cosmetic dentist. If some of your teeth remain and are healthy, a partial denture may be your way to a great smile.

This procedure should be thoroughly discussed with your dentist as there are several personal and medical factors to take into consideration. You may instead be a candidate for dental bridges and dental implants as optional procedures.

Types of Dentures

Complete Dentures

These replace all of your teeth, upper or lower. Their comfort depends on muscle, bones, tongue, and saliva. Patients begin wearing conventional dentures after healing the teeth that were pulled.

Immediate Dentures

Immediate Dentures are placed all at once, and may require additional adjustments after the healing process. It can take months for your bone and tissue to stabilize after tooth extractions.

Upper Dentures

Upper Dentures, tend to be a bit easier to adjust to. These are made of the same materials as a Complete Denture, but are designed to provide you with upper teeth only.

Over Dentures

Over Dentures are a type of conventional denture similar to Complete Dentures. The difference is that not all teeth are extracted and they use one or more natural teeth for their support. This type provides greater stabilization during chewing. Over Dentures cost more and typically require more preparation dental appointments until the procedure is fully complete.

Partial Dentures

Designed to correct the gaps in your smile when only some of your teeth are missing. Metal attachments anchor the dentures to your natural teeth. Partial Dentures maintain tooth alignment by preventing your remaining teeth from shifting. Partial Dentures can also help prevent your loss of more teeth due to decay or gum disease.

Advantages & Disadvantages of Dentures

Pros and Cons of a Dentures

Advantages:

Dentures definitely provide a great smile with a very natural appearance. They’re made of very durable materials and last very long when properly taken care of. Typically dentures last from five to ten years. They also correct several problems, from speech to chewing, for many patients.

Disadvantages:

There’s no doubt that dentures take a little getting used to. There is maintenance involved, and initial speech issues to overcome (these are temporary and last only a couple of days). Mouth irritation or sores may occur, but are usually caused by poor dental hygiene, and not removing your dentures when needed. It is common that your mouth changes over the life of your dentures, so even though they last long, they may need to be replaced to achieve a better fit before they are worn out. With a denture a person typically chews at only 15-23% efficiency compared to a person chewing with their natural teeth. In the case of a full upper denture, the upper palate is covered which can reduce taste of foods you’re chewing.

Before Dentures Procedure
After Dentures Procedure

Before                                                                      After

Cosmetic Crowns

Posted in Cosmetic, Crowns, Dental with tags , , , , , , on June 23, 2011 by dukeslc

 If you have been considering getting cosmetic crown work done in Salt Lake City, here is some information that will help you understand the procedure in which it is preformed.

What is a Crown? 

A crown is like a cap that goes over a tooth preparation. Sometimes, when a tooth is very heavily restored, its multiple fillings may not look good or last long because even the strongest filling materials have their limitations. The most durable solution for restoring badly damaged teeth is to prepare the tooth for a crown. The crown not only protects remaining tooth structure, but also restores the original appearance of the tooth.
 

Procedure

Unlike fillings, crowns cannot be constructed in one visit. The dentist must first take impressions of your mouth to make some study models and also to construct temporary crowns, usually made of resin. Study models help the dentist plan the case. Every tooth is unique and will require the dentist to exercise judgement on where to trim the tooth and how much to trim. For cosmetic cases where tooth positions are changed by crowning, the dentist may have to discuss his plans with the patient before proceeding to the preparation stage.

Teeth which are still vital will feel sensitive when trimmed, so a local anaesthetic is usually given. This is to make space for the crown and adequate clearance is absolutely necessary. The thicker the crown, the stronger it is. Once the preparation is complete, the dentist takes an impression of the prepared teeth with a rubbery material. The final crowns will be fabricated on this impression. At the end of the crown preparation visit, temporary crowns are cemented to protect the remaining tooth structure.

When the permanent crown is completed in the laboratory (usually takes about a week), the temporary cowns are removed from the mouth to be replaced by the porcelain crown which is then permanently cemented over the prepared tooth. The crowning process is thus completed.

Crowns can be very simple or complex, depending on the condition of the mouth and the needs of the patient. Mobile teeth are not suitable for crowning. Teeth with bleeding gums will also affect the accuracy of the impression. For cosmetic realignment, a considerable amount of skill and experience are required.

Pictures:

 

If you have other questions you need answered or if you are interested in scheduling an appointment, you may contact Dr. David Duke of Dental Designs of Salt Lake City, Utah at 801-355-2202.

Salt Lake City Dental Implants

Posted in Cosmetic, Dental, Implants with tags , , , , , on September 2, 2010 by dukeslc

Dental Implants are a wonderful way to replace missing teeth. It can be used for replace one tooth or many. Dental implants may be slightly expensive but there is a noticeable shift in dental insurance and many insurance carriers now cover 50% of the cost.

Free Consultation

The first step is to schedule a FREE consultation with our Salt Lake City Dentist, Dr. David Duke. He will access the bone and surrounding tissues to determine if the missing tooth site is suitable for a dental implant.

Pre-approval of Dental Insurance Coverage

We want to ensure that there are no surprises when it comes to paying for a dental implant. We submit pre-approval claims to all insurances to make sure we understand the patient’s coverage. While there may be restrictions and exclusions on your dental plan, we do our best to apply insurance coverage to the treatment.

Placement of the Dental Implant and Healing Cap

This procedure is done in a completely sterile environment with the best technology available. Dr. Duke uses titanium implants and expert training to provide the gentlest placement possible. A cap is placed on the implant, which allows the gums to heal over the next few weeks.

Removal of the Cap and Impression for a Crown

After several weeks, the bone and implant will be examined for stability and strength. If it is approved, an impression will be made for a Dental Implant Crown.  Our dental labs take an average of 1-2 weeks to make the final crown.

Placement of the Dental Implant Crown

The final visit will consist of placing the Implant Crown on the fully healed, permanent Dental Implant. Oral hygiene routines, speaking, and eating are not impaired or altered. Dental Implants offer the best tooth replacement option available. It is the best aesthetically pleasing, gentle, permanent solution!

We are located in Downtown Salt Lake City, Utah. Dr. David Duke offers free consultations to all those interested in receiving information about the procedure and meeting our staff. Check out our website for before and after photos and call us today!

Tooth Whitening

Posted in Cosmetic, Dental, Teeth Whitening with tags , , , , , , , , , , on August 10, 2010 by dukeslc
 
survey by the ADA, Crest, and Oral B tells us that a person’s smile is the most appealing feature over eyes, hair, and body. You may recall a similar survey by the AACD  that showed a great smile makes a person seem more intelligent and attractive. So it’s not news, its true. 
 
The easiest way to enhance your smile is to whiten your teeth. This simple procedure can take years of staining off teeth and can immediately increase the youthfulness of many patients!
Here is an article about tooth whitening from the ADA.  It might answer some questions you have about whitening.

What should you ask your dentist?

You may want to start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow-ish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. Likewise, bleaching may not enhance your smile if you have had bonding or tooth-colored fillings placed in your front teeth. The whitener will not effect the color of these materials, and they will stand out in your newly whitened smile. In these cases, you may want to investigate other options, like porcelain veneers or dental bonding.
 
What is in-office whitening?
 
If you are a candidate for bleaching, your dentist may suggest a procedure that can be done in his or her office. This procedure is called chairside bleaching and may require more than one office visit. Each visit may take from 30 minutes to one hour.
During chairside bleaching, the dentist will apply either a protective gel to your gums or a rubber shield to protect the oral soft tissues. A bleaching agent is then applied to the teeth, and a special light may be used to enhance the action of the agent. Lasers have been used during tooth whitening procedures to enhance the action of the whitening agent.
What are at-home whitening and products?

There are several types of products available for use at home, which can either be dispensed by your dentist or purchased over-the-counter.

Bleaching solutions. These products contain peroxide(s), which actually bleach the tooth enamel. These products typically rely on percent carbamide peroxide as the bleaching agent, carbamide peroxide comes in several different concentrations (10%, 16%, 22%).

Peroxide-containing whiteners typically come in a gel and are placed in a mouthguard. Usage regimens vary. Some products are used for about twice a day for 2 weeks, and others are intended for overnight use for 1-2 weeks. If you obtain the bleaching solution from your dentist, he or she can make a custom-fitted mouthguard for you that will fit your teeth precisely. Currently, only dentist-dispensed home-use 10% carbamide peroxide tray-applied gels carry the ADA Seal.

You also may want to speak with your dentist should any side effects become bothersome. For example, teeth can become sensitive during the period when you are using the bleaching solution. In many cases, this sensitivity is temporary and should lessen once the treatment is finished. Some people also experience soft tissue irritation—either from a tray that doesn’t fit properly or from solution that may come in contact with the tissues. If you have concerns about such side effects, you should discuss them with your dentist.

Toothpastes. All toothpastes help remove surface stain through the action of mild abrasives. “Whitening” toothpastes in the ADA Seal of Acceptance program have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these ADA Accepted products do not alter the intrinsic color of teeth.

This month ONLY we are offering $49 tooth whitening kits that include whitening gel and custom bleach trays. Check out our website or call our Salt Lake City Dental office today for an appointment! 801-355-2202

Smile Designs for Porcelain Veneers

Posted in Cosmetic, Dental, Smile Designs, Uncategorized, Veneers with tags , , , on August 7, 2010 by dukeslc

When we talk about “smile design”, what are we talking about.  There are many aspects of a smile beside teeth.   There are so many variables as to what creates a beautiful smile.  What is beautiful to one person, may not be to another; which is a good thing, or we would all look alike.  For instance, in parts of Africa and South America, it is considered beautiful to file the front teeth into points.  So the “cosmetic dentist” of the tribe, or witch doctor, help to file the teeth using knives, files, and rocks to chip and shape the teeth. 

Of course we don’t resort to those measures, but there is some reshaping done to achieve the looks that we desire.  Using “smile guides” we can choose over 30,000 different ways that a cosmetic dentist can create a new smile.  One of the most popular guides is one developed by Dr. William Dickerson, the founder of the prestigious Las Vegas Institute for Advanced Dental Studies.  I have had the privilage of studing there for the past seven years under his tutelage.  I have designed thousands of smiles using veneers and porcelain crowns to acheive the look we wanted.  Each smile style is a combination of the teeth shapes for the front six teeth.  For example, the four front teeth (incisors) could be either square at the corners, square at one corner and rounded at the other, or rounded at both corners. Similarly, the cuspids or eye teeth (third tooth back) could be pointed, rounded or flat. Combining these different shapes each produces a uniquely different smile style. Please note, this smile library below is only to choose the basic shape of the front six teeth, and in no way reflect the color, length, surface texture or translucency that the porcelain veneers or crowns will have. Those other things are addressed in other aspects of smile design and choosing the best combination for your “sensational new smile”.

Dickerson catalog

For most females, the “Enhanced” smile style is one of our most popular designs. Note that the second teeth from the center are a little shorter than the front teeth. This is a youthful effect we call “the gull wing” that really looks nice on females. The “Hollywood” style above is a little more “toothy” and works well for males and especially those wanting to show off a little more teeth. The “Oval” style might look best on someone with a very round face. Notice how very round the edges of the four front teeth are? The “Aggressive” style has tooth edges that are flat almost straight across. We use it mostly for men and it simulates someone who might be a bit older and have a habit of grinding his teeth. The “Youthful” style simulates the shape of unworn teeth that might be seen in a 14 year old. Although many adults like this name because they think it might give them the illusion of being significantly younger, we almost always utilize this design in much younger individuals. The “Mature” style has squarish edges on the four front teeth and is another design that we frequently use for men. The “Softened” style is a very popular design that we use for those wanting their smile to help make them appear a little younger than their years. It is my preference to use smile designs that have the cuspids (also called canines, the third teeth back on each side) that are slightly round, not flat (too old looking) or pointed (too aggressive looking). It is important that both the patient and cosmetic dentist actively discuss the different smile styles at the beginning of the smile makeover process. Using our technique called “the trial smile” we’re able to make provisional veneers or crowns so that our patient can “test drive” their new smile prior to making any final decision regarding the smile design for their final porcelain veneers or porcelain crowns.

Call our Salt Lake City Dental Office today for a free consultation or check out our website for more information.

Dental Veneers: The Procedure

Posted in Cosmetic, Dental, Uncategorized, Veneers with tags , , , , , , , on August 5, 2010 by dukeslc

Actual Patient, Porcelain Veneers

1st Step: Dr. David Duke offers FREE Consultations to everyone interested in dental veneers. Every patient must have an exam and discuss their cosmetic preferences with the Dentist. The oral health of the patient and any malocclusion (crowding and incorrect bite) must be addressed before veneers will be recommended. An impression is taken of the upper and lower teeth and the lab will fabricate a wax model of the future veneers. The patient will be able to choose the style of veneer desired from our photo examples. 

How many Dental Veneers do I need?

Many patients are interested in placing a veneer on one or two teeth to improve their appearance. While this can be done, we highly recommend placing veneers on each tooth seen when you smile. Some people have smaller mouths and may only have 4 or 6 teeth visible when smiling or talking. Others may have a “Julia Roberts” smile and need 6 to 10 veneers made. We use the best labs in Salt Lake City, Utah and we make our veneers as natural looking as the patient desires.

2nd Step: The patient will return to review and revise the wax model of the veneers.  This is absolutely necessary to review with the patient because it provides a physical, visual example of the final result.  Wax-ups, as they are called, provide the patient with a chance to review and change any part of the veneer that they don’t like. The size, shape, length, texture, or color will all be considered and the patient will be able to make educated decisions for their permanent veneers. 

3rd Step: Once the look of the veneers is chosen, the patient will return for the veneer preparation visit. The Dentist will slightly reduce the chosen teeth and take the final impression for the lab. Temporary veneers are made in the office to replicate the permanent veneers. The patient will wear these for a few days while the lab creates the permanent veneers.

Note: Some patients may require Laser Gum Recontouring.  When preparing for veneers, the gumline can be moved or re-shaped to prevent a “gummy smile” and the veneers will be made to sit perfectly along the gumline. We use a very gentle laser that promotes quick healing and little to no discomfort.

Actual Patient, Porcelain Veneers

4th Step: The temporary veneers are gently removed, the tooth is cleaned from any cement, and the Permanent Veneers are placed on the teeth with permanent cement. Any slight or small adjustments will be made by the dentist to ensure correct bite and esthetics of the teeth.

We welcome you to visit our office, meet our Dentist and Team members, and enjoy freshly baked cookies. Our FREE Consultations allow patients to discuss all treatment options with the Dentist and help us understand your unique desires. Feel free to check out our website for before and after photos and more information. At your convenience, call our Salt Lake City Dental Office at 801-355-2202 to schedule an appointment. We look forward to meeting you!

Dental Veneers

Posted in Cosmetic, Dental, Invisalign, Veneers with tags , , , , , on July 26, 2010 by dukeslc

Dental Veneers are custom-made porcelain or composite resin “shells” placed on the front surface of a tooth.  Veneers are bonded to the tooth and are intended to improve the cosmetic appearance or esthetics of the tooth.  Veneers can be made to increase the length or size of the tooth, change the shape of the tooth, or to change the color of the tooth. 

Porcelain Veneers

Veneers can be made from dental porcelain in a dental laboratory or from composite resin placed by the dentist directly onto the tooth.  Porcelain veneers have greater strength and typically last longer without wear or need for replacement.  Porcelain has been proven to resist stains better and replicates the appearance and texture properties of natural teeth.

Composite Resin Veneers

The dentist can place composite Resin Veneers directly onto the tooth.  Depending on the reason for the dental veneer, resin veneers can be made thinner than porcelain veneers.  While this may provide less tooth removal, the resin can be prone to chipping or wear due to the thin nature of the veneer and may require frequent replacement.

Why Dental Veneers?

Dental Veneers are a long-term solution for teeth with an array of functional or cosmetic problems.

1)     Teeth that are discolored from the interior of the tooth.  This is not a common occurrence, but teeth may discolor after a Root Canal is completed or if the tooth suffers trauma and turns a brown or gray.

2)     Discolored teeth due to excessive fluoride or use of the drug called tetracycline.  Use of these two drugs can interfere with the formation and color of the enamel on permanent teeth at a young age.

3)     Teeth that are chipped, worn down, or broken. Veneers restore teeth to their normal shape and size and can fix the appearance of a chipped tooth.

4)     Teeth that are misaligned, uneven, crooked, or have large spaces in between them. For many people with crooked or misaligned teeth, the combination of braces and veneers is the optimal option, both functionally and cosmetically.  Veneers can correct the appearance of misaligned teeth, but cannot fix the incorrect bite of the premolars and molars.  Invisalign braces allow the patient to bite correctly, make space for the veneers, and allow for the best long-term oral health of the patient.

Dr. David Duke  loves to perform cosmetic dentistry and welcomes you to experience our gentle dentistry and a FREE Consultation at your convenience.  Please check out our website for more information and call our Salt Lake City Dental Office for an appointment today. We look forward to meeting you and addressing your individual needs.