Archive for Cosmetic

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.

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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.

Salt Lake City Dental Implants

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

There are many people who have lost one or more teeth and may feel to self-conscious about it. Missing teeth can hinder people from smiling or talking freely for fear of people noticing. In addition to feeling self-conscious, tooth loss can make eating more difficult which can lead to malnutrition in severe cases.
 There are many different situations that may cause tooth loss including tooth decay, root canal failure, gum disease, trauma to the mouth, excessive wear and tear due to bruxism, or congenital defects.  Dental implants are an ideal solution for people who have a missing tooth or teeth.  Implants will replace both the crown of the tooth and the root of the tooth.  Dental implants are versatile, strong, and very natural looking.   The result of a dental implant is better oral health and confidence in smiling and talking freely! 

Having dental implants placed is much easier than it used to be.  First, one must find a Salt Lake City implant dentist close to you.  The Salt Lake City dentist will take x-rays to determine if you are a good candidate for dental implants.  If you are a good candidate the dentist will place the implant surgically into the jawbone.  After the surgery is completed the implant must heal for 4-6 months to make sure that the bone is strong enough to support a tooth. When the implant has healed completely your Salt Lake City dentist will have the lab prepare a crown to go over your implant.  After the crown is placed you will be able to eat normaly, clean your teeth normally, and smile because no one will know you were missing a tooth! 

Dr. David Duke is an Elite Salt Lake City Dentist.  He has placed many dental implants and has a very high success rate.  Visit our website to learn more about dental implants.  We would love to help you achieve replacing missing teeth for the perfect smile possible!  Call for a FREE Consultation today @ 801-355-2202.