At-Home Teeth Whitening - Tooth bleaching can remove stains and areas of discoloration from the teeth. At-home tooth whitening patients are provided with trays fitted to their mouths and a peroxide-based tooth whitening solution. At-home tooth whitening usually takes between two and three weeks. We currently use Night White Excel ACP of Discus Dental 0.16% or 0.22%.

Composite Resin Fillings - Amalgam fillings and gold fillings are becoming obsolete as more patients choose to go with composite resin "tooth-colored" fillings. Composite resin fillings can be made to match the color of a patient's natural tooth. Composite resin fillings have rendered the silver fillings that were once telling signs of cavities unnecessary. We use two types of material VOCO (Grandio)  German Brand of composite or IVOCLAR (Tetric-N-Ceram) USA brand of adhesive dentistry products.

Cosmetic Gum Surgery (visible gum line) - Cosmetic gum surgery can help patients with smiles that show more gum than tooth to achieve a more attractive smile. In this procedure extra gum tissue is removed with a laser in order to expose more of the tooth's surface.

Cosmetic Gum Surgery (receding gum line) - As a result of age, gum disease, or a misaligned bite, patients may experience a gradual receding of the gums. This may cause discomfort as roots become exposed and loosening of the teeth occurs. To repair receding gums the cosmetic dentist will graft tissue taken from the roof of the mouth to the gum line. This "new" gum line will hold teeth in place and protect tooth roots from damage. Also now we use Alloderm graft material that it has almost a 100% success to performed this procedure and we can achieve the best result ever.

Zirconium Crowns - Zirconium is the imitation of Diamond so it's very hard and looks beautiful. This is the best material to do an oral rehabilitation of aesthetics in your mouth. It can be use to restore a full arch denture, implants, everything.

Veneers - In dentistry, a veneer is a thin layer of restorative material placed over a tooth surface, either to improve the aesthetics of a tooth, or to protect a damaged tooth surface. There are two main types of material used to fabricate a veneer, composite(Lumineers) and porcelain. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental laboratory, and later bonded to the tooth, typically using a resin cement such as Rely X ARC. In contrast, a porcelain veneer may only be indirectly fabricated.

History⁽¹⁴⁾

Veneers were invented by a California dentist named Charles Pincus ^[1]. At the time, they fell off in a very short time as they were held on by denture adhesive. They were, however, useful for temporarily changing the appearance of actors' teeth.

Research started in 1982 by Simonsen and Calamia ^[2] revealed that porcelain could be etched with hydrofluoric acid, and bond strengths could be achieved between composite resins and porcelain that were predicted to be able to hold porcelain veneers on to the surface of a tooth permanently. This was confirmed by Calamia ^[3] in an article describing a technique for fabrication, and placement of Etched Bonded Porcelain Veneers using a refractory model technique and Horn ^[4] describing a platinum foil technique for veneer fabrication. Additional articles have proven the long-term reliability of this technique. ^{[5][6][7][8][9][10][11][12][13]}

Today, with improved cements and bonding agents, they typically last 10-30 years. They may have to be replaced in this time.

Usage

When using veneers, the teeth's appearance can be changed with minimal tooth preparation (e.g. drilling). Many veneer procedures can be done with the use of little or no local anesthetic. Traditionally, a reduction of approximately 0.5 mm is required for a porcelain veneer. Composite veneers are becoming more popular as they are easy to repair, whereas porcelain veneers have potential to fracture. It can be very difficult to match the shade of an individual veneer to the remaining teeth, hence placing several veneers is common.

There are some veneers which do not require any drilling in order to remove tooth structure. Instead, these veneers are constructed to be placed on top of teeth. As a result, treatment is less invasive and may be less time-consuming. On the other hand, since the teeth are not reduced in size the veneers may appear too large or bulky unless the material used is extremely thin. Therefore, the success for these veneers is best when limited to specific cases.

Veneers may be used cosmetically to resurface teeth such as to make them appear straighter and possess a more aesthetically pleasing alignment. This may be a quick way to improve the appearance of malposed teeth without need to use orthodontics. However, the amount of malposition of teeth may be such that veneers alone may not be enough to correct them. Instead, orthodontics would need to be used, or orthodontics combined with veneers. The dentist who places veneers must be careful since veneers could increase the thickness of the front face of the teeth. If the teeth are too thick on the face they may appear to stand out and push out the lips. The effect may be enough to give the patient a full or donkey appearance when the lips are closed. Veneers must also be created such that the patient bites into them with minimal force. Otherwise, they may chip off. Patients whose lower jaw protrudes out farther than their upper jaw (known as a class III bite) may not benefit from veneers because the teeth of the lower jaw may bite into the teeth of the upper jaw such as to dislodge the veneers.

Indications

Veneers are an important tool for the cosmetic dentist. A dentist may use one veneer to restore a single tooth that may have been fractured or discolored, or multiple teeth to create a "Hollywood" type of makeover. Many people have small teeth resulting in spaces that may not be easily closed by orthodontics. Some people have worn away the edges of their teeth resulting in a prematurely aged appearance, while others may have malpositioned teeth that appear crooked. Multiple veneers can close these spaces, lengthen teeth that have been shortened by wear, provide a uniform color, shape, and symmetry, and make the teeth appear straight.

Alternatives

In the past, the only way to correct dental imperfections was to cover the tooth with a crown. Today, in most cases there are several alternatives: crown, composite resin bonding or porcelain veneer or even cosmetic contouring or orthodontics

Non-permanent dental veneers are available. These dental veneers are molded to existing teeth and are removable and reusable and are made from a flexible resin material. Do it yourself at home kits are also available for the impression-taking process. Actual veneers are made in the lab and sent to the wearer through the mail.

PORCELAIN VENEERS

What are Porcelain Veneers?

Porcelain veneers are thin wafers of porcelain, about half a millimeter thick (the thickness of a fingernail) that are bonded onto the front of teeth to create a smile makeover. They create a beautiful result. Porcelain mimics tooth structure better than any other restorative material. It is harder than enamel, so it resists wear and can last for many years. Dental artists can manipulate the color and translucency to re-create the look of any tooth. And it resists stain better than tooth enamel. Very rarely will it discolor, unless the surface has been damaged.

Some advertising creates the false impression that placing porcelain veneers requires that your teeth be "ground down". It would be more accurate to say that your teeth are shaved a little. The amount of reduction is minimal and doesn't damage the teeth. The picture on the right shows how thin they are and how a prepared tooth looks very much like an unprepared tooth.

LUMINEERS (composite veneers fabricated on the Lab)

These are composite veneers and they don't need to grim the teeth just we take an impression of the teeth and after 1 day of Lab work we get cemented you beautiful new smile. This veneer has the width of a contact lens.

LUMINEERS – the painless way to bring out the beautiful, healthy, natural, permanently white smile in you.

Ultra-thin LUMINEERS are custom designed to give you the beautiful smile you’ve always dreamed of. Unlike traditional veneers, there are no shots, no drilling of sensitive tooth structure, and no pain. They’re even reversible, so you have nothing to lose and a beautiful smile to gain. Plus—LUMINEERS are proven to last for over 20 years, so your beautiful smile will be with you for years and years.

LUMINEERS with LUMINATE in LUMITray Technology

And now, in addition to LUMINEERS, you can ask your dentist about LUMINEERS with LUMINATE in LUMITray Technology. It’s new technology that allows your dentist to place your veneers all at once, instead of individually. Plus, it offers exclusive digital design and preview technology, which all adds up to less time in the dentist chair!

Transforming your smile couldn’t be any easier; in fact, it takes just 2 easy visits.

Whether you transform your smile with LUMINEERS or LUMINEERS with LUMINATE in new LUMITray Technology, it takes only 2 easy visits to your dentist to bring out your beautiful smile. During your first visit a precision mold will be taken. You and your dentist will also choose the right shade for your new, permanently white smile. On your second visit, your custom designed LUMINEERS are checked for fit and shade.  Then, they’re painlessly attached.

That’s it – a healthy, natural, permanently white smile you’ve always wanted in only 2 visits.

PORCELAIN CROWNS

Full porcelain crowns are crowns without any metal in the core so they really are completely porcelain. This is a great alternative to replace or cover the front 6 teeth in the upper jaw and the lower jaw. But for the back part of the mouth they aren't a good choice because a full porcelain crown doesn't have the strength to bare the bite forces and breaks easily.

LASER WHITENING

Zoom2! Advance Power laser whitening - This procedure takes 3 sessions of 15 minutes to remove stains and areas of discoloration from the teeth. This will cause so much less sensitivity than the At-Home systems.

www.zoomnow.com (para descargar imagenes)

References

1. ^ Pincus CL."Building mouth personality" A paper presented at: California State Dental Association;1937:San Jose, California
2. ^ Simonsen R.J. and Calamia John R. "Tensile Bond Strengths of Etched Porcelain", Journal of Dental Research, Vol. 62, March 1983, Abstract #1099.
3. ^ Calamia John R. "Etched Porcelain Facial Veneers: A New Treatment Modality Based on Scientific and Clinical Evidence", New York Journal of Dentistry, Vol. 53, #6, Sept./Oct. 1983, pp.255-259.
4. ^ Horn HR. "A new lamination, porcelain bonded to enamel". NY St Dent J 1983;49(6):401-403
5. ^ Calamia John R. and Simonsen R.J. "Effect of Coupling Agents on Bond Strength of Etched Porcelain", Journal of Dental Research, Vol. 63, March 1984, Abstract #79.
6. ^ Calamia John R. "Etched Porcelain Veneers: The Current State of the Art", Quintessence International,Vol. 16 #1, January 1985.
7. ^ Quinn F Mc Connell RJ "Porcelain Laminates: A review", Br Dental J. 1986:161(2):61-65
8. ^ Calamia John R. "Clinical evaluation of etched porcelain veneers" Am J Dent 1989:2:9-15
9. ^ Nathanson D, Strassler HE. Clinical evaluation of etched porcelain veneers over a period of 18 to 42 months J Esthet Dent 1989:1(1):21-28
10. ^ Strassler HE, Weiner S "Long-term clinical evaluation of etched porcelain veneers" J Dental Res 77 (Special Issue A):233 Abstract 1017,1998
11. ^ Friedman, MJ "A 15-year review of porcelain veneer failure- a clinicians’ observations. Compend Contin Educ Dent. 1998:19 (6):625-636.
12. ^ Calamia John R. "Etched Porcelain Laminate Restorations: A 20-year Retrospective- Part 1" AACD Monograph Vol II 2005:137-145 Montage Media Publishing
13. ^ Barghi, N , Overton JD "Preserving Principles of Successful Porcelain Veneers" Contempory Esthetics 2007:11(1)48-51
14. Wikipedia on-line at www.wikipedia.com