Cosmetic

BLEACHING

Bleaching or whitening is a safe and effective way of rejuvenating your smile.

While there are several different methods for the bleaching of teeth on the market, many techniques are based on marketing rather then results. ‘Laser’ assisted bleaching or ‘power’ bleaching dehydrates teeth (which makes them lighter), but the effects are not long lasting.

Research shows that bleaching techniques  using trays that are worn overnight, or for 1 hour during the day for 10-20 days have been proven to give the best long-term colour change, at about 1/2 the cost of less effective ‘power assisted’ bleaching.

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Bleaching Advantages

Bleaching is a cost effective cosmetic enhancement that does not damage or harm teeth or fillings. It is easy to ‘top up’ every few years to maintain your white, healthy looking smile. Bleaching can work on extremely stained and discoloured teeth.

Bleaching Disadvantages

Bleaching will not change the colour of fillings or crowns that are already part of your smile. Uncommonly there are some discoloured teeth that are difficult to whiten. Your teeth may become temporarily quite sensitive during the bleaching process.

 

BONDING

Bonding and cosmetic recontouring are simple and conservative ways of changing your smile.

cosmetic

Bonding relies on the very strong and durable attachment of dental composite (white filling material) to tooth enamel. This method is especially good at changing the perceived shape or position of a tooth, and closing spaces.

Cosmetic recontouring is the reshaping of your teeth that involves the removal of a very small amount of tooth structure to help achieve a more desirable smile. Chipped or fractured areas are smoothed out, overlaps decreased, and specific angles or edges can be rounded or squared. Contouring creates better alignment and can create a more feminine or masculine smile.

Advantages
These are the most conservative methods of altering your smile, often involving the removal of no tooth structure. This means they can be replaced or altered with no ill affects to the underlying teeth. More problematic complications such as tooth sensitivity, root canal work, or decay are extremely rare. These methods are often used in conjunction with bleaching (whitening) and are cost effective when compared to Veneers or Crowns.

Disadvantages
The composite will stain, chip and wear with time requiring regular maintenance. You could expect these restorations to last 5-10 years. Polishing, repairs and replacements are easy and relatively inexpensive to do.


VENEERS

Cosmetic Veneers

Dental veneers, sometimes referred as porcelain veneers are an ultra-thin, custom-made shell of a tooth-coloured material designed to cover the front surface of each tooth.

Veneers will repair teeth that are discoloured, worn down, chipped or broken, misaligned or irregularly shaped.

Veneers will provide you with a natural tooth appearance that will not affect or irritate your gum tissue.

Porcelain veneers are stain resistant, and can make dark teeth appear whiter. It offers a conservative approach to changing a tooth’s colour and shape.

Advantages of Procelain Veneers:
Porcelain veneers are common in creating new smiles and smile makeovers. With porcelain veneers, you can have the smile of your dreams in a very short period of time. Usually costing less than crowns, veneers typically won't stain, making veneers a very popular solution for many people seeking that perfect smile. Strong and very durable, veneers last from ten to fifteen years or longer.

Finally, a whiter smile gives people to whom you are speaking a place to focus on and gives you a friendlier appearance.

Disadvantages of Porcelain Veneers:
It typically takes 1-2 weeks adjustment to get used to the new colour, size, spacing and shape of your teeth. Veneers are often not advised if significant reduction of the tooth is required.

If you suffer from bruxism, clenching or grinding of your teeth, veneers can be damaged, chipped or cracked. If this is the case a bite splint can be made to protect your teeth at night time (when grinding most commonly occurs).


WHITE FILLINGS

White fillings on back teeth can rejuvenate your smile.

Cosmetic Fillings

In one visit, mutiple amalgam fillings can be simply removed, and replaced with aesthetic, long-lasting composite white fillings.

Advantages
Composite fillings (especially in a small decay lesion) are a micro-surgical way of dealing with cavities in your teeth, allowing the smallest filling possible. Sometimes local anesthetic is not required.

These materials have an unrivalled ability to seal teeth, and help prevent decay in other parts of the tooth while being almost invisible. There is evidence that Composite fillings  have the ability to strengthen teeth weakened by past decay or fillings by ‘gluing’ the tooth together.

Disavantages
While success rates are excellent for small and medium fillings, larger restorations in back teeth made of composite have a life expectancy half of that or less of amalgam. Other options (such as ceramic onlays/inlays) should be considered if the restoration is large. Increased wear, fracture, sensitivity and decay of large composite restorations can lead to instability in your bite, food trapping, and other problems at a later stage. Consult your dentist for options.

 

OTHER SERVICES

James has been trained and has experience in many other cosmetic techniques to improve your smile, including crowns, bridges, inlays, onlays, gum recontouring and augmentation and implants. He also works closely with other specialists (orthodontists, periodontists, endodontists and oral surgeons) to provide a full range of options and treatments, whatever your requirements.