Smile Makeover Considerations

A smile makeover takes into consideration your facial appearance, skin tone, hair color, teeth (color, width, length, shape and tooth display), gum tissue and lips to develop your ideal smile. Smile makeovers are performed for many reasons and customized according to your unique considerations.

What is it that you like or dislike about your smile or your teeth? Some aspects of your smile that would be reviewed at Perfect SmileDental Clinic by Dr. Pradnya and that could be improved with a smile makeover include the following:

Tooth Color:

Silver or amalgam dental fillings can be replaced with natural, tooth-colored composite restorations, while teeth whitening can improve the color of stained or dulled teeth. Tooth color and shading are important considerations during the evaluation of and preparation for various procedures, including porcelain veneers, crowns, bridges, composite bonding and dental implants.

When considering the color of your teeth, keep in mind that dark or discolored teeth may suggest an aged mouth. A well-shaped smile comprised of bright, white teeth lends to a youthful appearance. The shade your dentist selects for teeth whitening and veneers is carefully evaluated with special consideration given to the tone and color of your face and hair. We at Perfect Smile Dental Clinic are skilled at finding the right balance between providing you with a brighter, whiter smile and maintaining a natural tooth color.

Alignment and Spacing:

Teeth that are crooked, overlapping or have gaps between them can be straightened and aligned when necessary through orthodontics or Invisalign and improved with veneers.

Missing Teeth:

One or more missing teeth can negatively affect the appearance of your smile – as well as affect your bite and increase your risk for tooth decay – making replacement an integral part of oral health and facial esthetics. Missing teeth can be replaced by dental implants, bridges or partial dentures.

Harmony and Balance:

Uneven, chipped and cracked teeth can be cosmetically bonded for an improved appearance, and a gummy smile can be re-contoured to help improve the overall look of the smile.

Fuller Lips, Smile and Cheeks:

An unshapely or aging face can be improved or rejuvenated with certain procedures in the smile makeover category, including orthodontics and/or oral maxillofacial surgery.

We will work closely with you to develop a treatment plan designed to achieve exactly what you want from your makeover. This treatment plan may consist of many cosmetic and functionally restorative procedures, potentially including teeth whitening, composite bonding, veneers, dental crowns, orthodontics (braces), oral maxillofacial surgery and gummy smile reduction.

Esthetic Components of a Smile Makeover

In addition to the color, alignment and balance of your teeth in the esthetic zone of your smile (the section of upper and lower teeth that show when you smile), there are several attributes of your teeth and smile that we will evaluate with you when planning your smile makeover. These include:

Tooth Length:

Long teeth lend a youthful appearance. Aging produces wear and tear that often results in shorter teeth, and a gummy smile also can make teeth appear shorter. A smile makeover treatment for shorter teeth may include reshaping and lengthening the two front central teeth with composite bonding or porcelain veneers. If you have a gummy smile, we may provide treatment to modify the gum line and lengthen the appearance of the teeth using laser dentistry procedures. Crown lengthening may also be performed  if necessary.

Teeth lengthening may also impact your overall facial appearance. For example, shapely, long, square teeth on a round-faced individual can provide a slimming effect.

Smile Line:

The smile line is an imaginary line that follows the edges of your upper teeth from side to side, which ideally should be the same as the curve of your lower lip when you smile. This standard point of reference for smile makeovers may be used to help determine how long your new teeth should be.

Tooth Proportions:

Your cosmetic dentist will examine your teeth to determine if they are in correct proportion with each other. Most people recognize a pleasing smile as one in which the two central front teeth are dominant and have a width-to-length ratio of 4-to-5. This proportion guides the length and width of other teeth in the esthetic zone so that the smile line appears balanced.

Tooth Texture and Characterization:

We at PERFECT SMILE DENTAL CLINIC are adept at blending functionality and esthetics. An artistic dentist can characterize your crowns or veneers to creating a more feminine or a more masculine appearance in addition to matching the look and feel of natural teeth or those you’ve seen in photographs so as to give you that perfect Hollywood smile.

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Teeth whitening is a great way to boost your smile in a short space of time, most patients that visit say that they would prefer a brighter smile. We offer both in-office teeth whitening treatments or professional home whitening trays which enables you to carry out the procedure in the comfort of your own home.

Our In office tooth whitening procedure gives immediate results with teeth shade turning atleast 3 shades whiter.

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Cosmetic

Cosmetic Dentistry:

Refers to a host of dental treatments designed to enhance the smile and correct chipped, cracked, discoloured and unevenly spaced teeth. From porcelain veneers to tooth-colored fillings, patients can choose from a variety of cosmetic dentistry solutions to restore the health and vitality of their smile.

 Veneer:

A veneer is a thin layer of restorative material placed over a tooth surface, either to protect a damaged tooth surface or to improve the aesthetics of a tooth. There are two types of veneers in dentistry – composite and dental porcelain. A composite veneer may be directly built up in the mouth. In contrast, a porcelain veneer is indirectly fabricated and later bonded to the tooth using resin cement.

Why might I have a veneer?

Veneers are an ideal way of treating discolored or unsightly teeth, closing gaps between front teeth, or repairing chips and cracks.

How are veneers made?

A small amount of enamel is removed from the tooth, usually the same thickness as the veneer will be. An impression is taken by the dentist and sent to a dental technician for the veneer to be made in the laboratory. The veneer is then bonded to the tooth to form a strong and natural-looking repair. Sometimes a natural colour ‘composite’ material is used instead of porcelain. Composite veneers can be completed in one visit and involve bonding tooth-coloured filling material to the front of the tooth. Although these veneers are slightly more prone to staining and have a shorter life, they are easily replaced.

Replacement of Missing Tooth

If a tooth is missing, or needs extraction, there are several ways to fill the gap that is left. In some cases it is important to try to replace any missing teeth in order to balance the way your jaw bites. If you have several missing teeth, the remaining teeth are under more pressure, which can lead to broken fillings or teeth chipping or even jaw problems. A partial denture is the simplest way of replacing missing teeth. A partial denture is available in a variety of materials like simple acrylic dentures, flexible dentures and cast partial dentures.  However, some people find dentures uncomfortable and eventually want a fixed and more comfortable alternative. This can be treated either using ceramic bridges which use adjacent teeth for support or use of Dental Implants.

Ceramic Bridge:

Bridges are ideal for people who don’t like dentures or only have one or two teeth missing. Conventional bridges are made by crowning the teeth on either side of the gap and attaching a false tooth in the middle. They are fixed in the same way as crowns. These bridges are usually made of precious metal bonded to porcelain. Sometimes other non-precious metals are used in the base for strength.

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Both crowns and most bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, crowns and bridges are cemented onto existing teeth or implants, and can only be removed by a dentist.

How do Crowns Work?

A crown is used to entirely cover or “cap” a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.

How do Bridges Work?

A bridge may be recommended if you’re missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders. Bridges are commonly used to replace one or more missing teeth. They span the space where the teeth are missing. Bridges are cemented to the natural teeth or implants surrounding the empty space. These teeth, called abutments, serve as anchors for the bridge. A replacement tooth, called a pontic, is attached to the crowns that cover the abutments. As with crowns, you have a choice of materials for bridges. Your dentist can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the color of your natural teeth.

How long do Crowns and Bridges Last?

While crowns and bridges can last a lifetime, they do sometimes come loose or fall out. The most important step you can take to ensure the longevity of your crown or bridge is to practice good oral hygiene. A bridge can lose its support if the teeth or bone holding it in place are damaged by dental disease. Keep your gums and teeth healthy by Brushing with fluoride toothpaste twice a day and flossing daily. Also see your dentist and hygienist regularly for checkups and professional cleanings. To prevent damage to your new crown or bridge, avoid chewing hard foods, nuts, bones or other hard objects.

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Dentures are replacements for missing teeth that can be taken out and put back into your mouth. While dentures take some getting used to, and will never feel exactly the same as one’s natural teeth, today’s dentures are natural looking and more comfortable than ever. There are two main types of dentures: full and partial. We will help you choose the type of denture that’s best for you based on whether some or all of your teeth are going to be replaced and the cost involved.

How do Dentures Work?

With full dentures, a flesh-colored acrylic base fits over your gums. The base of the upper denture covers the palate (the roof of your mouth), while that of the lower denture is shaped like a horseshoe to accommodate your tongue.

Conventional Full Denture

A conventional full denture is placed in your mouth after any remaining teeth are removed and tissues have healed. Healing may take several months, during which time you are without teeth.

Immediate Full Denture

An immediate full denture is inserted immediately after the remaining teeth are removed. (Your dentist takes measurements and makes models of your jaw during a prior visit.) While immediate dentures offer the benefit of never having to be without your teeth, they must be relined several months after being inserted. The reason is that the bone supporting the teeth reshapes as it heals, causing the denture to become loose.

Partial Denture

A partial denture rests on a metal framework that attaches to your natural teeth. Sometimes crowns are placed on some of your natural teeth and serve as anchors for the denture. Partial dentures offer a removable alternative to bridges.

Partial dentures maybe simple acrylic,flexible or cast partial.

How Long Before I Get Used to My Dentures?

New dentures may feel awkward or uncomfortable for the first few weeks or even months. Eating and speaking with dentures might take a little practice. A bulky or loose feeling is not uncommon, while the muscles of your cheeks and tongue learn to hold your dentures in place. Excessive saliva flow, a feeling that the tongue does not have adequate room, and minor irritation or soreness are also not unusual. If you experience irritation, see your dentist.

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