Cosmetic dentistry consists of the art and science aimed at developing or highlighting the beauty of the smile.
Cosmetic dentistry is a dental discipline that is dedicated to improving the smile. It is intended to improve dental, gingival and / or lip aesthetics in relation to facial parameters. Nowadays, image is increasingly important and the smile is crucial, it affects our self-esteem, and when we are satisfied with it, we can smile more, and in a more natural way, without worrying about showing our teeth. In addition, when it comes to interacting on a personal and work level, we increasingly look for a healthy and pleasant smile.
To achieve this, a correct analysis of the smile-facial relationships, the pink aesthetics (of the gums), and the white aesthetics (of the teeth) is essential, we will make a smile design, always taking into account the opinion of the patient, and your expectations.
The procedures that we can carry out on the teeth are: aesthetic contouring, teeth whitening, porcelain veneers, composite modeling, and porcelain crowns.
Aesthetic contouring or enameloplasty
There are areas of the teeth where the enamel is very thick, for example, at the edges of the incisors and canines. This circumstance allows to shorten or flatten the enamel with the intention to change and improve its shape, it is used in very specific cases in very long teeth or small asymmetries in the incisal edges. The procedure does not require anesthesia because it is painless and the teeth on which it is operated do not become more sensitive.
Not having a beautiful smile can be the cause of some aesthetic complexes and even difficulties when it comes to getting a job. That is why whitening is one of the most requested cosmetic dental treatments. The most frequent reasons why our teeth lose their natural color are:
- Consumption of tobacco or drinks such as coffee, cola or wine.
- Patients who suffer from problems, such as fluorosis (excess fluoride) or lack of calcium.
It is also advisable to do it before replacing teeth. Since we will return the vital teeth to their natural color, and thus be able to take the color of all the pieces more uniformly.
It is the treatment that we use most frequently. They are thin sheets of feldspathic ceramic or lithium disilicate, which are cemented on the visible face of the tooth. It is possible to improve the shape, size, color, appearance, and slight positional problems of the teeth, as well as to camouflage lost gingival embrasures, which cannot be recovered with periodontics. With this treatment, we can achieve, in most cases, a change in the smile, meeting the patient’s expectations.
First of all we do the smile design. We manufacture a mock up with the parameters that we have analyzed, which is a wax or resin model with the final result of the patient’s teeth and thus the patient can see in situ, the effect of the result of the treatment with veneers on their smile. There are two techniques to make veneers, one without dental preparation, that is, it is not necessary to carve the tooth, and another with minimal preparation of the tooth, depending on the case we will do one or the other.
We do it in cases in which a tooth in the anterior sector is broken or pitted, or for closure of diastemas (separated teeth). We reconstruct what is missing from the tooth with aesthetic composites, with which we manage to give the color, nuances and translucency of the tooth. There are also composite veneers, they last in good condition between 3 and 5 years. The reason is that the composite gradually loses its brightness and color since chromophore molecules are trapped inside, something that does not happen in ceramics. Therefore, if we want to extend their use, we must do some maintenance.
In cases in which a tooth is very deteriorated, or there is a lot of generalized wear on the teeth due to bruxism, we make crowns (caps). This technique consists of preparing the tooth in its entire contour, and custom manufacturing a sleeve that wraps the entire tooth, thus achieving mechanical retention due to the shape that we give to the sleeve, and a chemical fusion through cementation. Therefore, we will get enough strength in our crown to be able to withstand the forces of bruxism.
In some cases, crowns can be made on some teeth that need them and ceramic veneers on others, achieving an optimal aesthetic result with the minimum necessary preparation.
Teeth can make a face look aged. Over the years, they darken, wear out, fade. In some cases, this happens prematurely, due to parafunctional wear of the teeth (bruxism). The beautiful smile of those happy years of the past, will never return … Never? A youthful smile is identified by:
- Brightness and volume of the teeth.
- A soft smile profile with a curvilinear tendency, with a greater length of the central incisors, and of the canines with respect to the lateral incisors.
- Visibility of upper jaw teeth during speech and smile.