Bonding is an alternative to veneers, and can be used as a restorative procedure for teeth that are chipped, cracked, discolored or misarranged.
How does it work?
The tooth is prepared for the procedure by lightly etching the surface and applying a bonding liquid. Once the liquid sets, a plastic resin is applied and sculpted into the desired shape by the dentist. Once set, the resin is trimmed, smoothed and polished to a natural appearance.
The bonding procedure can often be completed in a single office visit, and can improve the appearance of a tooth significantly. However, since the plastic resin used is not as strong as your natural tooth enamel, it is more likely to stain, chip or break than natural teeth. Bonding typically lasts three to five years before need of repair.
What are porcelain veneers?
Porcelain veneers are thin shells of ceramic that bond directly to the front surfaces of the teeth. They are an ideal choice for improving your smile and have become increasingly popular due to their simplicity and versatility.
Placing custom veneers requires a high degree of technical skill as well as attention to cosmetic detail. We place veneers routinely, and design each case individually to match and enhance the characteristics of each patient’s smile.
Will they look like normal teeth?
When bonded to the teeth, the ultra-thin porcelain veneers are virtually undetectable and highly resistant to coffee, tea, or even cigarette stains. For strength and appearance, their resemblance to healthy, white tooth enamel is unsurpassed by other restorative options.
How durable are porcelain veneers?
With proper care, porcelain veneers will brighten your smile for well over a decade.
Dr. Marganian will ensure that your veneers are crafted from the highest quality porcelains and are bonded with the most advanced and proven materials available.
Refraining from using your veneers as tools to open and cut things will prolong their life, and if accidental breakage or damage occurs, it is usually possible to replace only the veneer involved.
When more than half of the tooth’s biting surface is damaged a dentist will often use an inlay or onlay.
What are inlays and onlays?
Inlays and onlays can be made of porcelain, gold, or composite resin. These pieces are bonded to the damaged area of the tooth. An inlay, which is similar to a filling, is used inside the cusp tips of the tooth. An onlay is a more substantial reconstruction, similar to the inlay but extending out over one or more of the cusps of the tooth.
Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its strength and color, which can potentially match the natural color of your teeth.
How are inlays and onlays applied?
Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay. To ensure proper fit and bite, an impression of the tooth is made by the dentist, and sent to a lab for fabrication. The dentist will then apply a temporary sealant on the tooth and schedule the next appointment.
At the second appointment, the temporary sealant is removed. Dr. Marganian will then make sure that the inlay or onlay fits correctly. If the fit is satisfactory, the inlay or onlay will be bonded to the tooth with a strong resin and polished to a smooth finish.
Considerations for inlays and onlays
Traditional fillings can reduce the strength of a natural tooth by up to 50 percent. As an alternative, inlays and onlays, which are bonded directly onto the tooth using special high-strength resins, can actually increase the strength of a tooth by up to 75 percent. As a result, they can last from 10 to 30 years. In some cases, where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.
Having a beautiful smile may be even easier than you think. Many people achieve the look they’ve been dreaming of with our simple “bleaching” procedure.
What are the details of teeth whitening?
It’s safe, quick, and inexpensive. Just let us know at any appointment if you would like to whiten your teeth. You can lighten only your upper teeth or both the upper and lower, depending on how much you show when you talk and smile.
In only a day or two your custom bleach splints will be ready for you to pick up. We provide you with a special bleaching agent that you put into the clear splints. With only a few hours of wear per day, our special bleaching agent bubbles stains right out of your enamel in a very short time without altering tooth structure or existing dental work in any way. When your teeth reach the desired brightness, only occasional treatment is needed to maintain your new smile. We’ll want to take “after” photos at your next appointment.
Dental bleaching can be used to correct tooth discoloration. Discolorations can be caused by staining, aging, or chemical damage to teeth. Using the latest in bleaching technology, we can offer a safe method for creating a beautiful “brilliant” smile. In cases of extreme tooth discoloration, crowns or veneers may be the only choice, but because of the low cost of bleaching treatments, bleaching is nearly always worth a solid try.
How is teeth whitening done?
Key Benefits of Teeth Whitening
- Corrects brown, yellow and spotted tooth staining
- Works on people of any age
- Is a near-permanent solution for a “dull” smile, restoring brightness and brings a smile alive
An impression is taken to make a specialized “mouthguard” or “stent” to hold the bleach against the teeth. The material is used each night for about 3-4 hours for a week or two, and at the end of this time, significant whitening will occur. In some cases, the change is nothing short of brilliant. For confidence in appearance, bleaching technology allows us to promise improvements in yellowing, aging or stained teeth. For very severely stained teeth, crowns or porcelain veneers may be more appropriate.
Considerations for Teeth Whitening
Over-the-counter bleaching agents are available for purchase at drug stores and pharmacies. However, since these products can cause harm to the gums and teeth, it’s better to use products that our practice recommends.
The CEREC Procedure
Let’s face it, very few of us have perfect teeth, free of decay and fillings. You can probably see a filling or two in your own mouth, which do just that — “fill” a cavity, or hole, in your tooth left from the excavation of decayed tooth structure. In many cases, those fillings are made of metal material and can go bad, weaken the tooth, or get additional decay under or around it. In fact, 1.2 billion of these metal fillings will need to be replaced in the next 10 years. CEREC is a method used by thousands of dentists worldwide since 1987 not only to replace these fillings, but also to restore any tooth that is decayed, weakened, broken, etc. to its natural strength and beauty. Better yet, it’s done with all-ceramic materials that are tooth-colored in a single appointment!
Exam and Preparation
First, your Dentist examines the tooth and determines the appropriate treatment. It could be a simple filling, or a full crown, depending on how much healthy tooth structure is remaining and the clinical judgment of your Dentist. Next, he or she administers an anesthetic and prepares your tooth for the restoration, removing decayed and weakened tooth tissue. This preparation is just like he or she would do for many other restorative techniques.
Then, your Dentist takes an Optical Impression of the prepared tooth. Instead of filling a tray with impression “goop” that you must bite into and hold in your mouth until it hardens, your Dentist coats the tooth with a non-toxic, tasteless powder. A camera is then used to take a digital picture of your tooth. This whole Optical Impression process takes only a minute or two.
Next, the CEREC machine helps the Dentist create the restoration for your tooth. The CEREC 3D software takes the digital picture and converts it into a 3-dimensional virtual model on the computer screen. Your Dentist then uses his or her dental expertise to design the restoration using the CEREC 3D computer program. Within a few minutes, your Dentist clicks a button, and the restoration design data is sent to a separate milling machine in the office. A ceramic block that matches your tooth shade is placed in the milling machine. About 10 – 20 minutes later, your all-ceramic, tooth-colored restoration is finished and ready to bond in place. Finally, your Dentist tries the restoration in your mouth to ensure proper fit and bite. The restoration is then polished and bonded to the prepared tooth. Your tooth is restored with no “temporary” or return trip necessary. All of this is done in a single appointment! Ask us about CEREC today.
What is CEREC? CEREC is an acronym…
- Chairside: The technology is in the dental operatory and used while you are in the chair
- Economical: The procedure is economical for both dentist and patient
- Restorations: The procedure restores your tooth to its natural beauty, function, and strength
- Esthetic: The restorations are metal-free and tooth-colored
- Ceramic: High-strength ceramics are used that are close in composition to your natural tooth structure.
CEREC is an advanced dental restorative system that allows your dentist to restore decayed teeth, place crowns, remove defective amalgam fillings, or place cosmetic veneers in just one appointment. This allows you to have the highest quality, most lifelike dental restorations in just one visit to the dentist…in, out, and on with your busy life.
CEREC Acquisition Unit
The CEREC Acquisition Unit is mobile and houses a medical grade computer and the CEREC camera. Your dentist uses the camera to take a digital picture of your prepared tooth. This picture is used instead of a traditional impression. This means no impression tray and material for you to gag on. The computer and CEREC 3D software converts the digital picture to a three-dimensional virtual model of your prepped tooth. Your dentist then designs your restoration right on screen using the software while you wait (and watch!). This software can assist your dentist with designing any single tooth restoration: crowns, inlays (fillings), onlays (partial crowns), and veneers. Once your dentist has designed your restoration (usually about 5 minutes), he or she clicks a button, and the design data is communicated via a wireless radio signal to the CEREC Milling Unit.
CEREC Milling Unit
Your dentist or dental assistant selects a ceramic block that matches the shade of the tooth being repaired. He or she then inserts the block into the Milling Unit. The data from the Acquisition Unit is used to direct two diamond-coated burs to carve the block into the indicated shape of the restoration. This process usually takes 8 to 18 minutes depending on the size and type of restoration. After the milling is finished, your dentist polishes the finished filling or crown and bonds it into place.
CEREC® is a registered trademark of Sirona Dental Systems
The invisible way to straighten your teeth without braces. To discuss clear braces in the Pasadena CA area, please feel free to contact us to schedule an appointment.
For information on Invisalign, please visit www.invisalign.com.
- Invisalign uses a series of clear removable aligners to straighten your teeth without metal wires or brackets.
- The aligners are made through a combination of Dr. Marganian‘s expertise and 3-D computer imaging technology.
- You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.
- As you replace each aligner with the next in the series, your teeth will move – little by little, week by week – until they have straightened to the final position Dr. Marganian has prescribed.
- You’ll visit Dr. Marganian about once every 6 weeks to ensure that your treatment is progressing as planned.
- Total treatment time averages 9 – 15 months and the average number of aligners worn during treatment is between 18 and 30, but both will vary from case to case.