Bonding is an alternative to porcelain veneers. It can be used as a restorative procedure for teeth that are chipped, cracked, discolored, or misarranged.
At the dentist, the tooth is prepared 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 it may need repair. Sedation is available for all cosmetic dental procedures.
Instructions for At-Home Custom Tray Whitening
For at-home custom tray whitening, be sure to brush and floss before inserting the bleaching trays. The gel works more effectively on clean teeth. Place a small tear-shaped droplet of gel on the inner lining of the tray that comes in contact with the face of each tooth to be lightened, and wear the tray for 2-8 hours, depending on which solution you have. Adjust the tray to fit snugly against the sides of the teeth, and remove excess gel with a clean finger or cotton swab.
For best results it is recommended that you wear the trays as follows; 10% solution- 8-10 hours/day (overnight is fine) 15% solution- 4-6 hours/day 20% solution- 2-4 hours/day 35% solution- 30 min/day for touch ups. Each patient is different, so we will work closely with you to determine the most appropriate teeth whitening method for you.
You may experience sensitivity to temperature changes or acidic foods. If the sensitivity persists, hold off on the treatment for 1 or 2 nights. If the sensitivity is especially intense and does not subside, stop the treatments and call our office.
Occasionally tooth sensitivity and/or gingival irritation may require treatment. The first treatment of choice is application of a sticky, viscous potassium nitrate gel that may be worn in the bleaching tray from 1-2 hours to overnight, as needed.
Most of the tooth whitening will occur in 1-2 weeks if the treatments are done consistently. Lowering your intake of caffeinated drinks and refraining from smoking will optimize your results. The trays should be cleaned daily with a soft toothbrush and soapy water and stored in the case we provide you.
As a safety precaution, bleaching should NOT be used during pregnancy or by lactating mothers. Keep the gel out of heat and sunlight, and do not freeze it. Foods and juices high in acid may cause sensitivity. Do not use tobacco products or eat while wearing bleaching trays. Crowns and other tooth-colored restorations do not respond to bleaching, and may require alteration or replacement to match whitened tooth shades.
Invisalign® is a system that uses aligners to move your teeth comfortably and gradually. Invisalign now addresses many cases, from simple to complex. You and the dentist will discuss your case in detail to determine if you are a good candidate for Invisalign. Following the consultation, you will have an opportunity to ask any questions you may have about the treatment including costs, dental/orthodontic insurance, or any other concerns.
The dentist will take X-rays, pictures and impressions of your teeth, which Invisalign will use to create a digital 3-D image. From these images the dentist will map out a precise treatment plan, including the exact movements of your teeth. Using this same technology, they will even be able to show you a virtual representation of how your teeth will move with each stage of treatment.
Based on your individual treatment plan, a series of custom-made, clear aligners are then created specifically for you. These aligners are made of a smooth, comfortable BPA-free plastic that won't irritate your cheeks and gums like traditional metal braces often do. Simply wear them throughout the day, and remove them when you eat or to brush and floss your teeth. As you wear each set of aligners, your teeth gently and gradually begin to shift into place. And because they're virtually invisible, most people won't even notice you're wearing them.
Approximately every two weeks, you will begin wearing a new set of aligners, advancing you to the next stage of your treatment. To monitor your progress, you will also have occasional checkups with your doctor, usually only every six weeks or so. At every stage, you will be able to see how much closer you are to having the smile that reflects the real you.
While every case is unique, treatment typically takes approximately six to twelve months for adults. For best results and a timely outcome, you should wear your aligners for 20 to 22 hours per day, throughout your entire treatment.