Our smile is very important. lt is pleasant for those who receive it and comforting for the person giving it. A smile is a moment of happiness, it’s friendliness. A smile is also often a reflection of our health. That’s why it is recommendable to have healthy, straight teeth. Crooke Dental Clinic are specialists in dental aesthetics and make sorne recommendations.
What alternatlves are there for improving our smile?
Lots, from modifying the gum surrounding the teeth with periodontal plastic micro-surgery, to colour changes with whitening products and veneers, and, of course, orthodontics to correctthe position of the teeth. lt is important to carry out a thorough study of each patient to obtain an ideal diagnosis, because in sorne cases, several treatments must be combinad. For example, a frequently used option is to first redefine the outline of the gum in order to make edges level and later use veneers. Other times, we use orthodontics to slightly modity the position of the teeth, which allow us to minimise dental preparation and better distribute spaces. On other occasions, we combine whitening and composites. The important thing is a good diagnosis and the use of top quality materials, because to obtain the best look, we can’t use any porcelain, and not all technicians treat ceramics the same. The hard thing is to imitate the texturas of the natural tooth and how it transmits light, which is why there are different prices. We allllke whlte teeth.
Are there any counter indications against whitening?
Well, it is important to check that the gums are healthy and there is no decay befare whitening, because otherwise, we can cause sensitivity problems or even toothache or inflammation of the nerve. lt is not recommended for patients with badly receding gums due to advanced gum disease. Nor is it effective for patients with severe staining caused by tetracycline antibiotics.
And what other alternatives do we have if we want to change the colour of ourteeth?
We can use veneers or porcelain plates on teeth which resist whitening. This is a fine sheet of porcelain which sticks to the surface of the teeth. Minimal dental preparation is required much less than for a crown and the appearance is unbeatable. lt is carried out using feldspathic ceramic, which perfectly imitates the translucidity of the enamel.
How do we know if we’ll like the result?
Befare starting the treatment, we carry out a diagnostic wax·up. We establish a treatment plan with the patient’s photos, x-rays and models. We carry out the changes we require by adding wax or removing plaster from the plaster model, and present the final objective to the patient. To make sure that the aesthetic result is as desired, silicone guides and resin are used to test the wax-up in the patient’s mouth. There are even patients who take the trial model heme in their mouths to show friends and relativas.
How many appolntments are required?
Three or four at most. The first is to take the details for the study. The second is to test the wax-up to make sure we have obtained the aim of the treatment. The third is for carrying out dental preparation, and the last is to put on the veneers.
Is there anything quicker?
Yes, composite veneers. They are put in during just ene session, sometimes two. The advantage is that they are cheaper and quicker, although they require more maintenance and periodic polishing, as the composite is more sensitiva to thermal changes which take place in the mouth, and possible staining due to food or smoking.