Our case of the month for June 2021 was one where spaces were closed using cosmetic bonding or teeth bonding. Often there are spaces between teeth which are either natural, developmental, after orthodontic treatment or following a trauma. One of the simplest ways to close the spaces is via bonding. Tooth bonding is a non invasive treatment where the tooth is added to using composite white filling material. In the case of closing gaps, there is absolutely no need to cut the tooth at all. The treatment is carried out in one visit and usually takes around 30 minutes per tooth. We would advise whitening prior to treatment so that the lightest shade of composite possible can be used. After all, teeth can be whitened but composite will stay the same colour.
Maintenance is easy with bonding but necessary. Over the time, the bonding will require polishing, repair, re layering or complete replacement. This is because composite is essentially a plastic and will degrade over time. The alternative option are porcelain veneers which are more durable and colour stable but often the underlying tooth will require shaving down. This is fine with a heavily filled tooth but not advised on a virgin tooth.
Our case is one where gaps next to the canine teeth were closed with composite bonding using the Garrison anterior matrix system by Dr Nissit Patel. Natural, aesthetic and completely pain free!
Our case of the month for May 2021 was a simple one involving ICON to treat a white spot and then cosmetic bonding to repair a small chip. Initially. we used Invisalign Express to treat some mild mis alignment. Putting teeth in the correct position will mean that that any future treatment will always look better especially bonding.
The treatment in our case is completely non invasive. There is no need for any drilling, no needles of any sort and no pain! Furthermore, the cost is affordable compared to traditional veneers or crowns. A no brainer!
ICON white spot treatment works by changing the light refractions of the white spot using resin infiltration. This way the white spot is camouflaged and blends in the surrounding tooth. The process is super simple and takes only a few minutes.
Cosmetic bonding can further enhance the appearance of the tooth by using highly aesthetic composite resin to layer over an defects such as chips, uneven edges, gaps, sharp edges and even discolouration.
Here are the before and after photographs:
If you are considering a smile makeover this year, please call us for a free video consultation. As lockdown measures are coming to an end, there has never been a better time to smile with confidence!
Our case of the month for April was one involving E Max crowns by Ivoclar, which is our opinion, give the best aesthetic results. In the past, tooth coloured dental crowns had a layer of metal underneath for strength with the ceramic bonded on the outside. Now these could look perfectly acceptable but there were issues. Having two layers means that more of the underlying tooth has to be cut down to accommodate the material. For any of you that has read any of our posts knows that we believe in minimally invasive dentistry, cutting away more tooth than necessary just does not sit right with us. Another issue with metal ceramic crowns is that the metal layer may become visible over time as the gums recede which gives that classic grey line around the tooth. Not very desirable. One of the main advantages of ceramic crowns is that there is no metal underneath and this grey line will never be an issue.
The aesthetic qualities of E max crowns are second to none. Our case shows that the crowns can be fully customised with translucency at the edges, varying shades, light reflection and opaque areas to name a few. The skill of the dental technician plays a huge role here and we work with some excellent laboratories know for excellence.
For our case, Ceramic Studios in Kensington made the wonderful E max crowns fully which were fully customised.
The photos here show the workflow of the treatment. Unfortunately, our patient lost a front tooth biting on something hard during. After some wonderful root canal work by Dr Molina , Dr Patel was able to re build the teeth and place dental crowns to restore the not only the aesthetics but also the function. The key with such a demanding cosmetic treatment is going through the stages carefully. This involved a try in stage of the crowns to check for fitting, shape, size and bite. Once verified, we then send our patient straight to Ceramic Studios for full characterisation at the laboratory. This is where the magic happens with those final touches making all the difference. Once we are all 100% happy, the crowns can be fitted. Although there are a few visits and some travelling around, it is well worth it for your front teeth!
If you are in need of crowns and would like the very best treatment possible, please contact us or book a free video consultation and we will discuss how we can help you.