Our case of the month for February 2020 involves using one of our favourite teeth straightening options- the Social 6 lingual brace and composite bonding to correct asymmetry. The treatment was completed by Dr Nissit Patel who comments: ' Over many years of being a dentist, I have realised how important it is to have teeth in the correct position before attempting any form of cosmetic dentistry. There are many benefits of this. Ultimately, if the front teeth are properly aligned then the following cosmetic dental treatments can be simple and have great results. For example, simple tooth whitening and composite bonding can have a profound effect without having to even touch the teeth in question. After all, enamel is precious and we should not be removing it for the sake for a quick fix. Modern day dentistry should not involve elective removal of tooth enamel - full stop. If teeth are crooked, without some form of orthodontic treatment, the only option is to drill the tooth down to create space for the restorative material to alter the appearance. This could be ceramic or composite resin. If any of you watched the series Extreme Makeover, you will recall how the patient was left with little stumps prior to the ceramic crowns and veneers. Yes, the transformation was profound but at what cost? Once the enamel is removed, which is the hardest tissue in the body, the protective layer has vanished leaving the tooth weak and prone to attack. We can be certain that a tooth that has been cut down will need additional treatment in the future whether this is replacement crowns, root canal treatment, post core crowns or even removal. Why take the risk? I advocate a minimal approach to cosmetic dentistry where the risks are extremely low. In our case below, the steps are simple:
- Straighten using a Social 6 lingual brace
- Tooth whitening with a take home kit
- Teeth bonding with composite to enhance the symmetry
- Retainers
In this case, there was absolutely no drilling of the enamel at all. Therefore the biology remains exactly the same and all that remains is a maintenance program to maintain the alignment using retainers and the polish of the composite. Yes, this is a commitment also but everything in life requires maintenance from cars, houses, fences (Storm Dennis recently took ours apart!) and teeth. Please take a look at the before and after photos. I was delighted and so was our patient.'
If you would like to discuss a minimally invasive smile makeover this year, please contact us. t 0207 7311162 e info@progressivedentistry.co.uk
