cosmetic restorative dentistry

 Cosmetic Restorative Dentistry

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RESTORATIVE DENTISTRY

Please scroll down and refer to the gallery on the right to see before and after photos for a variety of cosmetic procedures exclusively performed at Prestipino Dental Group.

The gallery includes the following procedures:

  • Pre-treatment Photo Analysis
  • Crowns (Caps)
  • Porcelain Veneers
  • Inlays/Onlays
  • Dental Bonding
  • Composite Fillings
  • Teeth Whitening – Bleaching
  • Invisalign Teeth Straightening

 

 

INFO

 

PRE-TREATMENT PHOTO ANALYSIS:

See it before you smile. That is, find out what your smile will look like with your new teeth and gums before the process begins through photo imaging simulations. Pre-treatment photo analysis has become an invaluable component of the PDG consultation process. We start by taking photographs of your face and teeth, then aesthetically enhance the teeth to create an after treatment simulation of the cosmetic effect.

Simulated treatment, is not the only advantage of this technology.  Improved dentist-patient -laboratory communication, that is co-diagnosis, invariably results when the patient sees his or her own image. Heartfelt questions and suggestions come from patients when they are visually aware of their appearance and more informed about their treatment choices.

Cosmetic imaging gives patients a preview of how beneficial cosmetic procedures are by providing to them a image of the possibilities.

 

 

 

CROWNS (Caps)

For use on teeth with cracks or decay, a crown is often the procedure chosen to protect damaged teeth. Also known as a cap, a crown encases the problem tooth and helps it remain functional. After a consultation with the patient, the PDG team determines the best material choice for the crown for the individual patient.

Materials used:

All-porcelain: the PDG assesses whether the porcelain crown is the appropriate dental solution on a per case basis. Most crowns are made of all porcelain technology out of a variety of different materials.

Porcelain fused to metal: this  solution offers a resistant restoration that is also aesthetically pleasing because the metal is restricted from view. As the gum line recedes overtime, however, the interior metal may become visible.

Gold: Not as popular as they once were, the gold crown is easy to prepare and, because they are so durable, remains an ideal choice for use in the back of the mouth, especially for the “grinder” or “clencher.”

 

 

BRIDGES

A fixed bridge is often a good solution for the patient with a gap created by one or several missing teeth. During a consultation with the patient, the PDG team assess the strength of the teeth adjacent to the gap to make sure these “abutment teeth” can offer proper support to the new teeth. Fitted in about two-sessions, crowns are placed over the teeth “abutment teeth” and the false teeth are fixed in place as a “bridge the gap” in the mouth. Porcelain, gold or a metal alloy (see “Dental Crowns” for more information about materials) are used to create the crowns and false teeth which are designed to support the shape of the patient’s mouth and face.

 

 

 

 

PORCELAIN VENEERS

Porcelain veneers inspire confident smiles quickly. In just a few, non-invasive visits a thin layer of porcelain can be placed over the surface of the patient’s teeth, creating a glistening, white smile. At the same time, veneers improve the structure and alignment the teeth while also protecting teeth from future damage. The requirement for successful porcelain veneers is that there is enough enamel on the teeth to adequately bond the veneers to the natural tooth.

 

 

 

 

 

 

 

 

 

 

 

INLAYS/ONLAYS

Often referred to as indirect fillings, Inlays and Onlays are the perfect solution for teeth with minimal damage. Not all dental practices offer this option. The PDG team offers Inlays and Onlays because often a full coverage crown is excessive and unnecessary.

When fitting an Inlay or an Onlay, the PDG team preserves as much of the healthy tooth as possible while covering and protecting the damaged area. Prepared ahead and then fitted by the dentist to the damaged, there are slight differences between the two options:

Inlay: A restoration where the filling material is bonded within the tooth center.

Onlay: A restoration where the material extends over or to the cusps of the tooth to cover the damaged portion of the weak tooth.

 

 

 

 

 

 

DENTAL BONDING

Dental bonding is one of the easiest, least expensive and fastest cosmetic dental procedures used to restore a person’s smile. Bonding can usually be completed in one, 30- to 60-minute office visit (unless several teeth are involved). However, there are some drawbacks to dental bonding: The material used, a tooth-colored resin material (a durable plastic material), is not as stain resistant as crowns; the bonding materials do not last as long nor are they as strong as other restorative procedures; bonding materials can chip and break off the tooth. Because of these and other limitations, PDG views this procedure as best suited for the correction of small and/or temporary cosmetic defects.

 

 

 

 

 

 

 

COMPOSITE FILLINGS

A filling repairs a tooth and stops tooth decay. The filling is the material used to “fill” a cavity after the dentist removes the tooth decay. Fillings can be made from several types of materials: Composite resins that are tooth-colored fillings bonded to the tooth surface or Ionomers, tooth-colored materials that dentists often use for small cavities or cavities between teeth. Over a long period of time, filings may wear down and need to be replaced.

 

 

 

 

 

 

 

 

TEETH WHITENING

While teeth whitening is not a medical procedure, a brighter smile can inspire confidence. During a consultation with PDG, our team will help you determine whether bleaching will work for you (it does not work for everyone) and the best process for your teeth and your lifestyle.

Do it yourself

  • DIY kit purchased over the counter, you change the color of your tooth enamel, removing both surface stains and those deeper in the teeth.

Dental bleaching

  • Using a stronger chemical for bleaching, this in-office process takes about an hour and could require more than one treatment. Gums will be protected and the bleaching process will be monitored for effectiveness.
  • If you would rather bleach at home, PDG can provide you with a kit that contains a custom-made mouthpiece. These kits usually use a lower concentration of bleach than an in-office process.

 

Note: All photo are the exclusive proprietary rights of Prestipino Dental Group LLC.

 
 

Gallery

INTRODUCTION

PRE-TREATMENT PHOTO ANALYSIS

  • Original photo of teeth condition. "Can you show me some ideas before treatment?"
  • Computer simulation of tooth contour changes and whitening

CROWNS

  • CASE 1: Pre-treatment fractured and severely worn central incisors, "preventing me from smiling comfortably".
  • CASE 1: Pre-treatment close-up
  • CASE 1: Final all-ceramic crowns 2 front central incisors smiling again.
  • CASE 2: Pre-treatment high smile line and "embarased to smile".
  • Case 2: Final All-ceramic crowns 6 front teeth "smiling all day long".
  • CASE 3: Old, unesthetic crowns on front teeth
  • CASE 3: Old, unesthetic crowns on front teeth. Note red, irritated gums and poor tooth contours.
  • CASE 3: Final all-ceramic crowns 8 upper front teeth close-up, note pink healthy gums and detailed tooth contours.
  • CASE 3: Final all-ceramic crowns 8 upper front teeth fitting beautifully into her smile
  • CASE 4: Pre-treatment. "It's time I do something for myself".
  • CASE 4: Final All-ceramic crowns 10 front teeth, taking care of herself and her smile.

BRIDGES

  • CASE 1: Pre-treatment. "I just had these front bridges done, something went terribly wrong".
  • CASE 1: Final porcelain bridges replacing lateral incisors. "This feels right!"
  • CASE 2: Pre-treatment. "These bridges are old and ugly, I need help".
  • CASE 2: Final porcelain fuses to metal bridges replacing lateral incisors "feeling good!"
  • Case 3: Pre-treatment missing upper right lateral incisor with cuspid prepared for crown.
  • Case 3: Final all-ceramic fixed cantilever (1 tooth)  bridge for missing right lateral incisor. Note harmony with opposing side creating a pleasing smile.
  • Case 3: All-ceramic cantilever bridge in lab
  • Case 3: All-ceramic fixed cantilever bridge close up. Note tooth textures and gum health.
  • CASE 4: Tooth preparations for 3 unit back fixed bridge
  • CASE 4: All-ceramic fixed bridge in lab
  • CASE 4: Final all-ceramic bridge cemented. Note no "gray gums" around the bridge due to no metal in the bridge.
  • CASE 5: Pre-treatment missing upper right lateral incisor in teenager too young for a dental implant.
  • CASE 5: Final MD. bridge upper right lateral incisor. Conservative, without preparing good adjacent teeth for a fixed solution.
  • CASE 5:All-ceramic MD bridge in lab.
  • CASE 5: MD bridge ceramic wings bonded to adjacent teeth. Can be removed later for placement of the dental implant without disturbing the integrity of the adjacent teeth.
  • CASE 6: Pre-treatment of teenager in braces needing fixed solution for missing lateral incisors but too young for dental implants.
  • CASE 6: Final fixed MD bridges for lateral incisors which will maintain the space for the dental implants in the future.
  • CASE 6: MD Bridgeswith with metal wings bonded to adjacent teeth. Patient cannot remove but easy for dentist to remove and replace at will during future implant treatment.
  • CASE 7: Pre-treatment. Adult missing central incisors and not enough bone for dental implants.
  • CASE 7: Pre-treatment close up. Note healthy adjacent teeth the patient did not want to use for a conventional fixed bridge.
  • CASE 7: Final MD bridge smile upper 2 centrals.
  • CASE 7: All-ceramic MD bridge in lab.
  • CASE 7: All-ceramic MD bridge bonded to adjacent teeth achieving her objectives.
  • CASE 7: Final All-ceramic MD Bridge close-up. Note tooth contour, texture and color harmony with adjacent teeth.

PORCELAIN VENEERS

  • CASE 1: Pre-treatment discolored left central in braces
  • CASE 1: Pre-treatment left central incisor after braces removal and gum healing.
  • CASE 1: Final porcelain veneer left central incisor. Note gum harmony and porcelain contour and textures matching adjacent teeth.
  • Case 3: Pre-treatment. "I don't like my gummy smile and disfigured teeth".
  • Case 3: Pre-treatment side smile view.
  • Case 3: Final 8 upper porcelain veneers after gum trimming to reduce her "gummy smile".
  • Case 3: Final porcelain veneers upper 8 teeth side smile view.
  • Case 4: Pre-treatment. Old composite resin facings on front teeth.
  • Case 4: Pre-treatment side view. Note irritated gum tissue.
  • Case 4: Final upper 10 porcelain veneers. Gum tissue slightly trimmed to create proper tooth proportions.
  • Case 4: Final porcealin veneers upper 10 teeth side view. Note porcelain textures with natural light reflextions.
  • Case 5: Pre-treatment. " I don't like the gaps between my teeth and their color".
  • Case 5: Final porcelain veneers upper 12 teeth with esthetic proportions and colors.

INLAYS/ONLAYS

  • Tooth preparation of premolar after removal of decay.
  • Final porcelain inlay bonded to premolar for years of strength and function.

DENTAL BONDING

  • Pre-treatment. "I have these white spots on my front teeth after my braces were removed".
  • After conservative treatment with dental bonding over the white spots.

COMPOSITE FILLINGS

  • Case 1: Pre-treatment right after braces removed. Patient too young for dental implants.
  • Case 1: Pe-treatment close up. Teeth will drift after braces without stabilization.
  • Case 1: After treatment close-up view. All gaps filled in with composite resin to stabilize tooth position and allow further growth and maturation for future porcelain replacements.
  • Case 1: Final smile of composite fillings on front teeth for teenager.
  • Case 2: Pre-treatment. "I want a conservative enhancement".
  • Case 2: Final composite fillings and esthetic recontouring of four front teeth.

TEETH WHITENING - BLEACHING

  • Case 1: Pre-bleach
  • Case 1: After bleach
  • Case 2: Pre-bleach
  • Case 2: After bleach
  • Case 3: Pre-bleach
  • Case 3: After bleach

INVISALIGN TEETH STRAIGHTENING

  • Pretreatment. "I want a pretty smile".
  • Invisalign tray custom fabricated to straighten her teeth.
  • Trays in mouth. Proper alignment took 6 months.
  • Final full mouth invisalign orthodontic treatment, with porcelain veneers on her upper lateral incisors and tooth whitening.
  • After treatment close-up view. Note tooth contour, color and positonal harmony.