Pros and Cons
We provide an array of dental treatments that restore the health of your mouth and improve the beauty of your smile.
Advantages: People typically have their teeth whitened to improve their appearance. Whiter teeth are associated with beauty and a healthier lifestyle. When people have a brighter smile, they tend to smile more often and are less self-conscious. In addition, a whiter smile tends to minimize the appearance of facial wrinkles, giving way to a more youthful and energetic appearance. Finally, a whiter smile gives people to whom you are speaking a place to focus on and gives you a friendlier appearance.
Disadvantages: Although bleaching is very effective, there can be short term disadvantages, such as sore gums or teeth from the bleach. This disappears when bleach use is discontinued. Some individuals are more chemically sensitive. If you are one of them, inform your cosmetic dentist so that you can be tested for sensitivity to the solution. Research indicates that bleaching is completely effective in more than 78% of people. In cases of serious teeth discoloration, bleaching may not be the best choice. Veneers or crowns may be the superior choice. Bleaching is usually the first solution to try due to its lower cost.
traditional porcelain tooth veneers
Advantages: Porcelain veneers are common in creating new smiles and smile makeovers. With porcelain veneers, you can have the smile of your dreams in a very short period of time. Typically veneers are difficult to stain, making veneers a very popular solution for many people seeking that perfect smile. Strong and very durable, veneers last from ten to fifteen years, and come in colors that will brighten dark teeth without the worry of them changing color.
Veneers are typically done in only two one and a half hour long appointments, and can actually strengthen your tooth. There is no additional maintenance, other than a follow-up visit to your cosmetic dentist and proper brushing and flossing on a daily basis. Finally, a whiter smile gives people to whom you are speaking a place to focus on and gives you a friendlier appearance.
Disadvantages: It takes roughly a week or two of a period of adjustment to get used to your teeth that have been changed in color, size, spacing and shape. While very little tooth is removed in most cases, there are situations where more tooth must be removed which increases the risk of trauma to the tooth. The amount of tooth to be removed for the veneers should be discussed with your cosmetic dentist beforehand.
It is common to have minor sensitivity after your teeth have been prepared for your veneers while wearing the temporary veneers. Some people can experience a difference in speech, usually pronouncing “s” and “f” sounds. This is corrected through minor adjustments your cosmetic dentist can make to your veneers. Veneers are very reasonable facsimiles of natural teeth, but not perfect replacements for natural teeth. It’s common to see slight variations in the color of veneers upon very close inspection, as with natural teeth. It can take up to a month or two before your new smile feels a part of you.
If you suffer from bruxism, clenching or grinding of your teeth, veneers can be damaged, chipped or cracked from this. If you suffer from bruxism, speak with your cosmetic dentist about wearing a mouth guard at night to protect your new smile.
lumineer porcelain tooth veneers
Advantages: Made of Cerinate porcelain, Lumineers are a new type of porcelain veneers. They are contact lens-thin, roughly .2 mm thick. Little to no tooth reduction in most cases is necessary with this type of veneer and anesthetics or numbing shots are not needed. It is claimed that Lumineers resist micro-leakage and micro-cracking more so than traditional porcelain veneers. Unlike other porcelain veneers, you won’t need to wear temporary veneers until the Lumineers are created. Lumineers are expected to last just as long as traditional porcelain veneers. Lumineers are reversible if no tooth reduction was necessary when they were first done. Cost is less than traditional porcelain veneers.
Disadvantages: As there is little to no tooth reduction needed for Lumineer porcelain veneers, there is a limit to how much smile correction can be accomplished. This can also lead to bulky appearing and feeling veneers in some cases. Cosmetic Dentists offering Lumineers are specially trained specifically for this type of veneer which means for the time being there are fewer Cosmetic Dentists offering Lumineers.
Advantages: As our life span increases, a permanent dental replacement like implants is increasingly important as we get older. While dentures and removable bridges are usually loose and unstable, implants provide you with dental replacements that are both natural looking and very functional. Implants look much better, and feel better, than traditional removable bridges, and offer the same force for biting as bridges that are fixed in place. Implants will last your lifetime.
Disadvantages: Implants are a major investment and not without risk. The extensive use of implants can cost tens of thousands of dollars to achieve a great result. It is also a very time consuming procedure when having many implants placed. As this procedure is surgery, it is very important to research and find a well credited cosmetic dentist that you are comfortable with. For some people there are varying degrees discomfort or pain, which subsides in a couple of days. As with similar types of surgery, bruising and minor swelling might also develop shortly after the procedure. The crown (false tooth placed on top) will need to be replaced in ten to fifteen years.
Advantages of dental bridges: Bridges are natural in appearance, and usually require only two visits to your dentist. If you maintain good oral hygiene, your fixed bridge should last as many as ten years or more.
Disadvantages of having a dental bridge: It is common for your teeth to be mildly sensitive to extreme temperatures for a few weeks after the treatment. The build up of bacteria formed from food acids on your teeth and gums can become infected if proper oral hygiene is not followed.
Advantages: Dentures definitely provide a great smile with a very natural appearance. They’re made of very durable materials and last very long when properly taken care of. Typically dentures last from five to ten years. They also correct several problems, from speech to chewing, for many patients.
Disadvantages: There’s no doubt that dentures take a little getting used to. There is maintenance involved, and initial speech issues to overcome (these are temporary and last only a couple of days). Mouth irritation or sores may occur, but are usually caused by poor dental hygiene, and not removing your dentures when needed. It is common that your mouth change over the life of your dentures, so even though they last long, they may need to be replaced to achieve a better fit before they are worn out. With a denture a person typically chews at only 15-23% efficiency compared to a person chewing with their natural teeth. In the case of a full upper denture, the upper palate is covered which can reduce taste of foods you’re chewing.
Advantages: The composite of composite resin fillings bonds to further support the remaining tooth structure, which helps prevent breakage and damage to your tooth. They certainly look better, and are color blended to match your natural tooth color. These fillings are often used to improve the appearance of misshapen, chipped or discolored teeth.
Composite resin fillings last about six to twelve years or more, and the procedure usually takes just one visit to your dentist. There is very little sensitivity to hot or cold items often experienced with amalgam fillings. The dentist won’t need to drill as much of the tooth structure as with amalgam fillings.
Disadvantages: Composite resin fillings require more time to apply than amalgam fillings. This results in an increased cost for placing composite fillings.
Advantage: The preparation of a tooth for a gold crown is the simplest and least complicated preparation as there is minimal tooth structure removal with as much as possible of the healthy tooth structure remaining untouched. While porcelain is hard by comparison, it may cause wear on opposing teeth over the years where gold is not as likely to do so. Gold is also easier to fit to the area where the tooth and crown meet for a better fit. Gold is also a healthier environment for the gum tissue.
Disadvantage: The biggest disadvantage to gold crowns is the cosmetic aspect, unless it is being used in the back of your mouth.
Advantage: Porcelain crowns or new reinforced resin are considered to be the most aesthetically pleasing, as it is so easily matched in color to the surrounding teeth.
Disadvantage: The thickness of the porcelain required for pleasing aesthetics also requires that more tooth structure needs to be removed. It is more difficult for your cosmetic dentist to get an ideal fit where your gum meets the crown. Gingival inflammation appears to be more common with porcelain crowns than gold crowns. All-porcelain crowns require a higher skill level from your dentist and lab.
Porcelain fused-to-metal crowns
Advantage: Porcelain fused-to-metal crowns have a very natural appearance.
Disadvantage: They have a metal substructure and require an opaque below the porcelain. This can make the translucency of natural teeth difficult to replicate. Occasionally a darker line will be visible at the edge of the crown, near to your gum when it recedes with age.
Advantage: Pain is always associated with root canals, but should actually be little to no pain during the procedure. The procedure is not for cosmetics, but rather your health. The infect will only get worse with time if left untreated. The root canal procedure is successful over 92 percent of the time. The biggest advantage is that the tooth will not need to be extracted in the future.
Disadvantage: Not often, but sometimes infected tissue is pushed through the ends of the root, which will infect the gum. This is easily treated, but is also painful until the infection is cleared up. Canals are irregularly shaped, and if the canal is not accurately measured or branches of the canal were not discovered, it cannot be completely cleaned or filled requiring the procedure to be done again when this area becomes infected.
Advantages: Healing is usually quick and your more youthful and beautiful smile is obvious early on. It has been reported that cosmetic gum surgery additionally improves the health of your gums. The procedure to correct receding gums may even reduce your tooth sensitivity to cold or hot foods or beverages while protecting your roots from decay and lessening further gum shrinkage.
Disadvantages: Cosmetic gum surgery is of course, surgery. Surgery is often performed in segments under a local anesthetic – unless your entire mouth is undergoing this procedure at once, then a general anesthesia is typically used.