Cindee Melashenko DMD
(250) 494-8545
 

Cosmetic Dentistry

Cosmetic dentistry is one of the most cost-effective ways to improve your appearance. A beautiful, bright, healthy smile can increase self confidence and overall life satisfaction.

Many regular dental treatments can be cosmetic. Modern tooth-colored fillings are virtually invisible when compared to traditional silver fillings. Tooth-colored crowns or caps can be placed instead of gold or silver. In this section, we will look at some of the best treatments we can use to greatly improve your smile and the way you feel about yourself.

  • Only one appointment necessary
  • No gooey impressions to take
  • No temporaries
  • Tooth colored ceramic
  • Metal-free
  • Conservative restorations retain more healthy tooth structure

Tooth Whitening

Dramatically whiten your smile

The problem:  Dull colored or stained teeth

The Solution

Plastic whitening trays will be made from models of your teeth. You will then place a special whitening gel in each tray and wear the trays in your mouth for 1-2 hours per day. (Many patients wear their trays overnight. A significant change in tooth color is usually seen in just four to six weeks.

Advantages

Modern tooth whitening systems are highly effective and have dramatic results. Many celebrities consistently whiten their teeth to improve their appearance.

Disadvantages

Occasionally, patients may experience some gum or tooth sensitivity when using their trays. These symptoms subside when the trays are removed and the teeth are rinsed off.

Alternatives

Occasionally, teeth may be stained in a way that limits the effectiveness of tooth whitening. In those instances, porcelain veneers or crowns are an excellent alternative.


COSMETIC BONDING

Restore chipped teeth and fill gaps between teeth

The problem

  • Unsightly gaps between front teeth
  • Slightly chipped teeth
  • Rough or jagged edges on front teeth
  • Dull colored or stained teeth

The solution

Composite resin is a white, tooth colored material that can be shaded to match your teeth. This material is applied to your teeth and sculpted to cover or replace the problem area. The material bonds to the surface of your teeth like a glue. It is often "cured" or hardened with an intense ultraviolet light.

Advantages

When skillfully applied and sculpted, this material allows you to have a natural, beautiful improvement in your smile.

Disadvantages

Bonding is initially less expensive than porcelain veneers. However, it tends to break down and discolor in several years and will need to be replaced. For this reason, porcelain restorations are usually more cost effective over time.

Alternatives

Porcelain veneers or crowns are an excellent, longer lasting alternative.

Veneers

The problem

  • Discoloured or yellow front teeth
  • Small discoloured or chipped fillings on front teeth
  • Crooked front teeth
  • Spaces between front teeth
  • Not happy with current smile

The solution

Veneers are a white porcelain cover that goes over the front and top part of your front teeth.  The material can be very thin so it is a conservative option to change the colour, shape, length or rotation of your front teeth.  The veneers are permanently bonded to your tooth and is made of a much stronger material than composite.

Advantages

Veneers can change your tooth colour dramatically (much more than whitening). The material is very thin so there is minimal risk to the teeth. They are strong so there is lower risk for chipping and breaking to bonding. 

Disadvantage

Once you have a veneer on your tooth you will always need either a veneer or a crown. They will need to be replaced periodically (7-15 yrs).

Alternatives

Orthodontics (see Invisalign) can move your own teeth into a better position to prevent the need for veneers. Whitening can be done to change the colour of your teeth.


PORCELAIN CROWNS

Protect and keep badly decayed or fractured teeth while maintaining a beautiful smile

The Problem

  • Badly decayed teeth
  • Fractured teeth
  • Need to protect and strengthen teeth

The Solution

A crown (often called a cap) covers the tooth and restores it to its original shape and size. Decay is removed and cleaned from the tooth and a highly accurate impression 3D scan is made of the prepared surface. This scan is used to create a virtual model of the tooth which is then sent to our in-house milling chamber that will create a porcelain (tooth colored) crown. The crown is then cemented onto the prepared surface of the tooth.

Advantages

Porcelain offers a fine alternative to other tooth restoration materials. Made to perfectly match the shade and shape of your teeth, it's durable, it's strong, and it looks beautiful and natural.

Crowns are incredibly strong. They protect and strengthen the remaining tooth structure.

Crowns should be placed before the tooth fractures. This can often help prevent the expense of a root canal. It can also lower the risk of tooth loss and the expense that goes along with that (implants, bridges or partial dentures).

Disadvantages

Crowns are excellent restorations and have few disadvantages. They are highly durable, but they cannot stop decay from attacking your tooth under the crown, so they may need to be replaced. However, crowns can last for 10-30 years

Occasionally, a tooth may still need root canal therapy after being crowned. However, this indicates that the interior of the tooth was already sick (infected) and would have eventually needed root canal therapy anyway.

Alternatives

In the event that a tooth is so decayed or fractured that it needs to be removed, the best alternative is an implant.