Smart tips and very important facts for each procedure:




Implants

Written by Dr. Carlos Suarez Mastache

Are titanium roots that replace missing teeth. They are surgically placed and, after healing, restorations are attached to them. Their advanced stage brings an improved surface that invites bone to grow around. Since no sprayed or glued coat is used, there is no risk of separation from the implant body. Healing time is reduced 50%. Smoking, diabethes, high blood pressure are no longer deemed a contraindication. Implants are the second chance people get to have a tooth.

Smart dental implant tips for the patient and very important dental implant fact.
Implants need a surgeon and a restoring dentist. The surgeon places them solving complex situations: growing more bone, moving a nerve, getting inside a maxillary sinus. A trained restoring dentist can place simple implants but he is usually responsible for designing and building a crown, bridge or denture over the implant/s loading them in such a way that harmful forces are avoided. Badly restored implants result in poor function, esthetics or loss. Obvious: complex cases need highly trained professionals.
We recommend using worldwide supported and recognized brands. Implants need components for their restoration which vary according to each manufacturer. If a company is not widely represented it is difficult to get them at all locations. In addition, a series of expensive tools designed for different sizes and brands have to be bought by the dentist to handle, tighten, screw, etc the components. A wise dentist will invest only in the instruments that match studied and supported brands. The ADA (American Dental Association) seal of acceptance guarantees one such brand. Visit www.ada.org If the surgeon is not a usual team member with the restorative dentist he must communicate to the latter the implant brand and specifications. Ask us/contact us if you have questions




Veneers

Written by Dr. Carlos Suarez Mastache

Veneers are porcelain shells bonded to an existing tooth which allow us to change its color, shape, size, position, width, texture, etc. During a smile makeover, several are used. The end result is a natural, armonic, custom, beautiful, white and bright smile.

Very important veneer facts
Be aware that there are several types of veneers, according to the technique used:
The feldspathic technique involves layering and baking porcelain coats with different hues to build the color effects from the inside, as in natural teeth. These are unbelievably beautiful restorations but moderately strong.
They can be very thin, which helps when little tooth preparation is wanted (this depends on the initial condition and needed result). In the pressed ceramics technique, a wax pattern with the desired shape of the restoration is melted and its shape captured in a mold (lost wax technique). Porcelain high in leucite (a strength adding component) is pressure injected into the pattern. We get a strong metal free restoration in one color. To build up the color effects the material is cut back in some areas and layered in a feldspathic-wise manner. To accommodate the pressed core plus the layers of porcelain without delivering a bulky appearance, a little more room is needed.
The metal free coping technique uses an structure of alumina or zirconia that adds strength and disguises dark colors. Over it, porcelain is layered and baked.

Feldspathic and pressed restorations are translucent as natural teeth (light passes through them). The color of the underlying tooth or cement (the glue) may impact the final shade. Though it is not advisable to have metal under them (a metal post, a metal structure) there are techniques to approach these cases (opaquers). Alumina and zirconia copings eliminate any metal see through, but they need more space and are less translucent. Zirconia provides the stronger structures. The aesthetic dentist will decide with the laboratory upon the material used for each case. We prefer thin restorations in young teeth but the mastication forces are a factor to be evaluated.




Smile makeover



Or smile design, is an art and a science. Crooked, separated, crowded, badly aligned teeth can be corrected (instant orthodontics). The smile can be filled with white teeth show instead of dark lateral spaces and your lips supported to rejuvenate the appearance (smile lift). Gum shape and contour are also involved, since they take critical part in the result. All can be accomplished in a surprisingly short time. Fixed restorations are preferred instead of dentures but exceptions can be made. Smart smile makeover tips for the patient and very important facts. Written by Dr. Carlos Suarez Mastache

    1) The most important step towards a satisfying result is gathering accurate records from the patient: dental charts, medical history, intraoral camera exam, panoramic and zone detailed X-rays, stone copies of the teeth, pictures and listening to explicit desires.


    2) Previewing the result is highly recommended. Computerized imaging, stone model wax ups, intraoral mock-ups are tools that allow the patient to get involved in the design process. A picture from a friend or celebrity showing clearly the smile design the patient would like is of great help. The dentist can explain how is he going to customize the type of smile for the patient traits. This step will definitely add an appointment to the treatment but is well worth it.


    3) The result depends on the aesthetic dentist as much as on his team member: the laboratory technician. The technician manufactures custom restorations for each tooth, following the dentist’s directions. A dental laboratory qualified for smile makeovers is a must. Poor results, coming from a poorly trained dental team will sure make a patient talk bad about aesthetics. That is unfair to this art and science.




Whitening

Written by Dr. Carlos Suarez Mastache

One of the easiest, fastest ways to boost your smile is bleaching. It involves the use of chemical agents to remove first, superficial layers of deposits that turn your teeth dark and then, the inner dark tones of tooth tissue. The process returns the original (and even better) white to aged, stained teeth. Superficial coloring or stains are easier to remove while an intrinsic dark color has less dramatic results even when there is always an improvement.

Smart whitening tips for the patient.
1) The most powerful bleaching is usually called power bleach during which a potent light source, specific for the process, activates the highest concentrations of chemical agent achieving the highest whitening in one appointment. It is dentist-controlled, so the agent will not run on sensitive surfaces, the gums and soft tissues are protected. The best bleaching would include a power bleach and a post session lower concentration mouthguard bleach. You will never be able to get as strong a bleaching agent to be used on your teeth as in power bleach, that is why it is dentist controlled. Do not believe everything you hear, specially from some TV sales ads.

2) Bleaching will reverse during time meaning patients who want pearly white would have to do touch up sessions yearly. If a patient smokes, eats or drinks colorants, the result will reverse faster.

3) Teeth to be covered by veneers or porcelain crowns do not need to be bleached. First, their color can be changed with the restoration, so it ends being an extra cost. Second, porcelain is translucent (see veneers) which means the underlying tooth color has an effect on the final color. When the bleaching reverses under the porcelain, the restorations will get somewhat darker.