Viewing entries tagged
cosmetic dentistry

Case Presentation: Premolar Crown

Comment

Case Presentation: Premolar Crown

thosuandoaksfamilydentistry.com

Premolars can be very difficult teeth to repair. They are both functional (absorbing about half the chewing force of molars) and cosmetic (adding to the "corridors" of the smile). Often times, fillings cannot satisfy all these needs when restoring tooth decay or a fracture. A full coverage crown is usually recommended to provide a solution that will both look great and help protect the underlying tooth. For today's patient, an Emax lithium disilicate crown was used to restore their right first premolar. Notice how the shade and opacity blends in with the enamel of the adjacent teeth. The result is a virtually undetectable dental treatment- good as new!

If you would like to know more about fillings, crowns, implants or veneers please give our office a call. We specialize in providing cosmetic treatments that stand the test of time and would love to discuss your options!

Comment

Case Presentation: Smile Makeover

Comment

Case Presentation: Smile Makeover

ThousandOaksFamilyDentistry

What makes a beautiful smile? Is it the size of the teeth? The shape? Color? As this case demonstrates, the answer is all of the above! Careful details help us reconstruct a smile that is not only beautiful but appropriate for the patient's face shape, age and mouth size. The goal is to create natural appearing teeth while avoiding the "chiclet" look that can come from too little color or shape variation

For this patient, we used Emax lithium disilicate crowns to restore the cracked and decayed anterior teeth. Additionally, you can see where a bridge was used to replace the patient's missing canine on the photo right. As you study these pictures, take note of the subtle color gradient from the edges of the teeth to the gum line. This gradual darkening mimics natural teeth and creates a very convincing profile. Overall, we could not be happier with the results!

If you would like to know more about cosmetic dentistry, crowns, veneers or dental implants, please give our office a call. We are always excited to restore the natural beauty and luster to deserving smiles!

Comment

Cosmetic Gum Line Fillings

Comment

Cosmetic Gum Line Fillings

thousandoaksfamilydentistry.com

Another great cosmetic filling from Thousand Oaks Family Dentistry! Today's patient came to us with abfraction lesions on their upper premolars. These cavities are usually caused by the forces of biting, chewing and clenching causing stress on the enamel around the necks of the teeth. After an indentation develops in this area, it becomes a perfect trap for food and plaque. This often leads to decay, thus advancing the process of wear on the tooth. 

We repaired these teeth by removing any compromised enamel and smoothing out the cavity edges. They were then filled with a flexible and esthetic material that both seals out decay and restores the natural beauty of the teeth. While the upper premolars are not directly visible in the smile line, their profiles often contribute to smile "width." For this reason, a cosmetic filling is desirable in maintaining a natural appearance. If you would like to know more about tooth decay, fillings or other cosmetic dental procedures, please give our office a call!

Comment

Cosmetic Incisal Bonding

Comment

Cosmetic Incisal Bonding

ThousandOaksFamilyDentistry.com

Today's patient came to us with a chipped maxillary central incisor that did not extend to the tooth's nerve. They had no symptoms of pain and simply wanted the tooth fixed. This is a very typical dental injury- particularly with young children and patients who play contact sports. The maxillary incisors are the most commonly chipped teeth due to their vulnerable position in the mouth and thin enamel edge. 

After discussing treatment options, we decided to solve the cosmetic concern with composite bonding. Here, filling material is added to the tooth using a special adhesive and bonding technique. Once the restoration was cured to the tooth, Dr. Kari Ann Hong reshaped it to match the contours and length of the neighboring incisor. Since this material closely matches the optical properties of natural teeth, the effect is a natural and unnoticeable restoration!

It is important to note that not every type of chipped tooth can be fixed with composite bonding. Chips extending to the tooth nerve will need a root canal and crown to treat any residual pain and remove the inflamed tissue. Larger chips will also require veneers to reliably replicate large amounts of tooth structure. Finally, certain types of occlusion (the way the teeth come together when you bite) will limit the amount of repair that can actually be done to the teeth. It is impossible to decide what treatment option is best without a complete examination. For more information on dental bonding, crowns, veneers and other cosmetic treatment, please give our office a call!

Comment

Case Presentation: Invisalign Orthodontics

Comment

Case Presentation: Invisalign Orthodontics

thousandoaksfamilydentistry.com

Invisalign has made straight teeth a reality for a new generation of adult patients. While traditional braces may not be an option due to esthetic concerns or professional requirements, clear aligners can provide similar results with no visible hardware. In today's patient, Invisalign trays were used to correct minor crowding and spacing issues in the anterior teeth. Notice how the maxillary and mandibular incisors now follow even paths with minimal overlap.

At Thousand Oaks Family Dentistry, we provide Invisalign treatment for long time patients of record with mild orthodontic needs. Severe crowding, cross-bites and complicated spacing issues deserve the attention of an orthodontist. Additionally, it is important to note that Invisalign cannot achieve all the results of traditional braces. Some tooth movements are simply impossible without traditional wires and brackets. To get the whole picture, please visit our office for an exam and consultation!

Comment

Zirconia Crown and Bridge Replacement

Comment

Zirconia Crown and Bridge Replacement

Subtle changes can have powerful effects in cosmetic dentistry! Check out the crowns and bridge patient's before photos. The opaque shade and rounded features gave these teeth a definite "chiclet" appearance. Additionally, gum recession had left the teeth with dark lines surrounding their bases that contrasted with the white porcelain. By working with the Opus One Dental Laboratory, we were able to create new crowns with more lifelike shape and translucency. Even with similar color shades, the new crowns/bridge look infinitely more natural and beautiful in this patient's mouth. 

If you would like to know more about the amazing transformations we can achieve with crowns, bridges, implants and veneers, give our office a call. We specialize in providing the highest quality dentistry with a personal touch. Come see what Thousand Oaks Family Dentistry can do for you!

Comment

Best Cosmetic Dentist in the Conejo Valley

Comment

Best Cosmetic Dentist in the Conejo Valley

Check out this new video testimonial from one of our very satisfied patients! Twenty years ago, Jennifer suffered from pain and headaches associated with stress on her temporomandibular joint (TMJ). In solving this, her previous dentist used dental crowns and veneers to improve the way her teeth came together and ease her TMJ pain. Although the procedure was successful, twenty years of wear combined with gum recession had affected the appearance and function of these restorations. 

An important component of the dentistry we provide is managing our patients' fears and expectations. Jennifer was understandably very nervous coming into her appointment to have her crowns and veneers replaced. On top of the typical stress of a dental visit, she was concerned if the new restorations would fit as well as the originals. Fortunately, Dr. Kari Ann Hong is an expert in providing dentistry with a compassionate touch. Jennifer put on our noise isolating headphones and relaxed while Dr. Kari finished the appointment in just two and a half hours! She even left our office in custom temporary crowns that mimicked the esthetics and mechanics of the permanent units to come. 

Having your smile rejuvenated can be a stressful and daunting process. However, we pride ourselves in creating a relaxing atmosphere that makes the experience enjoyable! If you would like to know more about dental crowns, veneers or implants, please contact our office at (805) 480-9820 or at staff@thousandoaksfamilydentistry.com.

Comment

Case Presentation: Temporary Veneer Update!

Comment

Case Presentation: Temporary Veneer Update!

Thousandoakafamilydentistry.com

Time for a quick update! We previously reported on this patient's progress when they were still in temporary veneers. Now that the final products have been delivered, the dramatic transformation is complete. All four maxillary incisors were refinished with Emax lithium disilicate veneers that perfectly match the cosmetics of natural enamel. By treating all four teeth, we were able to create excellent symmetry and color matching. You could never tell any dental work was done! 

Veneers offer great cosmetic changes with minimal modification to the natural teeth. Since veneers only bond to one tooth surface, we only need to remove enough enamel to accommodate the new material. If you would like to know more about veneers, what they can treat and why we use them, please call our office! 

Click here to see the previous posting!

Comment

Dental Questions: What is the difference between a Crown and a Veneer?

Comment

Dental Questions: What is the difference between a Crown and a Veneer?

Dental crowns and veneers are two of the most commonly used techniques for restoring teeth in the front of the mouth. They are both typically made from thin layers of zirconia or lithium disilicate and are chemically bonded to the teeth. However, the applications in which they are used can be quite different. In general, crowns have certain structural advantages, while veneers allow us to make cosmetic changes while removing a minimal amount of tooth structure. 

Crowns work by encasing all surfaces of a prepared tooth (hence the nickname "cap"). They can be used on any tooth in the mouth for either esthetic or functional purposes. To place a crown, we need to reduce every side of the tooth to make room for the incoming restoration. The complete coverage allows crowns to repair extensive decay, replace fractures and even add some structural integrity to a compromised tooth. Crowns also have incredible retentive properties, as the cement and mechanical design truly lock it to the tooth. 

In contrast, veneers are typically used in cosmetic applications on the anterior teeth. They are bonded to the front surface of the tooth (as opposed to the complete coverage of a crown), and derive their retention entirely from the bonding cement. Veneers are either placed directly over an unaltered tooth or used after reducing the front surface to accommodate the extra width of material. They can repair smaller chips, close gaps between teeth or correct cosmetic concerns. 

Depending on your personal needs, a crown or veneer may be the most appropriate treatment option. If you have any further questions about crowns, veneers or other dental restorations, please give our office a call!

Comment

Case Presentation: Mountain Dew Mouth Reconstruction

Comment

Case Presentation: Mountain Dew Mouth Reconstruction

thousandoaksfamilydentistry.com

Today’s case is a typical example of a condition called “Mountain Dew mouth.” It shows how rampant decay develops and what we can do to repair and intervene. Before describing what we did, it is important to note that home care and diet are key in stopping the spread of cavities. All the dentistry in the world won’t help unless we can disrupt the decay causing bacteria!

We typically see Mountain Dew mouth in younger patients who haven’t seen a dentist in a few years. Sugary drinks (such as Mountain Dew) create the perfect storm for rampant dental decay. They can contain as much as 46 grams of sugar per 12 ounce serving, more than enough to feed the bacteria in your mouth and start the decay process. The liquid is both sticky and acidic, making it efficient at evenly coating and softening all enamel surfaces. Finally, these drinks usually consumed over a long period of time. Duration, not quantity, is the important factor in the tooth decay process. The same 46 grams of sugar wouldn’t be nearly as destructive if they were consumed quickly and not allowed to bathe the teeth.

This patient came to us with dark stained decay around the necks of their front teeth. These areas take the majority of liquid exposure when we drink, and thus tend to decay first. You can also spot dark shadows around the sides of the teeth, signifying more decay beneath the enamel surface. None of the cavities on the front teeth extended to the dental pulp, meaning root canals or extractions weren’t immediately necessary. Unfortunately, some of the molars did have extensive decay and will need to be removed at a future appointment.

We proceeded to remove all decayed and compromised enamel. This process is very delicate, as we want to be thorough while leaving as much sound tooth structure as possible.  Once the decay was gone, we filled the teeth using a combination of glass ionomer and composite tooth colored materials. Glass ionomer is great for repairing rampant decay, as it both bonds to the tooth structure and releases fluoride on to the remaining enamel. In contrast, composite allows us to recreate difficult contours and best match the cosmetics of natural teeth. The entire procedure took us a single appointment, and the patient left our office with a beautifully restored smile!


Again, it is important to note that all of our restorative work will come undone unless this patient can stop the intake of sugary drinks and keep up with their daily brushing and flossing. While fillings and crowns can remove active dental decay, only proper hygiene AND healthy diet choices can stop the bacteria’s progress. If you would like to know more about dental decay, what foods cause it or how to intervene, please contact our office.

Comment