Cosmetic Dentistry

Who doesn't want a perfect smile? While few people have one naturally, almost anyone can get one with the help of their dentist. In addition to orthodontic treatment, which can straighten your teeth, recent advances in dental materials and techniques offer near-perfect teeth that are almost as strong as the originals.

Things your dentist can do to improve your smile include

• Bleaching to make teeth whiter
• Repairing chips or rough spots with fillings that match your teeth
• Filling cavities with tooth-colored materials
• Reshaping teeth that don't match the others
• Closing gaps between teeth
• Covering broken teeth with porcelain crowns

Above article from: www.nim.nih.gov

Dental Concepts ~ Bruce Braverman, DMD 

2500 North Military Trail, Suite 230

Boca Raton, FL 33431

Telephone: (561) 241-1010

Dental Crowns

A dental crown is a tooth-shaped "cap" that is placed over a tooth - covering the tooth to restore its shape and size, strength, and/or to improve its appearance.

The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line.

Why Is a Dental Crown Needed?

• A dental crown may be needed in the following situations:
• To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
• To restore an already broken tooth or a tooth that has been severely worn down
• To cover and support a tooth with a large filling when there isn't a lot of tooth left
• To hold a dental bridge in place
• To cover misshapened or severely discolored teeth
• To cover a dental implant

What Types of Crowns Are Available?

Permanent crowns can be made from all metal, porcelain-fused-to-metal, all resin, or all ceramic.

Metals used in crowns include gold alloy, other alloys (for example, palladium) or a base-metal alloy (for example, nickel or chromium). Compared with other crown types, less tooth structure needs to be removed with metal crowns, and tooth wear to opposing teeth is kept to a minimum. Metal crowns withstand biting and chewing forces well and probably last the longest in terms of wear down. Also, metal crowns rarely chip or break. The metallic color is the main drawback. Metal crowns are a good choice for out-of-sight molars.

Porcelain-fused-to-metal dental crowns can be color matched to your adjacent teeth (unlike the metallic crowns). However, more wearing to the opposing teeth occurs with this crown type compared with metal or resin crowns. The crown's porcelain portion can also chip or break off. Next to all-ceramic crowns, porcelain-fused-to-metal crowns look most like normal teeth. However, sometimes the metal underlying the crown's porcelain can show through as a dark line, especially at the gum line and even more so if your gums recede. These crowns can be a good choice for front or back teeth.

All-resin dental crowns are less expensive than other crown types. However, they wear down over time and are more prone to fractures than porcelain-fused-to-metal crowns.

All-ceramic or all-porcelain dental crowns provide the best natural color match than any other crown type and may be more suitable for people with metalallergies. However, they are not as strong as porcelain-fused-to-metal crowns and they wear down opposing teeth a little more than metal or resin crowns. All-ceramic crowns are a good choice for front teeth.

Temporary versus permanent. Temporary crowns can be made in your dentist's office whereas permanent crowns are made in a dental laboratory. Temporary crowns are made of acrylic or stainless steel and can be used as a temporary restoration until a permanent crown is constructed by the dental laboratory.

Above article from: Webmd.com

Dentist Boca Raton FL

Dental Concepts

Bruce Braverman, DMD,

2500 North Military Trail, Suite 230

Boca Raton, FL 33431

Telephone: (561) 241-1010

Your Teeth and Dental Bonding

Dental bonding is a procedure in which a tooth-colored resin material (a durable plastic material) is applied and hardened with a special light, which ultimately "bonds" the material to the tooth to restore or improve person's smile.

For What Conditions Is Dental Bonding Considered?

Dental bonding is an option that can be considered:

• To repair decayed teeth (composite resins are used to fill cavities)
• To repair chipped or cracked teeth
• To improve the appearance of discolored teeth
• To close spaces between teeth
• To make teeth look longer
• To change the shape of teeth
• As a cosmetic alternative to amalgam fillings
• To protect a portion of the tooth's root that has been exposed when gums recede

What's the Procedure for Having a Tooth Bonded?

• Preparation. Little advance preparation is needed for dental bonding. Anesthesia is often not necessary unless the bonding is being used to fill a decayed tooth. Your dentist will use a shade guide to select a composite resin color that will closely match the color of your tooth.
• The bonding process. Next, the surface of the tooth will be roughened and a conditioning liquid applied. These procedures help the bonding material adhere to the tooth. The tooth-colored, putty-like resin is then applied, molded, and smoothed to the desired shape. An ultraviolet light or laser is then used to harden the material. After the material is hardened, your dentist will further trim and shape it, and polish it to match the sheen of the rest of the tooth surface.
• Time-to-completion. Dental bonding takes about 30 to 60 minutes per tooth to complete.

What Are the Advantages and Disadvantages of Dental Bonding?

• Advantages: Dental bonding is among the easiest and least expensive of cosmetic dental procedures. Unlike veneers and crowns, which are customized tooth coverings that must be manufactured in a laboratory, bonding usually can be done in one office visit unless several teeth are involved. Another advantage, compared with veneers and crowns, is that the least amount of tooth enamel is removed. Also, unless dental bonding is being performed to fill a cavity, anesthesia is usually not required.
• Disadvantages: Although the material used in dental bonding is somewhat stain resistant, it does not resist stains as well as crowns. Another disadvantage is that the bonding materials do not last as long nor are as strong as other restorative procedures, such as crowns, veneers, or fillings. Additionally, bonding materials can chip and break off the tooth.

Because of some of the limitations of dental bonding, some dentists view it as best suited for small cosmetic changes, for temporary correction of cosmetic defects, and for correction of teeth in areas of very low bite pressure (for example, front teeth). Consult with your dentist about the best cosmetic approach for your particular problem.


Above article from: WebMD.com


Dentist Boca Raton FL
Dental Concepts
Bruce Braverman, DMD,
2500 North Military Trail, Suite 230
Boca Raton, FL 33431
Telephone: (561) 241-1010

Teeth Whitening

Many teeth whitening systems are available, including whitening toothpastes, over-the-counter gels, rinses, strips, and trays, and whitening agents obtained from a dentist.

Teeth whitening is ideal for people who have healthy, unrestored teeth (no fillings) and gums. Individuals with yellow tones to their teeth respond best. But this cosmetic procedure is not recommended for everyone.

Find out if teeth whitening is right for you.

·                          Whitening Systems

·                          Whitening Toothpastes

All toothpastes help remove surface stains because they contain mild abrasives. Some whitening toothpastes contain gentle polishing or chemical agents that provide additional stain removal effectiveness. Whitening toothpastes can help remove surface stains only and do not contain bleach; over-the-counter and professional whitening products contain carbamide peroxide or hydrogen peroxide that helps lighten the color deep in the tooth. Whitening toothpastes can lighten your tooth's color by about one shade. In contrast, light-activated whitening conducted in your dentist's office can make your teeth three to eight shades lighter.

Over-the-Counter Whitening Strips and Gels

Whitening gels are clear, peroxide-based gels applied with a small brush directly to the surface of your teeth. Instructions generally call for twice a day application for 14 days. Initial results are seen in a few days and final results are sustained for about four months.

Whitening strips are very thin, virtually invisible strips that are coated with a peroxide-based whitening gel. The strips are applied twice daily for 30 minutes for 14 days. Initial results are seen in a few days and final results are sustained for about four months.

Whitening Rinses

Among the newest whitening products available are whitening rinses. Like most mouthwashes, they freshen breath and help reduce dental plaque and gum disease. But these products also include ingredients, such as hydrogen peroxide, which whiten teeth. Manufacturers say it may take 12 weeks to see results. You just swish them around in your mouth for 60 seconds twice a day before brushing your teeth. However, some experts say that rinses may not be as effective as other over-the-counter whitening products. Because a whitening rinse is only in contact with the teeth for such a short time -- just two minutes a day compared to 30 minutes for many strips -- it may have less of an effect.

Tray-Based Tooth Whiteners

Tray-based tooth whitening systems, purchased either over-the-counter or from your dentist, involve filling a mouth guard-like tray with a gel whitening solution -- which contains a peroxide-bleaching agent -- and wearing the tray for a period of time, generally from a couple hours a day to every day during the night for up to four weeks and even longer (depending on the degree of  discoloration and desired level of whitening).

In-Office Whitening

In-office bleaching provides the quickest  way to whiten teeth. With in-office bleaching, the whitening product is applied directly to the teeth. These products can be used in combination with heat, a special light, and/or a laser. Results are seen in only one, 30- to 60-minute treatment. But to achieve dramatic results, several appointments are usually needed. However, with in-office bleaching, dramatic results can be seen after the first treatment. This type of whitening is the most expensive technique. 

How Long Do Teeth Whitening Effects Last?

Teeth whitening is not permanent. People who expose their teeth to foods and beverages that cause staining may see the whiteness start to fade in as little as one month. Those who avoid foods and beverages that stain may be able to wait one year or longer before another whitening treatment or touch-up is needed.

The degree of whiteness will vary from individual to individual depending on the condition of the teeth, nature of the stain, the type of bleaching system used, and for how long.

Above article from: WebMd.com


Dental Concepts

Bruce Braverman, DMD,  2500 North Military Trail, Suite 230 • Boca Raton, FL 33431

Telephone: (561) 241-1010