Cosmetic Dentistry – What it is, and its scope?

Oral treatment not only deals with tooth extraction, cavity filling, gum disease etc, but restoring and reshaping your beautiful smile has a growing popularity today. Specialized Cosmetic Dentistry procedures are used for an everlasting organized quality of teeth in shape. Among the various cosmetic dental clinics in Pune, Sparkle dental clinic is the best in giving you a tooth full and a truthful smile. Our Cosmetic Dentistry will give you the best treatment and solution.

What do you get at Sparkle?

At the Sparkle dental clinic, our team of expert dentists in Pune carry out all the leading cosmetic dentistry procedures, right from Tooth Whitening to Tooth Bonding to Ceramic Crowns, Laminatas and Veneers, Gum Recountouring to Smile Makeovers. The place where you get it all! We are the best cosmetic dentistry in Pune, and we restore the hidden smile of our patients. Our prime motto and satisfaction lies in the smile of the patients. Our doctors have very good experience and are reputed as the best dentists in Pune. Visit our Sparkle dental clinic now, and enhance your quality of smile.

Cosmetic Dentistry

What is tooth bonding?

Cosmetic Dentistry in Pune

, Cosmetic Dentistry in Pune, has evolved a lot in Teeth Whitening, Orthodontics, White Fillings, Caps and Bridges treatments. Bonding is a composite resin filling placed in the back teeth as well as the front teeth. Composites are the solution for restoring decayed teeth, making cosmetic improvements and even changing the color of your teeth or the reshaping of teeth. Bonding will lighten any stains you may have, close up minor gaps and can be used to correct crooked teeth. Basically, bonding will cover any natural flaws applying a thin coating of a plastic material on the front surface of your teeth. After this, your cosmetic dentist in Pune will apply a bonding material and sculpt, color and shape it to provide a pleasing result. A high-intensity light then hardens the plastic, and the surface is finely polished.

How long does tooth bonding last?

While the traditional silver fillings last about seven years, these composites should last about seven to eleven yrs.

How is Tooth Bonding Accomplished?

A very mild etching solution is applied to your teeth to create very small crevices in the tooth's enamel structure. These small crevices provide a slightly rough surface permitting a durable resin to bond materials to your teeth. The resin is then placed on your tooth and high-intensity light cures the resins onto your tooth's surface - with each individual layer of resin hardening in just minutes. When the last coat has been applied to your tooth, the bonded material is then sculpted to fit your tooth and finely polished. The resin comes in many shades so that we can match it to your natural teeth. Due to the layers involved, this procedure will take slightly longer than traditional silver fillings because multiple layers of the bonding material are applied. Typically, bonding takes an hour to two hours depending on your particular case. For the complete bonding treatment, you can now schedule an appointment and visit our dental clinic in Pune.

Who is a candidate for tooth bonding?

If you have close, small gaps between your front teeth, or if you have chipped or cracked teeth, you can be a candidate for bonding. Bonding is also used for patients who have discolored teeth, uneven teeth, gum recession or tooth decay. Bonding material is porous, so smokers will find that their bonding will turn yellow. If you think you are a candidate for bonding, you can discuss it with our dentist in Pune.

Types of Tooth Bonding Procedures

There are two types of bonding. What type is indicated in your situation depends upon whether you have a small area or a larger area that requires correction.

For small corrections

These are one appointment fillings which are color-matched to the tooth and are bonded to the surface for added strength. These are most appropriate for small fillings and front fillings as they may not be as durable for large fillings.

For larger corrections

Dental lab-created tooth-colored fillings require two appointments and involve making a mold of your teeth and placing a temporary filling. A dental laboratory then creates a very durable filling to custom-fit the mold made from your teeth. These fillings are typically made of porcelain. The custom-fit filling is then bonded to your tooth on your return visit. This type is even more natural looking, more durable and more stain resistant.
The dental filling cost in Pune or anyplace else, will depend on factors such as type of corrections, fillings etc.

Advantages & Disadvantages of Tooth Bonding

Pros and Cons of Tooth Bonding

Advantages of dental bonding:
Esthetics is the big advantage over silver fillings. As silver does not stick to teeth, entirely healthy tooth structure is usually removed to keep a silver filling in place. Composites permit your cosmetic dentist to remove only the decayed area of your tooth. Unlike silver fillings, composite bonding expand just like your teeth and are much less likely to cause cracks in your tooth. Composites bond directly to the tooth providing support. Composites can be used to fill in cracks, chips and gaps - and will match the color of your other teeth.

Disadvantages of the dental bonding procedures:
Bonding with composites simply costs more in material and time. For comparison purposes, you can check out the bonding with composites and tooth filling costs in Pune.

Before Tooth Bonding

After Tooth Bonding

Before Tooth Bonding

After Tooth Bonding

Teeth whitening is used to correct discoloration of the teeth by removing the brown and yellow staining. The term "teeth whitening" can refer to a number of techniques to improve the brightness of the patient's teeth. Among them are chemical whitening, mild acid whitening, abrasive teeth brightening and the newest technique, laser teeth whitening. For the best laser teeth whitening in Pune, do visit Sparkle the Dental Clinic in Pune.
Before the patient embarks on the home teeth whitening regimen; as a part of the cosmetic dentistry in Pune, the cosmetic dentist creates a custom mouth tray for the patient. The custom tray is a critical component of the treatment. It ensures that the correct amount of whitening solution is used and that the patient's teeth are properly exposed to the whitening solution. The custom made mouth tray provides for a better fit than a one-size-fits-all mouth tray to help increase the margin of patient safety. The steps in the home teeth whitening regimen are fairly straightforward. The cosmetic dentist's office provides the patient with the materials and instructions and also answers questions the patient may have about the routine. Your dentist's office can also provide you with off-site supervision should you have any questions once you've begun. A home whitening session can last for two to three hours, during which time you will have the tray and solution in your mouth. Depending upon your needs and desired results, your dentist may instruct you to keep the tray in your mouth overnight. Typically, you will follow your home teeth whitening regimen for two to three weeks, after which time you will return to your cosmetic dentist for a follow up visit. This is the usual process followed by the best cosmetic dentists in Pune.

What is Teeth Bleaching?

Teeth bleaching is a chemical process used to lighten the color of the patient's teeth. The procedure can be performed entirely in the cosmetic dentist's office or it can be performed by the patient in their home, using materials provided by the dentist. The home method is often used because it saves the patient from having to make an office visit each time.

How long does teeth whitening last?

Teeth whitening is not a permanent procedure. Results can last for one to or more years, depending upon your personal habits. In most cases, the whitening procedure is very effective and the patient is pleased with the results

How much does Teeth Whitening cost?

Generally speaking, the price of teeth whitening in Pune increases with the number of in-office treatments required by the patient. Dental insurance does not typically cover the cost of the teeth whitening procedure.

Which are the types of teeth whitening procedures?

There are a few teeth whitening procedures available that correct discoloration of the teeth by removing the brown and yellow staining. While each work effectively, there are advantages and disadvantages to each procedure dependent upon your objectives and commitment to the processes. The type of procedures available should be discussed with your cosmetic dentist, and they will recommend the most appropriate teeth whitening procedure for you.

Bright Smile Teeth-Whitening (In-office):

Using a special light with a whitening gel, this is an in-office bleaching system. It is often followed up with an at-home bleaching kit if needed. The translucent bleaching gel is applied to the teeth and a special activating light source is used to activate the crystals to absorb the energy from the light and penetrate the teeth enamel to increase the lightening effect on the teeth. The length of time in the cosmetic dentist's chair depends on the degree of discoloration you have, but two hours is common.
Advantage:One visit is usually all it takes for a bright smile. The tooth whitening treatment under cosmetic dentistry in Pune typically costs 7000/-.
Disadvantage: The sudden change of color is likely to be noticed by those around you immediately.

Laser Bleaching (In-Office)

Using a laser with a whitening gel, this is an in-office bleaching system. The translucent bleaching gel is applied to the teeth and a laser light is used to activate the crystals to absorb the energy from the light and penetrate the teeth enamel to increase the lightening effect on the teeth. The length of time in the cosmetic dentist's chair depends on the degree of discoloration you have.
Advantage: One visit is usually all it takes for a bright smile.
Disadvantage: The sudden change of color is likely to be noticed by those around you immediately. This is the more expensive of the procedures available, but also the quickest.

Custom fit Tray Bleaching (In-Home)

A custom fitted tray is worn over your teeth. A small amount of the bleaching gel is placed in the tray and worn for a brief amount of time each day. This is a common technique because it's easy to use and costs less. Impressions are taken of your mouth and a thin custom made plastic tray is made which you take home and wear for about one to two hours per day. While some results may be seen in a couple days, it usually takes one to two weeks to see the full whitening of your teeth. This procedure is sometimes used in conjunction with the in-office laser bleaching if you have severe discoloration (dark grey or purple) or internal teeth staining.
Advantage: A gradual whitening of your teeth over time will be less noticeable to others that you're undergoing this procedure. The cost is relatively low.
Disadvantages: This procedure will require two to four visits to the cosmetic dentists office.

Before & After Photos: Tooth Whitening

Before Tooth Whitening

After Tooth Whitening

Before Tooth Whitening

After Tooth Whitening

Today we have exciting new biomaterials that can give your smile a lift without invasive treatments.
Ultra-thin porcelain veneers or composite veneers can correct chipped, weakened, or discolored teeth. No more yellow or stained teeth; no more gaps or embarrassing chips. And veneers can return real structural integrity to damaged teeth, while leaving them looking as good (or possibly better) than the originals.
Veneers are custom made to fit over your natural teeth, with a finish more translucent to blend in with surrounding teeth. So people won't notice your tooth, they'll simply see your beautiful, natural smile

Composite Veneers (Direct veneers)
Composite are glass filled resins that are bonded to the teeth. The materials have improved dramatically in the past twenty years in terms of durability, esthetics, wear and use. They are used to repair fractured teeth, close small gaps between teeth, lighten teeth and to enhance the smile.
"Ceramic Veneers (Indirect veneers) Ceramic veneers, alternatively termed dental veneers or dental ceramic laminates, are wafer-thin shells of porcelain that are bonded onto the front side of teeth so to create a cosmetic improvement for a tooth, ceramic Veneers retain their beautiful luster and vitality, as they are much stronger and more durable than plastic composite bonding. Sometimes composites will stain or shrink with age, but veneers will not. The best part is that there are no age group limitations. Everyone can benefit, young and old alike.

INDICATIONS
Veneers can be used to provide an aesthetic solution in many situations:

Spaces between teeth.
Severely Discolored teeth.
Malposition or slightly crooked teeth
Odd shaped cracked or chipped teeth
Fractured teeth with a fair amount of tooth structure left.
Teeth with multiple fillings which have compromised the aesthetics of the smile.

What is involved in getting a veneer?

The process of having a veneer made for your tooth in Pune involves a few short visits to your dentist in Pune. The procedure is simple and relatively painless.
Your Dentist will first analyze your smile to determine which teeth require veneers.
Depending on how much tooth shaping is required, you may or may not require anesthesia.
Step by step procedure to put dental veneers

Teeth Before Veneer

Teeth prepared for veneers

Veneers prepared in laboratory

Veneers separated from cast

Veneers bonded to tooth surface

Ceramic veneer technique is an offshoot of the basic science of cosmetic dental bonding. we have had materials available to us for decades that are capable of creating a tenacious bond with tooth enamel, ceramic veneer technique utilizes the bonding capability of these materials to securely attach a thin shell of porcelain (the porcelain veneer) to a tooth, Although porcelain is inherently brittle, however when it is firmly bonded to a sturdy substructure (a tooth) it becomes very strong and durable.

What are the advantages of Veneers?

The biggest advantage of a veneer is that too little tooth material is removed and hence won't weaken the tooth structure. It is also rightly called as "CLONED ENAMEL".
They look and feel completely natural. A beautiful result is achieved in just a few days time, and can last for many years. The texture and finish of porcelain veneers make them highly resistant to external staining. Due to their durability, looks and comfort, veneers have become one of the most popular cosmetic dental treatments available today. Some of the best cosmetic dentist in Pune perform it for us.

POST TREATMENT CARE

Look after your veneers well. Brush and floss as you regularly do. Use non abrasive toothpaste to help maintain the shine and gloss of your veneers. Normal diet will not harm your veneers. Avoid any shearing force on these teeth [like biting sugarcane].
Regular check ups will ensure your veneers are in excellent shape. Well maintained veneers should last you for many years and give you a long lasting and beautiful smile.
Professional Care

If a porcelain crown or bonding does get looking lackluster or starts staining, there are polishing techniques that can bring the luster back.
When you have porcelain veneers, we recommends extra maintenance polishing appointments - two extra appointments per year - to keep the shine at its maximum, especially at the critical bond area between the tooth and the veneer.

Home Care
Here's your list of "do's" and "don'ts" for home care:

The biggest "no-no" is heavy, frequent alcohol consumption. If you consume large quantities of alcohol daily, the alcohol tends to dissolve bonding or the composite luting material that holds the porcelain to the tooth. Within a period of a couple of years, you could completely ruin the dental work. So, watch your alcohol consumption. Moderate amounts won't have a noticeable effect. Beware, also, of alcohol-containing mouthwashes. Read the list of ingredients on any mouthwash.
Don't subject your teeth to sharp impacts or hard objects. Don't bite pins, nails, or staples. Don't grind your teeth. If you tend to grind at night, get a night guard to protect your teeth. If you engage in contact sports, wear an appropriate athletic mouth guard.
Floss and brush your teeth carefully. While the porcelain or bonding work is immune to decay, the part of your teeth not covered by the cosmetic work is still susceptible to tooth decay. You can still get cavities with veneers or bonding or crowns. Keep it clean and it will stay decay-free and protect your investment.
Watch snacking! This is very important. Between-meal snacking is the single biggest factor in promoting decay. Many dental professionals don't even understand this, but this has been solidly established by scientific studies. If you are a constant snacker, you feed your plaque bacteria all day long, regardless of your excellent brushing habits. The best thing you can do to prevent decay, the deterioration of your teeth and the dental work, is to limit your eating to your basic three meals a day and maybe a couple of snacks.

Metal free ceramic crowns are distinguished by thieir excellent aesthetics. Light, is not only reflected, there is also real transparency as seen in natural teeth. This effect makes the metal free ceramic crown perfect for use in anterior areas, where by minor form and alignment corrections are also possible.
A further advantage of metal free ceramic crown is the tooth shaded margin, which need not To be placed under the gum line. Thus, the crown margin does not irritate the gingival tissue And prevents gum recession.
It is an extremely biocompatible material with no allergic potential. This can be a real Advantage to predisposed(allergic) patients. With smaller defects, limited to the outer surface, we prefer treatment using porcelain facings (veneers) allowing more of natural tooth to be preserved during preparation.
Progressive development in ceramics brings forth ever stronger materials, such as zirconium Ceramic. Therefore, it is now possible to fit metal free porcelain crowns in the posterior area

There are various types of all-porcelain or all-ceramic crowns. Let's explain the differences between some of them:

Feldspathic porcelain is the standard, traditional porcelain that is used for crowns. The best cosmetic dentists in Pune feel that this is the most beautiful porcelain.
The Empress crown - Empress is strictly speaking not a porcelain, but is more like a glass. It can be called a ceramic material. The Empress material is cast rather than baked as a feldspathic porcelain crown is. The fit of Empress is more precise than the baked feldspathic porcelain. However, the color in Empress is mostly baked on the outside. Empress can be very beautiful. For appearance's sake, some experts and the best cosmetic dentists in Pune are known to prefer the Feldspathic porcelain, while some prefer the Empress.
The Procera crown - Procera is a milled ceramic on the inside with a more traditional porcelain baked onto the outside. The advantage of Procera is its exceptional strength. However, the milled ceramic core is opaque white, so many cosmetic dentists feel that it isn't as natural-looking as the more translucent materials. An advantage of Procera is that it doesn't have to be bonded to the tooth but can be cemented with ordinary crown and bridge cement, a technique familiar to all dentists.
The Lava crown - Lava is similar to Procera, but the milled ceramic on the inside is a more translucent Zirconia, rather than an opaque white material. The Zirconia is shaded, and then the final esthetics of the crown are achieved in the baked-on outer layer. The Lava crown can also be cemented with traditional techniques. However, any crown cemented with a traditional crown and bridge cement is going to be susceptible to a compromise in the appearance if that cement line ever shows.
Zirconia crowns, if they are done right, can be translucent enough to look natural. And if they are bonded to the teeth, instead of being cemented with conventional dental cement, they won't show a black line at the gumline.

RECOUNTOURING OF GUMS & TEETH

Gum surgery involves the grafting of gum tissue to a part of the mouth where gums are receding, due to periodontal disease, aging, or natural wear of gum tissue. Gum Contouring involves the removal of excess gum tissue, either manually or more commonly with a laser, to improve a "gummy" smile.
If a patient is at risk for tooth loss due to receding gums, Gum Surgery may be performed as a preventive measure. Other indications of needing gum surgery include the appearance of very long teeth and weak gums due to periodontal (gum) disease.
Gum contouring may be required to correct a "gummy" smile. A gummy smile is indicated as teeth that appear to be too short and/or gums that appear to be too prominent. This can occur by either an excess of gum tissue over the teeth (Excessive Gingival Display), or by excessive grinding of the teeth, causing the teeth to become shorter and making the gum tissue appear more prominent.
Gum surgery or gum contouring are often performed in conjunction with other procedures such as composite resin bonding, crowns, and veneers.

Gum Procedures

The Gum Contouring procedure involves removing excess gum tissue, usually to correct a "gummy" smile, but can also involve the removal of bone. The gum tissue can be removed manually, but is usually done with a diode laser. If a larger amount of tissue needs to be removed, then an additional gum and bone surgery (called Crown Lengthening) may need to be performed. The gum contouring procedure typically takes between 15 to 30 minutes. The Gum Surgery procedure involves the removal of a tissue graft from the roof of the mouth (palate) and suturing the tissue onto the affected gum area. The affected gum area is locally anesthetized and prepared for the graft. For larger treatment areas, general anesthesia or local anesthesia with sedation may be preferred. This newly grafted tissue reinforces thin gums or fills in areas where gums have receded. Typically, a dentist will prescribe an antibacterial mouth rinse to be used twice a day for a 2-week period following surgery

Gum Surgery Pros & Cons

Pros: A change in the smile is noticed immediately after gum surgery. Gum surgery may improve the health of the gums and reduce tooth sensitivity. The procedure will also protect the roots of teeth from decay by lessening further gum shrinkage. Recovery and healing time is usually very short.

Cons: Gum surgery procedures

Teeth Reshaping

We can add composite fillings to lengthen your teeth to look better or trim teeth. The more skillful the dentist, better the results. At Sparkle, we have a team of some of the best cosmetic dentists in Pune, to carry out the procedure for you.

SMILE MAKEOVER

The color, size, and shape of your teeth all have a profound impact on your appearance.
While it is often the desire of people to improve the look of their smiles, it is the goal of aesthetic dentistry, to do this while still maintaining a "natural" appearance of the teeth. This often requires addressing one or all of the above-mentioned criteria. How is it that alterations in these three characteristics enhance your smile?
Color of Your Teeth
Tooth color is most commonly what people see first. As you get older, your teeth get darker. The reasons for this include normal changes that occur within the tooth and repeated insults from environmental conditions (coffee or tea stains, for example). Generally, then, darker teeth are associated with older age. The easiest way that aesthetic dentistry can correct this is by teeth bleaching. But this alone may not entirely create a natural-looking appearance.
Size and Shape of Your Teeth
Size and shape also are major factors that define the appearance of teeth. The most common cause of changing tooth size and shape over time is tooth wear; and the most common cause of wear is tooth-to-tooth contact, or grinding. Wear on the edges of the teeth can give the appearance of aging because you do not show as much of your teeth when you smile. Another factor that affects how much of your teeth show when you smile is the loss of skin tone as you age. This loss of tone causes your face to sag, thereby showing less of your upper teeth and more of your lower teeth. The aesthetic dentistry treatment can vary from teeth bleaching to dental crowns or dental veneers. Depending on the severity, other forms of treatment such as braces and gum surgery also may be indicated by our braces specialist in Pune. If the cause is due to wear of the teeth, dental veneers or dental crowns can be used to regain the lost length and fill out the smile. On the other hand, this may not have a significant effect if the cause is due to the loss of skin tone associated with age. If this is the case, plastic surgery may be indicated as part of the treatment.
Wear on teeth also will make the edges of the front teeth very flat. As this occurs, the edges of the front teeth will form a straight line rather than the more youthful appearance when the two front teeth are slightly longer than the teeth next to them. Also, as they wear, the proportion of length to width will be altered. Teeth will start to appear more square in their shape rather than rectangular.
Basically, any treatment that counteracts the above-mentioned appearance changes has the ability to enhance the appearance of your teeth and smile. The aesthetic dentistry treatment can vary from teeth bleaching to dental crowns or dental veneers. Depending on the severity, other forms of treatment such as braces and gum surgery also may be indicated to enhance the appearance and function of your teeth. It is important to remember that all areas need to be addressed. If treatment for teeth that are worn and dark only involves teeth bleaching, the final result will be whiter teeth that are still worn and short. The teeth will not appear natural, as there will be a conflict between white teeth (youthful) and worn teeth (aged) that do not work together. Instead, it is necessary to correct the color, size, and shape to create a more natural appearance.

Case I : Extreme Makover: Tetracycline Staining changed with Veneers !

Patient had been seen in March 2006 at which time I advised that Britesmile would not change the colour of a tetracycline stained tooth. Veneers were the only option. Patient can remember having yellow bands on the teeth as far back as childhood . Treatment planning was done months in advance using mainly photographs as our guide. Here are the results as completed in November 2006 over a period of 10 days ! In total 16 veneers were done.

Patient reported to the surgery with extremely poor hygiene having not seen a dentist for years. Needless to say he was thrilled with his result !

Patient reported to the surgery with badly worn out teeth due to excessive tooth brushing . Procedure involved doing Porcelain veneers and Composite fillings.