A smile is often the first thing noticed and is fundamental to the image you have of yourself and others. If you want to feel more attractive, confident or simply feel better about your appearance, then your smile is always a great place to start if you are not happy with it now.
Aesthetic dentistry and Cosmetic dentistry is all about making your smile better and can provide more when integrated with restorative and preventative dentistry.
Aesthetic Dentistry's aim is to maintain and improve the natural beauty of teeth while Cosmetic Dentistry expands on this by using treatments that accentuate the natural beauty of teeth and gums.
A simple analogy can be shown with beauty treatments and makeup. Beauty treatments are aesthetic and aim at making what you have look as good as possible while make-up (cosmetics) are used to sometimes highlight features while cover others up.
Whether your teeth are crooked or aren't perfectly straight, slightly or very discolored, have small chips, worn or even missing, Dr McIntosh (Angela) can show you the appropriate aesthetic and cosmetic dentistry options that can alter your dental issue(s).
Treatments available at Pearly Whites Dental include
- Broken and Chipped Tooth repair including general fillings
- Composite Veneers (also known as Bonding)
- Composite Crowns and Bridges
- Porcelain and other more traditional Crowns and Bridges
- Adult Orthodontics / Teeth Straightening with Quick Straight Teeth (QST)
- Tooth Whitening- both in-chair and take home
- ValPlast Dentures
- and more.
We do not offer payment plans for general or cosmetic dentistry although we can structure treatment around your budget. Alternartively, you may seek finance through a finance company such as http://www.dentalfinanceplan.com/ or your bank.
Common Smile Issues
To achieve a great new smile, we use many modern and advanced Aesthetic and Cosmetic dental techniques.
- Stain removal and whitening
- Scale and Clean
- Home Bleaching Kits with custom made bleach trays
- In Office Whitening treatment
- Composite and Porcelain Veneers
- Chipped, worn, broken or missing teeth
- Composite and Porcelain Veneers
- Composite and Porcelain Crown and Bridges
- Other issues
- These an other more specialised techniques
To read more about your Teeth Whitening options, read our Teeth Whitening page.
Chips and Uneven Teeth, Slight Discoloration
You may also be pleasantly surprised because many of the modern approaches to aesthetic, cosmetic and restorative dentistry that use composite resin are very reasonable priced when compared to many traditional and overseas treatment options.
Full aesthetic / cosmetic mouth rehabilitation with composite materials will generally cost less than $6000 (less with Health Fund rebates) as compared to up to $60,000 for porcelain/zirconia crowns. Individual teeth can be veneered/crowned for under $350 each while bridges are a little more.
The advantage of modern composite resin restoration is that
- good tooth surface is not removed to make way for the porcelain material
- composite can be easily repaired if it chips (porcelain requires full replacement although zirconia can be repaired with composite materials).
- there is no dark line near the gums that is common with porcelain/zirconia materials.
Staining, Broken and Missing Teeth
Decay removal followed by composite veneers and composite crowns.
Nothing says thank you as much as revealing a beautiful smile!
If your teeth are discolored or very stained and cannot be whitened with bleach, not the colour you want, chipped or slightly crooked, then composite veneers may be an appropriate cosmetic option.
Veneers are thin layers of a tooth like material that is placed on the front and sometimes the top of the tooth to covers those blemishes you have always wished you didn't have.
The two primary materials used for veneers are Composite and Porcelain. We prefer composite in most situations because composite veneers
- are applied directly to the tooth surface in a single visit
- can be easily and economically repaired or modified
- are up to 90% cheaper than other materials
- do not require existing tooth structure to be removed.
Composite is an amazing material. It is tooth coloured and comes in a vast range of shades and products. We love composite as a material for tooth coloured restorations on the FRONT teeth but we are slightly cautious about using it for posterior teeth although we are using it much more with great results.
In regards to strength and polishing results, Composite has made great advances over the last decade and it can now provide finishes and durability on par to porcelain.
Porcelain and Zirconia are hard but brittle and can be easily chipped if they come in contact with hard objects and all of these products must be made by a Dental Laboratory.
Stain Removal using Deep Cleaning and Veneers
This patient hated his lower teeth and wanted them to look better. After a deep clean, the teeth were veneered with composite resin over 2 consecutive 2 hours appointments.
We are increasingly recommending Composite over Porcelain veneers / crowns for the following reasons:
- tooth structure does not need to be cut away.
Porcelain veneers require the removal of at least 1mm of tooth structure off the front and edges of your teeth. Porcelain crowns require even more of your tooth to be removed (1/2 to 1/3). With composite material, the tooth requires only a very light sand and if needed, fillings may be replaced with the same white composite material. Tooth surface is not removed as is always necessary with porcelain veneers/crowns. There are times when the tooth surface needs a little more than a sand and a small amount needs to be removed using composite materials because of specific issues such as deep blemishes, stains or old discoloured fillings.
- Composite veneers are easy and economical to repair requiring the same method as that used for the initial veneering process. Porcelain is difficult to repair and it typically requires a complete replacement if chipped or broken in any way.
- If you change your mind, composite veneers can be simply removed and replaced with other material or nothing.
- Composite veneers and crowns are direct and finished in one appointment. On the other hand, porcelain veneers and crowns require temporary veneers, strange looking or missing teeth for up to 3 weeks whilst they are being made at the laboratory.
- Composite can be applied to build up the front surface of the tooth to give the impression that the tooth is straight.
- Composite does not wear down opposing teeth. Porcelain is harder than teeth and often cause excessive wearing of other teeth and an occlusal/bite splint must be worn at night.
- If your gums recede, which is very common over time especially with porcelain, you can be faced with an unsightly line at the junction between tooth and porcelain. With composite , the gums do not seem to recede as much and if they do, it only take 30 minutes or so to apply a little composite material to fix the issue.
- Composite is much more affordable than porcelain, typically costing one half to one third the price.
- Composite veneers and crowns carry no risk of future root canal treatment while porcelain crowns and veneers both do.
Missing and severely worn teeth.
Complete Composite Restoration (Crowns, Bridges and Veneers) for Natural Looking Teeth
This patient had worn and missing teeth and was given many options including
The choice made was to have all of his teeth restored with composite resin over 2 appointments of 5 hours each.
This option was
The patient was thrilled with his choice!
WHEN IS IT BEST TO USE PORCELAIN?
My preference is to use composite materials because good tooth structure does not need to be removed but porcelain and zironia are hard, wear resistant, non-porous materials that may keep their appearances for a little longer than some tooth coloured resins. There are cases when Porcelain and Zirconia crowns are more appropriate so a consultation is very important to determine your options based on your particular circumstances.
For non vital teeth ( dead teeth ) that are extremely discoloured or heavily filled due to root canal treatment, porcelain may be the only option to get a satisfactory result. In most cases though, a composite resin solution may be viable.
If you have very dark teeth, may have tried composite veneers in the past and you have a smile that does not show your gums, porcelain may be a better option.
PROTECTING YOUR INVESTMENT
Whether you choose porcelain or composite veneers, you must remember that you must keep your teeth VERY clean using a good soft or electric toothbrush and floss daily. If you already have a grinding problem or have chosen porcelain veneers, then you will need to wear a bite splint at night to protect your porcelain veneers from being chipped due to possible grinding at night.
If you have porcelain veneers, it is advisable to cease habits such as fingernail biting, pen and pencil chewing, biting into stone fruits and bony meat like ribs, biting through fishing line and opening packets with the teeth.
Mon-Fri 9:00am to 5:00pm
Check out the August Bite Magazine for Angela's story
Dr Angela McIntosh BDS Otago
Pearly Whites Dental
Appointment Available Now
Mon-Fri - 9:00am to 5:00pm
Mon-Fri - 9:00am to 5:00pm
Phone (08) 9192 5911
Fax (08) 9115 1807