While traditional dentistry focuses on oral hygiene and preventing, diagnosing and treating oral disease, cosmetic dentistry focuses on improving the appearance of the teeth, mouth and smile. In other words restorative, general and/or family dental practices address dental problems that require necessary treatment, whereas cosmetic dentistry provides elective – or desired – treatments or services.
Cosmetic treatments may also provide restorative benefits. For example, dental fillings are a common procedure used to treat decayed teeth. Previously, most dental fillings were composed primarily of gold, amalgam and other materials that left visible dark spots on the teeth.
Todays dental fillings may be considered cosmetic to a certain extent because you can select fillings made of porcelain or composite materials that closely match the color of your teeth, thus maintaining the natural appearance of your teeth and smile. Many people may choose to have their older fillings replaced with newer, tooth-colored fillings to enhance their oral appearance. (Read more about dental fillings)
Technological advancements in natural-looking, tooth-colored dental materials make today's cosmetic dental treatments more durable and predictable than in years past. Additionally, dentists are now using more conservative techniques to preserve as much of your natural tooth structure as possible, depending upon your specific clinical situation.
Dentists may also use such technologies as lasers in order to perform some procedures necessary for cosmetic treatments in their own offices – without the need for referrals to specialists. This makes procedures such as smile makeovers more comfortable and convenient for patients, as well as helps to reduce recovery time.
Cosmetic dentistry treatments currently in use include:
- Inlays/Onlays: Also known as indirect fillings, inlays and onlays made from porcelain or composite materials are a long-lasting yet aesthetically pleasing way to provide a "filling" to teeth with tooth decay or similar structural damage. Whereas dental fillings are molded into place within the mouth during a dental visit, inlays and onlays are created in a dental laboratory before being fitted and adhesive bonded into place by your dentist.
(Read more about inlays and onlays)
- Composite Bonding: Chipped, broken, discolored or decayed teeth may be repaired or have their appearance corrected using a procedure called composite bonding. A dental composite material with the look of enamel and dentin is applied into the cavity or onto the surface of a tooth, where it is then sculpted into shape, contoured and hardened with a high-intensity light. The result is a restoration that blends invisibly with the remainder of the surrounding tooth structure and the rest of your natural teeth to create a healthy, bright smile.
(Read more about composite bonding)
- Teeth Whitening: Teeth whitening is perhaps the most commonly recommended cosmetic dentistry procedure. Teeth are often stained from smoking, food, drink (coffee, tea or red wine) or poor oral hygiene. Bleaching the teeth can enhance the appearance of your smile.
(Read more about teeth whitening)
- Dental Veneers: Composite or porcelain laminates that are adhesive bonded to the surface of a tooth to correct and repair chips and cracks will improve a worn appearance or severe tooth discoloration. Veneers may also be recommended if you have gaps in your teeth or if you have not had success with teeth whitening. Evaluate porcelain veneers cost and determine whether dental insurance may offset the cost.
(Read more about dental veneers)
- Dental Implants: Dental implants are artificial tooth root replacements that are used as a part of prosthetic (artificial replacement) dentistry in order to compensate for tooth loss. Often the result is not only an enhanced smile, but also a more youthful appearance, since missing teeth cause the face to collapse, making you look older.
(Read more about dental implants)
- Smile Makeover: Smile makeovers involve a comprehensive assessment of your smile aesthetics in order to improve its overall appearance. Typically one or more cosmetic procedures, such as dental veneers, dental implants, gingival sculpting and teeth whitening, will be required for several teeth in both the upper and lower arches in order to achieve the look you want.
(Read more about smile makeovers)
- Full mouth reconstruction: While consulting with you about a smile makeover to primarily improve the aesthetic appearance of your smile, your dentist may discover that there is a need to provide necessary treatment to correct functional problems with your bite, muscles, teeth and bone structure. If you need full mouth reconstruction, the materials available today make it possible for your dentist to provide you with durable, functional and clinically sound treatments that also look natural.
(Read more about full mouth reconstruction)
What to Expect at Your Consultation
Your initial consultation is an opportunity for you to learn about the practice that you've narrowed down your search to, as well as discuss what you like and don't like about your smile. It's also an opportunity to establish realistic expectations for your treatment.
Cosmetic consultations typically include records gathering. Because these records are important for developing a unique and precise treatment plan that will satisfy your needs, a significant amount of time may be spent for this purpose. Records gathering involves, but is not limited to:
A comprehensive intraoral examination and inspection of any existing dental work.
- Intraoral photographs
- Radiographs (X-rays)
- Impressions of your upper and lower teeth (models and study casts will be made later).
- Looking through smile design books that show an assortment of before and after photographs of different procedures.
- Reviewing different tooth shapes and sizes to see what appeals to you.
- Discussing tooth color
- Using a computer monitor, reviewing your smile tooth by tooth so you can thoroughly understand what can be changed and how.
Your consultation will include a meeting with a patient coordinator. The patient coordinator's role is to help you with scheduling appointments and follow-up care.