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Posts for tag: veneers

By Paul David Epstein, D.M.D. & Associates, P.C.
April 18, 2019
Category: Dental Procedures
Tags: veneers  
YourVeneersHaveStayingPower-ifCaredforProperly

Porcelain veneers are excellent for restoring otherwise sound teeth that are stained, chipped or slightly misaligned. But the question for many is, are they long-lasting?

Just as the term is used in building construction, a dental veneer is a thin covering of material that’s bonded to the outside of a tooth to conceal blemishes. Very thin layers of dental porcelain (a form of hardened glass colored to match a patient’s natural teeth) are created by a dental lab technician to achieve the preferred shape and size of the patient’s tooth. Unlike crowns or other restorations, veneers require very little tooth preparation to accommodate them.

As to their longevity: if cared for properly, a veneer could last for twenty years or more. While the veneer itself isn’t subject to the effects of dental disease, the tooth and the gums that support it are. Shrinking gum tissues as a result of periodontal (gum) disease, for example, could have a negative effect on the veneered tooth and subsequently the veneer. It’s important, then, that you properly practice daily brushing and flossing, along with keeping up regular office cleanings and checkups.

There’s one other important consideration: while porcelain veneers can withstand normal biting forces, if they’re subjected beyond their tolerance they could shatter. You should be careful not to subject your veneered teeth to an abnormal biting force, such as biting down on an extremely hard object. If you tend to grind your teeth at night, wearing a night guard can minimize the force created from the grinding.

It’s possible to repair and re-bond a loose or slightly chipped veneer. In some cases, though, severe damage may require a replacement. Still, by using common sense about what you bite down on and taking proper care of your teeth and gums, you can minimize the chances of damage and enjoy many years of a more attractive smile.

If you would like more information on porcelain veneers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Porcelain Veneers: How Long will Your Porcelain Veneers Last?.”

By Paul David Epstein, D.M.D. & Associates, P.C.
January 18, 2019
Category: Oral Health

Woman SmilingPrevention and restoration are just two aspects of care at Paul David Epstein DMD & Associates. The third pertains to the aesthetic features of your smile. Are your teeth well-shaped and aligned? Are stains or flaws detracting from your appearance and self-confidence? Dr. Epstein and his dedicated team create healthy teeth and gums that are truly beautiful and reveal the real you inside. Read below to learn more about the cosmetic dentistry options available at our Burlington, MA, office!

 

Your valuable smile

It helps you eat, speak, stay healthy and express how you feel and who you are. Frankly, if you hide it because of obvious flaws, you do yourself and your family, friends, and colleagues a disservice. Over the past three decades, cosmetic dentistry has developed into a popular and effective specialty which improves smile aesthetics and patient self-image. Dentists such as Dr. Paul David Epstein recognize the desires their patients have to look and feel their best, and so they offer innovative services which maximize the potential in each and every smile.

Dr. Epstein has developed a wealth of skills which remake damaged, chipped, discolored, uneven, and misshapen teeth. He has used his extensive expertise to benefit victims of domestic violence through the Give Back a Smile Program, and he understands how a beautiful smile can boost self-confidence and the ability to function well in the modern world.

 

A treatment plan

When you come to Dr. Epstein's office in Burlington, MA, for a cosmetic dentistry consultation, you will discuss potential changes in your smile aesthetics. You'll undergo a complete oral examination and digital X-rays to make sure your renewed image is based on good oral health.

Then, you and your dentist will agree upon a step by step plan to craft a smile that really works for you. Services may include:

  • Professional teeth whitening, today's most popular cosmetic service
  • Composite resin bonding, a one-visit service which adds a tooth-colored material to tooth structure to improve its shape and size
  • Invisalign clear aligners, the discreet method of straightening crooked smiles
  • Tooth-colored fillings to restore decay in a natural-looking way
  • Porcelain veneers to cover the front of chipped, gapped, or cracked teeth

 

Find out more
That great smile is within your grasp at Paul David Epstein DMD & Associates. Let the cosmetic dentistry experts help you be the best you can be. Call today for your personalized consultation with Dr. Epstein: (781) 273-1152.

By Paul David Epstein
July 13, 2017
Category: Dental Appliances
Tags: veneers  

Are you dissatisfied with the color or shape of your teeth? How about those gaps or crowded teeth--do they make you want to hide yourveneers smile? Paul David Epstein D.M.D. and Associates in Burlington, MA offers a permanent way to disguise dental flaws. They're called porcelain veneers, or dental laminates. Customized and bonded to the front of teeth with chips, cracks, stains, pits, gaps and more, veneers are the minimally invasive way to remake your smile.

What are porcelain veneers?

They are a durable and natural-looking way to remake teeth flawed by stains too deep for professional whitening and chips too large for composite resin bonding. In other words, they cover a variety of smile defects.

Porcelain veneers in Burlington, MA are fabricated from a dental grade ceramic, color-matched to blend in with surrounding teeth. Dr. Epstein visually inspects and X-rays teeth to determine their suitability for veneers. Ideal candidates have mouths free from decay and gum disease.

The treatment process

Dr. Epstein and the patient talk through a treatment plan, agreeing upon the goals the individual wants to achieve and exactly what Dr. Epstein sees as realistic changes. This discussion is vital to the treatment process, and Dr. Epstein may even preview the patient's finished smile so he or she can see how it will change in terms of:

  • Smoothing overcrowded teeth
  • Spanning small gaps
  • Covering chips, fine cracks, pits and other enamel defects
  • Disguising dark stains

Then, the dentist takes impressions and removes a thin layer of enamel from the front of each tooth. This minimal resurfacing allows the veneers to bond in place and to fit within the individual's mouth. Also, the patient wears temporary veneers until the dentist installs the permanent ones.

Then, the dentist sends his instructions to a lab where a ceramist sculpts the veneers individually, according to a three-dimensional model of the patient's mouth. This ensures the porcelain veneers blend in with the rest of the patient's smile by way of color, shape and size.

On a return visit to Paul David Epstein D.M.D. & Associates, Dr. Epstein removes the temporary veneers and bonds the new ones in place. He uses an adhesive which can be varied in color so the laminates match neighboring teeth.

Adjusting to veneers

While there is an adjustment period with veneers, most patients report easily getting accustomed to them. Aftercare is simple, too. Just brush and floss and see Dr. Epstein semi-annually for a check-up and cleaning.

Additionally, it pays to be gentle with your porcelain veneers. While they do not decay or stain, they can chip (as can your natural teeth) if you chew extra-hard foods or non-foods such as pencil tops or plastic packaging.

Can we help your smile?

Dr. Epstein's mastery of restorative and cosmetic treatments helps his patients achieve outstanding smiles. For a consultation, contact his office for an appointment regarding porcelain veneers. Call (781) 273-1152.

By Paul David Epstein, D.M.D. & Associates, P.C.
May 23, 2017
Category: Dental Procedures
Tags: veneers  
PreplessVeneerscanTransformYourSmileWithoutAlteringYourTeeth

Porcelain veneers represent one of the best values in cosmetic dentistry, capable of radically changing a person’s smile with little tooth surface preparation. Still, the small amount of tooth enamel usually removed to accommodate them will permanently alter the affected teeth, to the point they will require a veneer or other restoration from then on.

The traditional veneer has remarkable versatility for solving a number of minor cosmetic problems, correcting mild tooth positioning problems and replacing lost or damaged enamel. But to avoid an unnatural bulky appearance, a portion of the tooth enamel must be permanently removed to accommodate them.

In recent years, though, a new concept known as “prepless veneers” has emerged in the field of cosmetic dentistry. Understandably, this new, “drill-free” veneer application has caused a lot of debate among dentists and patients alike, with concerns of bulky, overly-contoured teeth resulting from the technique. But the concept is growing as many well-regarded dentists have incorporated both minimal prep and prepless veneers into their service offerings.

The prepless veneer offers a cosmetic solution that doesn’t alter the tooth permanently. Using techniques such as feathering, which tapers and blends the veneer seamlessly with the tooth at the gum line, we can avoid an unnatural appearance while offering patients a much less invasive outcome.

The main disadvantage of prepless veneers at this time is that they’re not appropriate in every case. In fact, careful patient selection is a key to a successful outcome. For example, relatively large teeth or teeth positioned too far forward don’t work well with an added layer of thickness.

If, on the other hand, you have small, short or worn teeth, or teeth overshadowed by your lips — just to name a few likely scenarios — then you may benefit immensely from prepless veneers without permanent alteration to your teeth. A detailed examination is your first step to finding out if this new technique could provide you with a less-invasive smile makeover.

If you would like more information on drill-free porcelain veneers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Porcelain Veneers without the Drill.”

By Paul David Epstein, D.M.D. & Associates, P.C.
January 22, 2017
Category: Dental Procedures
Tags: celebrity smiles   veneers  
VivicasVeneerstheMakingofaHollywoodSmile

What's an actor's most important feature? According to Vivica A. Fox, whose most recent big-screen role was in Independence Day: Resurgence, it's what you see right up front.

"On screen, your smile and your eyes are the most inviting things that bring the audience in" she said. "Especially if you play the hot chick."

But like lots of people, Vivica reached a point where she felt her smile needed a little help in order to look its best. That's when she turned to a popular cosmetic dental treatment.

"I got veneers years ago," Ms. Fox told Dear Doctor magazine in a recent interview, "just because I had some gapping that probably only I noticed."

What exactly are dental veneers? Essentially, they are thin shells of lustrous porcelain that are permanently attached to the front surfaces of the teeth. Tough, lifelike and stain-resistant, they can cover up a number of defects in your smile — including stains, chips, cracks, and even minor spacing irregularities like the ones Vivica had.

Veneers have become the treatment of choice for Hollywood celebs — and lots of regular folks too — for many reasons. Unlike some treatments that can take many months, it takes just a few appointments to have veneers placed on your teeth. Because they are custom made just for you, they allow you to decide how bright you want your smile to be: anywhere from a natural pearly hue to a brilliant "Hollywood white." Best of all, they are easy to maintain, and can last for many years with only routine care.

To place traditional veneers, it's necessary to prepare the tooth by removing a small amount (a millimeter or two) of its enamel surface. This keeps it from feeling too big — but it also means the treatment can't be reversed, so once you get veneers, you'll always have them. In certain situations, "no-prep" or minimal-prep veneers, which require little or no removal of tooth enamel, may be an option for some people.

Veneers aren't the only way to create a better smile: Teeth whitening, crowns or orthodontic work may also be an alternative. But for many, veneers are the preferred option. What does Vivica think of hers?

"I love my veneers!" she declared, noting that they have held up well for over a decade.

For more information about veneers, please contact us or schedule an appointment for a consultation.