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Posts for tag: veneers

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.

By Paul David Epstein, D.M.D. & Associates, P.C.
October 13, 2016
Category: Dental Procedures

Even though you weren’t born with the perfect smile it doesn’t mean that you can’t still achieve it with cosmetic dentistry.

Cosmetic dentistry has become such a popular option for so many people looking to improve their smiles. Maybe you’ve been mulling cosmetic dentistryaround the idea of getting cosmetic dentistry in Burlington, MA, but you aren’t quite sure which treatment is the right choice for you. Our cosmetic dentist, Dr. Paul David Epstein, is here to help! Here are just some of our popular treatment options and what they could do for you:

Teeth Whitening

If you want to get fast, effective whitening treatment that brightens your smile in just one session then you’ll want to talk to our Burlington, MA dentist about whether professional whitening is right for you. This is a great option that allows patients to get teeth several shades whiter in just a single one-hour whitening session.

Cosmetic Contouring and Reshaping

If you notice that teeth aren’t completely even or that one tooth is longer than others then contouring and reshaping may be right for you. We will remove enamel from teeth to help reshape and even out your teeth so that they all look more uniform.

Dental Bonding

Dental bonding often goes hand-in-hand with cosmetic contouring. Using the same tooth-colored resin that we do to fill a tooth after a cavity, we apply and mold it over certain cracks, chips, stains and even small gaps between teeth to mask imperfections. This is another cosmetic treatment that is non-invasive and doesn’t require needles or drills (unless, of course we are treating a cavity).

Dental Veneers

For patients looking to hide more serious imperfections that dental bonding can’t treat our Burlington, MA cosmetic dentist may recommend dental veneers, thin porcelain shells that we adhere to the front of your teeth to cover problem areas and to improve the overall color and shape of your smile. Getting veneers only takes about two visits and they are designed to be your new smile for a long time with proper care.

Have questions about cosmetic dentistry? Interested in one of our great dental treatments? Then it’s time you called Paul David Epstein, D.M.D. & Associates, P.C. in Burlington, MA today to schedule your cosmetic consultation.

By Paul David Epstein, D.M.D. & Associates, P.C.
February 13, 2015
Category: Dental Procedures
HowtoObtainABeautifulSmileThroughPorcelainVeneers

If you've ever looked through a magazine and viewed the perfectly aligned white smiles of celebrities and models, you may be already familiar with the look of porcelain veneers. To achieve a picture-perfect smile, many Hollywood stars choose porcelain veneers (thin-layers of porcelain) that are bonded to the front of teeth allowing for the alteration of tooth position, shape, size and color. By fixing imperfections, as well as whitening them, veneers offer celebrities a perfect smile that, when maintained properly, can last for several decades.

Evaluation: If porcelain veneers sound appealing, our office can help you decide if you're a good candidate for them. We will ensure you have sufficient tooth structure, that your teeth are in more or less a normal position, and that symmetrical gum contours are present, allowing for proper “framing” of the teeth, necessary for a beautiful smile.

The Process: Once it's been determined that you're a good candidate for veneers, our office will begin a smile analysis using computer imaging to digitally replicate your smile and then fabricate a mock-up smile made of tooth-colored wax. We will work with you to determine the right color and shade for your veneers. You can choose the brightest, whitest “Hollywood smile” or opt for a more natural color and enhanced look.

Next Steps: After your initial appointment, it typically takes the laboratory one week to fabricate your porcelain veneers. The insertion of your veneers can be done with or without a local anesthetic. We will place the veneers on your teeth with a light-sensitive resin, which sets with the use of a white light, effectively bonding them to your teeth. While you may initially experience some tooth sensitivity to hot or cold, this will disappear after a few days. Maintaining your perfect smile requires simple brushing and flossing techniques and routine check ups.

Contact us today to schedule an appointment to discuss any questions you may have regarding porcelain veneers. Read more about this topic in the Dear Doctor magazine article “Smile Design, Enhanced by Porcelain Veneers.”