CDK Dental

Frequently Asked Questions (FAQs): Cosmetic Dentistry

How can we help you?

We welcome all of your enquiries regarding our dental clinic.

We realise that choosing a dental clinic for your family's needs is an important decision, and we are honoured that you are considering our dental practice for your family's dentistry. Some of the most common questions we receive are listed below. If you do not see yours here, telephone us and we will be happy to assist.

Cosmetic Dentistry

 I recently completed a series of courses on why people clench and grind their teeth (bruxism) and what we as Dentists can do to help them (either with Splint therapy or the use of Neural relaxants – Botox). Let’s face it, today everyone’s life seems to have sped up whether it be work or home, everything needs to be done quicker and there always seems more to do.

The way we deal with this is to clench and grind our teeth either during the day or at sleep. Ask yourself, have you ever stopped whilst working in front of the computer screen (the deadline is fast approaching and it needs to be finished), or woken up in the morning with muscle tightness in your face?

Generally a very strong facial muscle called the Masseter is often responsible for the condition and it is basically in a continual state of contraction, if we can relax this muscle then we can reduce the forces causing clenching and reduce its intensity. Probably the easiest way to do this is inject a muscle relaxant (Botox) directly into the muscle, which relaxes it within 2 weeks and keeps it that way for a further 6 months. The procedure is relatively painless and takes about 20 minutes to do.

Botox and/or with the combination of medications called Dermal Fillers can also correct other visual appearances such as:

(a) Gummy smiles (showing more gum than teeth when you smile)

(b) Lip lines (radiate from the lips vertically) 

(c) Mouth frown (where the corners of our lips sag down)

(d) Dimpled chin (resulting in an “orange peel” appearance)

Botox is used to relax the muscles causing the problem, whilst the Dermal fillers increase volume in the area of the creases by raising collagen volume, skin texture and quality, and rebuilding facial proportions.

As our ligaments and skin become stretched this causes sagging and ultimately wrinkles the aim of the treatment is to enhance existing facial features, correct small defects and improve facial symmetry. Where the fillers are successful is:

(a) Treatment of the folds which radiate down from the side of the nose towards the corner of the mouth

(b) Lips (inflate their appearance, remove lines around them)

(c)  Jaw line (remove the fat looking lower jowls)

(d) Chin (increase chin projection and remove horizontal creases between the lower border of the face and the mouth.

The combination of these materials is a wonderful adjunct to help the overall appearance of the face, especially after some of the complex aesthetic and structural changes I make to the teeth and really extend the scope of treatment I can provide for my patients. As always it always starts with a detailed consultation with the patient to see exactly what they would like to achieve and how I can help.

As we get older, unfortunately our teeth become darker and change their shape. Patient’s often ask me what can we do to freshen their smiles up and initially we talk about whitening but when it comes to changing the shape and colour of teeth, the least invasive technique are Porcelain Veneers, so “ What are Porcelain Veneers?”

Simply put Porcelain Veneers are very thin (1-2 mm) panes of porcelain which are cemented onto the front or visible side of teeth to mask colour , change shape or even close spaces between teeth.

The initial process is a consultation between myself and the patient where we discuss what it is exactly their hoping to achieve and what options available for them. Once a consensus happens and they understand the pro’s and cons then typically impressions are taken for study models.

The study models are made by our in –house Dental Laboratory partner  “Aceram” and allow us to see what the teeth look like now but also to show our patient’s what we think they will look like when the work is finished, together with other diagnostic information like x-Rays they allow our patients to actively contribute to their own Dental Work and prepare them for the process required.

An appointment is scheduled where a minimum of preparation occurs on the teeth and a very accurate impression is taken for delivery to “Aceram” but also very importantly the patient leaves with a set of Temporary Veneers in the exact shape they had already seen on the study models.

During the time it takes to produce the veneers (about 2 weeks) they can let us know if they would like something changed with shape so hopefully there are no surprises when it comes to the fitting appointment

At this appointment the Temporary Veneers are removed and the finished highly accurate Porcelain Panes are tried for fit colour and look, if everyone’s happy then they are cemented in with a matching acrylic resin cement (girls think of false fingernails!).Excess Cement is removed and margins are highly polished for best effect.

The  veneers allow for small subtle changes to be made and I tell all our patients the best reward I can get is if  a relative,friend or colleague comments “Something about you is different but I don’t know what it is ?”

  Check out our Smile Gallery to see a case of Veneers if you like!

What is Invisalign?

   The continual advancement in Dentistry has been great because it has allowed people to keep their teeth however one of the things we notice in the practice is that crowding (especially in front or visible areas) seems to be on the increase. So what can be done and what exactly is Invisalign?

 Simply put Invisalign is a series of sequential retainers (think of thin clear plastic mouthguards) which patients wear over a period of time that allowing for movement and realignment of teeth.

Prior to their introduction patients  who wished to have these corrections made required fixed Orthodontic Treatment with plates and then braces fitted to teeth (remember the name “train tracks) and this required constant adjustment and tightening .Invisalign, where appropriate, simplifies things

So what is the process? As with any dental procedure a consultation with our patients is the start of the process. What is it that they want to achieve out of the treatment .What I might see might not be what they’re looking to fix. Basically our patients drive our treatment they are the conductors I’m the Bus Driver if you like.

A series of pictures are taken of the patient’s teeth, their smile and jaw alignment I like to take some study models also because it allows us to see what the bite is like. Once we have all this information we send it to Invisalign with what the patient’s main concerns are and approximately in 3-5 working days an answer comes back as to (a) whether Invisalign will work (b) how many retainers are required

Something which is really great with the system is a 3-D Virtual reality mock-up of what each retainer is going to change in the mouth so myself and the patient can see exactly how it’s going to work! If everything is OK highly accurate Impressions of the Patient’s mouth are sent to Invisalign and in about 3-4 weeks the retainers arrive

What drives the work of the retainers are small tooth coloured attachments which are placed on specific sites on the teeth these provide leverage to allow the retainer to move teeth around. So these are placed first and then we issue the retainers (I like to issue three at a time, which being worn for two weeks each means I’m seeing our patient’s every 6 weeks to see how they’re going.

Patient’s comment that they feel some sensitivity when they place a new retainer in their mouths for a couple of days and then it passes. Treatments last anything from 14-46 weeks) and can be amended or corrected at the end if adjustments deemed necessary

As with any kind of prolonged treatment compliance is necessary to achieve the desired result, so wearing the retainers for at least 22 hours a day will get the best result and something we are happy with.

 

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