When it comes to restoring both the beauty and functionality of a smile, two of the most commonly used techniques are porcelain crowns and veneers. Why? They consistently deliver beautiful, natural-looking results that are permanent and require very little maintenance. And while they have many things in common, they also have just as many differences.

The Similarities

Here are some facts that apply to both porcelain veneers and crowns:

• Both enable changes to a tooth's color and shape.
• Dental laboratory technicians use precise molds made by our office to hand-craft porcelain veneers and crowns.
• Both are made using high-quality dental porcelain.
• Neither respond to tooth whitening products — the color of the veneer or crown remains the same color as the day it was placed.
• Neither procedure is reversible once completed.

The Differences

Here are some of their differences:

• Crowns are used to replace a larger amount of tooth structure while veneers are thin shells that are placed over the front surface of teeth.
• Veneers require much less tooth preparation (reduction by drilling) than crowns.
• Crowns allow for greater change of tooth shape, while veneers allow for more minor changes.
• Crowns are generally used to restore teeth that have lost tooth structure from decay or trauma.
• Veneers are generally used where teeth are structurally healthy and intact, but color and shape change are required.
• Veneers are used mostly for teeth that are visible when smiling, while crowns can be used to restore virtually any tooth.

Want To Learn More?

To learn more, read the Dear Doctor article, “Porcelain Crowns & Veneers.” Or, you can contact us to discuss your questions or to schedule a consultation.

Quiz: What Is Smile Design?

All cultures worldwide recognize a smile as positive nonverbal communication. Yet many people are insecure about the way their smile looks. Modern cosmetic dentistry can completely change your smile through a comprehensive technique called Smile Design.

Take the following quiz to find out how much you know about your smile and smile design.

1. What is the basic reason we consider straight, healthy teeth to be attractive?
1. An article in a beauty magazine.
2. An instinctive understanding of health and survival.
3. Our first grade teacher said so.
4. A talk show on television.
2. What must we take into account in designing an attractive, balanced smile?
1. The shape of your face.
2. Your skin color and complexion.
3. The form of your lips.
4. All of the above.
3. As your dentist, we consider each of the following in evaluating your current smile except:
1. Your marital status.
2. The health of your bone and gum tissues.
3. How your jaw joints function.
4. The stability of your bite.
4. What do we use to evaluate your smile?
1. X-rays and photographs.
2. Models of your teeth and gums.
3. Photographs and computer graphics.
4. All of the above.
5. Bonding is one method that may be used to test or enhance your smile. It is used as:
1. A way of making friends with your dentist.
2. A way of training secret agents.
3. A method of repairing chipped, broken or decayed teeth and testing changes before they are made permanent.
4. None of the above.

Answers

1. b. What we consider an attractive smile is rooted in instinctive understanding of health and survival. We value straight, white, healthy teeth — only a few centuries ago, a person with few or no teeth was likely to starve.
2. d. All of these factors must be taken into consideration in order to design a smile that is in balance with your face.
3. a. While satisfaction with your life partner may make you smile, our priority in smile design is to make sure that the basic structures of your teeth are healthy and function properly.
4. d. All of the above are used in evaluating your current condition to design a new smile.
5. c. In bonding, a composite resin tooth colored material is shaped and physically bonded to a tooth or teeth that are chipped, broken, or decayed to restore both aesthetics and function.

After careful analysis and planning, a variety of techniques can be used to redesign an attractive and healthy new smile, so you can feel confident about smiling and sharing it with the world. To learn more about Smile Design, read “Beautiful Smiles by Design.” Or contact us to discuss your questions or to schedule an appointment.

Projecting a healthy, radiant smile can help boost self-confidence and lead to increased comfort and success in both personal and career-oriented situations. Yet, many people are unhappy with their less-than-pearly whites, causing them to avoid social interaction and even lose out on opportunities because they are too self-conscious.

Your dissatisfaction with the appearance of your teeth may also be causing you to stifle one of nature's most endearing and intrinsic impulses, simply smiling!

For example, do you:

• Avoid posing for pictures that require a smile?
• Cover your mouth when speaking or laughing in public?
• Avoid dating because you feel unattractive?
• Feel that people think less of you because your smile is flawed?
• Think your smile makes you look older than you are?

If you've answered yes to any of these questions, you are certainly not alone. A poll conducted by the American Academy of Cosmetic Dentistry found that, while a whopping 99.7% of respondents said they considered a good smile to be a highly important social asset, only 50% of those same respondents indicated that they were satisfied with their own smile. In addition, the Academy reported that people between the ages of 31 and 50 are most unhappy with their smile, are most concerned with making a good first impression through a strong smile, and most frequently seek out information on cosmetic dentistry.

The good news is that advances in cosmetic enhancement and restorative dentistry, including treatments like teeth whitening and the application of porcelain veneers to correct tooth crowding, make it possible for anyone to enhance or improve their smile and boost their self-image. And a complete “Smile Makeover” has been shown to positively impact the perception that others have with respect to attractiveness, popularity, and even wealth — all based on the quality of a person's smile.

Our office can work with you to determine just what it will take to improve your smile and self confidence from as little as a minor enhancement to a complete smile makeover — anything that would best match your idea of the perfect smile. To get started, give us a call.

To read about others who have regained their confidence after brightening and whitening their smiles through cosmetic dentistry, read the Dear Doctor magazine article “The Impact of a Smile Makeover.”

If you believe you need a crown or if we have already confirmed this fact, you need to understand that there are several options. The most common are gold crowns, porcelain-fused-to-metal crowns and all porcelain crowns. Each has both pros and cons; thus we will work with you to determine which will work best for your specific needs. However, to help you learn more now, here are some facts.

Gold Crowns

Made from cast gold, this type of crown has been around for over 100 years and is the most successful type of crown. It can last more than 50 years and thus many dentists prefer gold restorations for their own teeth, where cosmetics is not a concern.

All Porcelain Crowns

All porcelain crowns can produce an incredible, life-like appearance. However, because they are made purely from dental porcelain (a type of glass), they tend to be more fragile than gold crowns and may be more at risk with certain high biting forces. Thus they may not be as durable. Porcelain can also cause wear to the natural teeth they bite against. Therefore they are typically preferred for front teeth, rather than back teeth. They have an aesthetic longevity of about 10 years and a functional longevity of about 20 years.

Porcelain-Fused-To-Metal Crowns

As the name states, porcelain-fused-to-metal (PFM) crowns provide the best of both worlds. They are made of natural tooth-colored dental porcelain that is fused on top of a precious or noble metal (usually gold or platinum). They are stronger than porcelain alone and are a good option for back teeth because they offer a better cosmetic result than gold crowns. This is also true for front teeth, however the gold support beneath the porcelain can compromise its life-like qualities. These crowns also have a proven track record and have been used with excellent results for over 40 years.

Learn more about crowns when you read, “Gold or Porcelain Crowns.” Or you can contact us today to discuss your questions or to schedule a consultation.

A dental crown is a tooth-shaped “cap” or cover that we place over a tooth that is badly damaged from trauma or decay to restore its shape, strength, size and functionality. We also use them for cosmetic reasons to improve a tooth's appearance with natural, life-like results. Crowns are generally handcrafted by dental laboratory technicians using high-quality dental porcelains (ceramic materials) that are made to fit on precise replicas (molds) of the prepared teeth. In our office, we generally make temporary crowns to protect the teeth to keep them comfortable and functional while the permanent crown(s) is being made. And once a crown is placed (cemented into position), it fully encases the entire visible portion of the tooth that lies at and above the gum line.

When Are They Necessary?

There are many reasons a crown may be needed. Some of these include:

• To repair a tooth that is worn down, broken or badly damaged by decay or injury.
• To restore a tooth so severely damaged by decay that the tooth's structure is no longer intact enough to place a filling or where a filling can't restore the tooth to its former strength.
• To protect a tooth that has minor cracks or fractures from further damage.
• To create a bridge to replace a missing tooth, in which the teeth on either side, known as abutments, must be “crowned” to attach to the “pontic” (from the French word, “pont” that means bridge).
• To create the visible part of the tooth that sits atop a dental implant.
• To improve the appearance of a tooth providing a more appealing shape and color.

To learn more on this topic, read the Dear Doctor article, “Porcelain Crowns & Veneers.” You can also contact us to discuss your questions or to schedule a consultation.