Bonding and Tooth Contouring

"Enameloplasty and Composite Bonding"

Tags: dentist, london dentist, nhs, whitening, inman aligner, cosmetic dentist, checkup, dental, anish, anish dentist, london hygienist, dental hygiene, root canal., whitening .

June, 2013 by Dr Mr Anish Patel
blog_justify_cover

Overview

This treatment involves adding white fillings, and removinng minute amounts of tooth(enamel) in a slow controlled manner, to transform your teeth into the perfectly proportioned smile. Composite bonding alone is completely reversable, and has become a popular alternative to veneers and crowns.

This is normally done after a course of cosmetic orthodontics, leaving the teeth completely intact with no health tooth tissue lost. Veneers provide an instant transformation, however require you to remove healthy tooth to compensate oe their thickness.

Tooth contouring is done to match over grown or mishapen teeth their counterpart on the other side of the smile. The procedure is done over 2 or more appointments to reduce sensitivity and encourage tooth repair.

Back to Treatments

The Procedure

Even though it may sound like alot of treatment,it is not. It can be done over one extended vist and produce an instant result.

Bonding
1.  For extensive cases we will take impressions of the teeth, and get the laboratory to mock-up what the final result will look like in wax. This mock-up will be used to fashion a plastic stent, which is used to reproduce the result in the mouth.

2.  The procedure is done without anesthetic. We do use a rubber shield that we place over your teeth, protecting you and keeping the area we are working on dry. The dry field helps to provide a stronger bond between tooth and filling.

3.  Once the teeth are isolated, we use a weak acid to roughen the surface of the tooth. This is washed away and dried, followed by a liquid layer hardened with a light for the filling to attach to.

4.  We will then likely add small increments of white filling to mimic the colours of you natural teeth. These will be the dentine, enamel and translucent tip shades. We will always place in stages to produce a natural result, with the plastic stent as a guide.

5.  The teeth are the polished with a series of strips and discs.

What To Expect After A Surgery

There should be any discomfort from the teeth. There may be small flecks of thin composite that may break away. This is extra white filling and is nothing to be worried about.

blog_justify_wbreak
Fig. 3: With a “break” element. The “break” element, shown as a purple dash, forces a line break due to its 100% width. All preceding inline elements are now justified.

Risks

The risks invovled with adding white fillings (bondinng) is only related to the use of a weak acid to prep the teeth, the rubber gaurd protects you aginst this. With tooth contouring you may experience some sensitivity. This is short lived, and easily treated with sensitive tooth pastes and mouthwash.

Alternatives

The more invasive alternative would be to place veneers. This does achieve a good result, however as conservative practice we will always aim to achieve a better , more natural result with cosmetic braces, bonding and whitening.

What To Think About

With any white filling, maintenace is a must. The area where the filling and tooth meet will always be an area for staining to occur. This simply needs professional cleans to restore the appearance.

FAQ's

You’ll never have to deal with horizontal margins ever again

Back to Treatments

Text-align: Justify and RWD
About Dr Patel

Anish is the founder and principle at Regency St Dental.

Read Anish's Bio
Popular Posts
Text-align: Justify and RWD
March 12, 2013

Text-align: Justify and RWD

By Patrick Kunka
Building a jQuery Slideshow Plugin from Scratch
May 05, 2013

Building a jQuery Slideshow Plugin from Scratch

By Patrick Kunka
Sweet Board: Sketch to Prototype in 5 Hours
April 09, 2013

Sweet Board: Sketch to Prototype in 5 Hours

By Peter Kang
Welcome to Our New Site!
April 09, 2013

Welcome to Our New Site!

By Diane Wang