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Cosmetic Dentistry

Cosmetic dentistry procedures:


Crowns can be made to fit more exactly that other prosthetic devices because they are fabricated “indirectly” (made outside the mouth) and therefore they are free of the encumbrances of saliva and blood found in the mouth when undertaking remedial dentistry.  The dentist also has the advantage of not having to work in a confined space, as is the case with restorative materials placed “directly” (inside the mouth). With regards to marginal adaptations (the seal around the circumference of the crown which keeps out bacteria), anatomically correct contacts (abutting adjacent teeth properly so food will not be trapped), and proper morphology, the quality of indirect fabrications is unrivalled.

Indirectly fabricated crowns may be made one of two ways. In the traditional way, the tooth in question is prepared and then an impression – or mould -is taken of the damaged tooth.  A temporary crown is placed on the tooth and then the patient can then carry on with life until the permanent crown is ready. The impression is then sent away to a dental laboratory where a model crown is constructed from the mould or impression and a permanent crown is created.  The materials used are usually porcelain, gold, or porcelain fused to metal, according to the suitability for the job.  This crown will then replace the missing tooth structure.
The patient returns to the dental surgery a week or two later and then the temporary crown is removed.  The newly made permanent crown is fitted and cemented in place.

Alternatively, the most modern method is to make the crown “indirectly” using technology and techniques relating to CAD/CAM Dentistry. The tooth is prepared and afterwards computer software is used to create a virtual restoration which is milled there and then the  precise dimensions and form. An hour or two later, this crown can be bonded permanently in place.

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Veneers were invented by a Californian dentist named Charles Pincus. They were initially useful for temporarily changing the appearance of actors' teeth.  But, because they were affixed by denture adhesive, which at that time was not as well developed as nowadays, they tended to fall off within a short time.   Therefore, their use in private dentistry was not widespread.
In 1982, research begun by Simonsen and Calamia revealed that porcelain could be etched with hydrofluoric acid and bond strengths between composite resins and porcelain could be achieved that would be able to attach porcelain veneers on to the tooth surface permanently. 

Calamia confirmed this in an article describing a technique for fabrication and placement of Etched Bonded Porcelain Veneers using a refractory model technique. Another dentist, Horn described a platinum foil technique for veneer fabrication. Additional articles and tests have proven the long-term reliability of this technique. Today, with improved cements and bonding agents, veneers typically last anywhere from 10-30 years, depending on the lifestyle and oral hygiene of the patient. They may have to be replaced during this time. The cost of veneers can vary depending on the dentist’s experience and where you have the work done. Forest&Ray offer affordable treatment in London. Porcelain veneers are said to be somewhat more durable and less likely to stain than veneers made of composite material.

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