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Cosmetic Dentistry

Also called: Aesthetic Dentistry

- Summary
- About cosmetic dentistry
- Conditions treated
- Types and differences
- Questions for your doctor

Reviewed By:
Andrew M. Sicklick, D.D.S.

Types and differences of cosmetic dentistry

Numerous cosmetic dentistry procedures are available to modify the appearance of the teeth and mouth. Bonding and bleaching are the most popular procedures, as well as the most affordable. Various types of prosthodontics (e.g., crowns, veneers, inlays, onlays) and orthodontics (e.g., braces) can also have cosmetic benefits. Different types of cosmetic dentistry procedures include:

  • Bleaching. According to the American Academy of Cosmetic Dentistry (AACD), bleaching is requested more than any other cosmetic dental procedure. Peroxide is used to whiten and brighten stained or discolored teeth. This may be done in the dental office, at home with dentist supervision, or with over-the-counter products. However, the American Dental Association (ADA) recommends that patients speak with their dentists about the use of any bleaching product, including over-the-counter products. Misuse of these products can cause tooth sensitivity or otherwise damage the teeth.

  • Bonding. A composite resin that matches the color of the teeth is sculpted onto the teeth and hardened with a special high-intensity blue light. It is then polished by the dentist until is looks like a part of the natural tooth. Bonding can be used to mask chipped, broken, cracked or stained teeth and to close the spaces between teeth (diastema). Bonding may also be used to protect a portion of a tooth root that may have become exposed due to receding gums. The same material can be used in restoration to repair cavities as an alternative to silver amalgam fillings.

  • Recontouring. Also called enamaloplasty or reshaping and contouring. The dentist removes and reshapes small portions of the enamel of a tooth or teeth in a procedure that is usually quick and painless. This can change the length, shape or surface contours of a tooth or make small adjustments to the position of the teeth. It may be used to repair misshapen, crooked, chipped or overlapping teeth. Recontouring is frequently combined with bonding. However, not all patients are good candidates for recontouring. The tooth needs sufficient enamel to safely cut away and the pulp of the tooth cannot be too shallow. X-rays are used to verify the ability to use recontouring.

    Tooth Anatomy

  • Gingivoplasty. Also called gum surgery, crown lengthening or a gum lift. This is a surgical procedure that alters the shape of the gums (gingiva) by cutting away excessive gum tissue. Patients who have had a gingivoplasty reveal less of the gum and more of the teeth when they smile.

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Review Date: 01-30-2007
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