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Crooked Teeth? Correct with Braces or Veneers?

August 31, 2017

Crooked Teeth –  Should You Choose Braces or

Porcelain Veneers?

If your teeth are crooked and it bothers you, now is a good time to do something about this!  But what should you do?  Do you have crooked teeth – should you choose braces or porcelain veneers?  This blog will review a case that could be treated with either option or both.  See if you agree with our patient’s choices.  The right answer for you and your crooked teeth is something that requires evaluation of your smile and your concerns with a dentist who understands that the ‘best’ treatment option is different for different people. Braces may mean straightening the teeth with Invisalign, Clear Correct, an Inman Appliance or similar or limited orthodontics with braces.

Crowded and poorly aligned teeth detract from this smile!

Crowded and poorly aligned teeth detract from this smile! Note crooked teeth!

Your dentist should be able to review with you the advantages and disadvantages of one option over another to treat crooked teeth and help you make the decision that is right for you and for your smile.  If you have crooked teeth and you have made the decision to improve your smile, you probably want to do this right away!  That usually means having your dentist prepare your teeth for veneers or crowns that make it look like you have spent years in braces and were born with a beautiful smile.  While this may be the fastest decision, it is not always the best solution for crooked teeth.  You will have to live with the result for many years and your dental health – the health of your teeth should be one of your concerns.

Conservative treatment with a combination of orthodontic movement of the teeth and porcelain veneers made a big difference in this smile!

Conservative treatment with a porcelain veneers made a big difference in this smile!

In the case shown here, the teeth are very crooked and crowded.  You can see a very thin, worn area on the left front tooth that is almost see through.  The right lateral incisor appears to have an odd shape.  If the teeth were moved into better alignment with braces, these problems would still need to be addressed.  Our office likes to do study models of your teeth to show you the results you can expect with different types of treatment.  One of our concerns is being very conservative with the preparation (grinding!) of your teeth because we want you to have your teeth your whole life.

It is best to select a dentist for this type of treatment who is willing to show you before and after photos of patients they have treated in their office so that you can observe for yourself the quality of the dental care.  Anyone can post beautiful photos with amazing results, but your concern should be whether your dental office can do the dental work that you desire.  For this type of treatment, the dentist should have advanced training in cosmetic dentistry beyond just listing that they do porcelain veneers on their website.  The American Academy of Cosmetic Dentistry (AACD) has an accreditation process that includes completing a written examination and presenting several different cosmetic cases for evaluation in front of a panel of experts in cosmetic dentistry.  An accredited dentist has met these rigorous standards with their dental treatment and can help you achieve your smile goals.

Before treatment

Before treatment

After movement of the teeth any further correction becomes very easy to accomplish!

After movement of the teeth any further correction becomes very easy to accomplish!

 

Our office carefully examines different treatment options and we can tell you approximately how long treatment will take and the advantages/disadvantages of doing different types of treatment.  In the case shown here, orthodontic treatment can be used to improve the alignment before the teeth are prepared for porcelain veneers.  As a patient you can decide if the small amount of additional time for the orthodontic treatment (six months) can fit into your schedule.

If you are trying to improve your smile and you would like to know your options, we would love to help!  Dr. Gillis is an accredited member of the AACD and now serves as an examiner for other dentists going through the accreditation process. She serves on the American Board of Cosmetic Dentistry and is the chair of the Written Examination Committee for the accreditation process.  Our office wants you to achieve your smile goals in the best way possible for you!

Yours for better dental health,

Julie Gillis DDS, AAACD

Restoring Teeth/Restoring Smiles

 

Balancing Life and Dentistry! Part One :-)

September 14, 2016

Filed under: Cosmetic Dentistry,Customer Service — Tags: — Dr Gillis @ 7:50 pm

Tips for balancing life with career, family, friends and self.

This article was submitted to the American Board of Cosmetic Dentistry to keep the membership abreast of what’s happening in the world of credentialing.  I am far from an authority of life management but I do work on this daily and have found the following bullet points useful.  These ideas are intended to assist dentists who wish to improve their cosmetic dentistry skills by pursuing accreditation in the AACD, but I think the general principles apply to most of us. Hopefully you will too!

Keeping Life Balanced During Your Accreditation Journey!

Submitted by: Julie Gillis, DDS, AAACD

These before and after phtotographs display the enormous benefits to a patient choosing to have cosmetic dentistry by AACD accredited dentist, Julie M Gillis DDS. AAACD. Fluorosis stains on healthy teeth before and after treatment with porcelain veneers.

These before and after phtotographs display the enormous benefits to a patient choosing to have cosmetic dentistry by AACD accredited dentist, Julie M Gillis DDS. AAACD. Fluorosis stains on healthy teeth before and after treatment with porcelain veneers.

So, you have made the awesome decision to become a better cosmetic dentist by pursuing accreditation in the American Academy of Cosmetic Dentistry (AACD).  Great idea! The personal and professional rewards gained will make this process worth all of the effort you expend.  But first a word about keeping your sanity and your sense of fun!

Cardiologists Friedman and Roseman noted that some people in their waiting room – aka reception room in most dental offices – were unable to sit relaxed as they were waiting for their appointments.  Instead, this subset of patients waited impatiently sitting on the edges of their seats and standing up frequently.  The chairs wore down on the edges rather than the seat area as expected.  The doctors labeled this type of behavior as a ‘Type A personality.’ Research shows that people with this personality type run a higher risk of hypertension and heart disease. I want to minimize this!

Most dentists have type A personality and the process of accreditation in the American Academy of Cosmetic Dentistry (AACD) may occur during an especially stressful and busy time in a dentist’s career.  That’s okay!  You can do this! Based on a web search, people with type A behavior pattern tend to be competitive with themselves and with other dentists.  They also tend to be self-critical. They strive toward goals without feeling a sense of joy in their efforts or accomplishments. This may be related to a life imbalance.  There is no question that it is a juggle and possibly a struggle to manage a successful business, offer care, love, and support for a spouse and children, make time for family and friends, as well as having time and energy for personnel, spiritual and mental health.

I am certainly not an authority at life management. In fact, I work at this on a daily basis.  I will share the things that have made and continue to make a difference for me in the hopes that these ideas might be useful to others. Balancing life is especially difficult during times when you are challenged to push yourself to achieve the best possible results on a deadline as happens during the rewarding journey towards accreditation in the AACD!

  • Tackle the accreditation process in small portions and set reasonable goals.

When I became accredited, you were required to present all five cases at the same time in front of a group of accredited dentists/examiners at the AACD annual meeting.  And we had to use slides!  Imagine not knowing until the next day how your photos turned out!  The process is much more friendly, doable, and streamlined now.  Just pick your favorite case type or the ideal one that walks in your front door and work on getting just that one case documented and submitted. Just do it! Use your mentor and all the useful guides available through the AACD.  Your second, third, fourth, and fifth cases will be easier.  Really, they will!  If is okay to fail – like continuing education, the learning process improves your skills.  Someone very cool once said, “If you take risk out of life, then you take opportunity out of life.”

  • Enjoy a positive attitude.

You really do have control of your attitude and having a positive attitude will make your life better and the accreditation process easier!  Accreditation in the AACD is a time consuming yet fun process – not hard and stressful!  It is a simple matter of attitude!  i.e., Weeding the garden – fun, why? It will be like exercise, there is the potential of a suntan, the garden will look better, and I can pick the goods for dinner!

Smile Naturally Again!

December 17, 2015

Smile Naturally Again!

Dazzling smiles look natural and feel comfortable.

Dazzling smiles look natural and feel comfortable.

Why is it that these days you can’t tell whether someone’s terrific smile is a gift of nature or has been revitalized by dentistry?  (more…)

Restoring Smiles, Restoring Health in Western Colorado

September 15, 2015

Canted midline and opaque porcelain make this smile less attractive than it could be.

Canted midline and opaque porcelain crowns make this smile less attractive than it could be.

 There are many reasons to replace crowns – poor aesthetics is one of them!

Restoring Smiles, Restoring Health with Cosmetic and Restorative Dentistry

This is our office‘s byline, so it is fun to show one of many beautiful results!  All-porcelain crowns replace the existing porcelain fused to metal crowns that had metal below the porcelain.  Metal is often used to strengthen and support porcelain in dental crowns, however we currently have better, stronger, more aesthetic all-porcelain crowns available for our patients!

White and straight is 'beautiful' in almost all cultures!

Same smile improved with all-porcelain crowns!  White and straight is ‘beautiful’ in almost all cultures!

 

Up close you can see defective crown margins and the bone loss that has occured

Up close you can see defective porcelain fused to metal crown margins and the bone loss that has occurred.

 

Gorgeous smile highlights a beautiful face!

Gorgeous smile highlights a beautiful face!

 

 

 

 

 

 

The porcelain crowns done previously for this lovely lady were opaque due to the underlying metal.  The existing porcelain crowns were too large for the patient’s mouth, her smile line was canted, the margins of several of the crowns were defective meaning that bacteria could get below the crown edges and cause decay, and the midline was not vertical as it should be!

Note the much improved smile with cosmetic dentistry in the Grand Junction, Colorado office of Dr. Julie Gillis with cosmetic dentistry and all porcelain crowns!  Our office sees patients from all over the Western slope including Grand Junction, Aspen, Palisade, Clifton, Fruita, and many surrounding communities.  Please call our office at (970) 242-3635 for information on all porcelain crowns, cosmetic dentistry, or just ways to make your mouth healthier or your smile brighter!

SharpR-7SharpR-9 SharpR-12

Can Porcelain Match the Complexities of Natural Teeth?

April 23, 2015

Can Porcelain Match the Complexities of Natural Teeth?

The answer is YES!

 

See the beautiful smile makeover with porcelain veneers below.  You do not really see the porcelain veneers because the color and blend with the natural dentition looks so natural.  What you see is a beautiful smile!

A natural looking, beautiful smile achieved with porcelain veneers!

A natural looking, beautiful smile achieved with porcelain veneers!

Color is good but not the alignment!

Color is good but not the alignment!

 

 

 

 

 

 

 

How about natural teeth with restorations?  A crown was needed on the tooth front tooth shown in the x-ray below.  There is evidence of a vertical fracture within the crown of the tooth, root canal treatment, extensive restorations, and re current decal.  we selected an all-porcelain crown for a natural looking, strong and beautiful restoration.

Extensive restorations present as well as periodontal disease can lead to difficult color match!

Extensive restorations present as well as periodontal disease can lead to difficult color match!

 

Our office tries to make your smile as beautiful, healthy and natural looking as we can based on your goals and the anatomical variables present that we must work with.  We want you to know as much as possible about maintaining a healthy beautiful smile!  Please call our Grand Junction, Colorado office at (970) 242-3635 if you have questions about porcelain veneers, smile makeovers or any dental questions.  We would be happy to help.

New porcelain crown on front tooth blends with multiple shade variations present for a natural looking, healthy smile!

New porcelain crown on front tooth blends with multiple shade variations present for a natural looking, healthy smile! (porcelain crown left side of picture, natural front tooth with gumline filling on right side of picture)

Yours for better dental health, Julie Gillis DDS

Restoring Smiles/Restoring Health

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