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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…)

Did Your Dentist Ever Warn You About Tooth Bleaching and Bonding?

October 27, 2015

Did your dentist ever warn you about tooth bleaching and having dental treatment that includes any type of bonding?

Custom bleaching trays in place over healthy teeth.

If not, they should have!

(more…)

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

Sometimes Adult Teeth Develop Too Small, What Then?

September 3, 2014

Sometimes Adult Teeth Develop Too Small, What Then?

Our patient did not like the gaps between her teeth or the color!

Our patient did not like the gaps between her teeth or the color!

When there are the right number of teeth but there are several gaps between the teeth, it may be because the teeth are just abnormally small.  This can really detract from the aesthetics of a smile!  Tiny teeth with gaps are very cute in little kids – not so much in an adult smile!  Dentists will probably tell you that it is helpful for there to be gaps between a child’s baby teeth to allow for better alignment of the larger adult teeth as they come in.  When a child’s teeth are all neatly lined up it usually means that there will be crowding problems when the adult teeth erupt.

Small upper and lower teeth

Small upper and lower teeth

Gaps between teeth detract from the smile.

Gaps between teeth detract from the smile.

 

There are several options to correct small teeth!

  • Braces can bring the teeth closer together but this may interfere with the occlusion or may even be less esthetic if the teeth are really small
  • Porcelain veneers can be used to make teeth appear longer or wider as needed. This approach can be very conservative and can ‘instantly’ change a smile
  • Bonded restorations or direct veneers can be completed where a dentist adds tooth colored composite material to the front and sides of the teeth as needed to achieve the appropriate size
  • All porcelain crowns may be needed if the lingual surfaces of the teeth also need to be restored for ideal function or aesthetics.
  • In some cases extra teeth are incorporated into the smile with implants or a removable partial denture.
  • Sometimes a combination of the above treatments is the best option.
Porcelain veneers have transformed this smile!

Porcelain veneers have transformed this smile!

Porcelain veneers have transformed this smile!

Porcelain veneers have transformed this smile!

 

Our office would love to help you decide the best treatment option for you.  In our Grand Junction, Colorado office, we believe every patient has the right to hear what options are available and to be as comfortable as possible for their dental care.  If you would like more information, our office’s phone number is 970-242-3635.

Appearance is much improved with porcelain veneers.

Appearance is much improved with porcelain veneers.

Yours for better dental health,

Julie Gillis DDS

Restoring Smiles, Restoring Health!

I Have Peg Laterals? Is That Bad? What Are My Options?

July 27, 2014

Filed under: cosmetic dentistry,Crowns,Porcelain Veneers — Tags: — Dr Gillis @ 12:16 am

 I Have Peg Laterals? Is That Bad? What Are My Options?

Small sized lateral incisors

Small sized lateral incisors

What are Peg Laterals?

The term “Peg lateral” refers to an anomaly affecting the upper lateral incisors which causes these teeth to be abnormally small in size or even ‘pointy’ compared to their usual more rectangular shape.  Peg laterals may occur on just one or on both sides of a patient’s mouth.   When these incisors do not grow to their full size, the appearance is affected and these teeth are small and ‘peg-shaped’ hence the term Peg Laterals.  These teeth are in a very noticeable location at the front of a person’s smile. The upper or maxillary lateral incisors are the front teeth between the upper central incisors and the upper canine teeth.  Because these teeth are right in front, this can be a very noticeable and possibly even embarrassing condition.  Luckily we have a very conservative treatment to correct this condition.   

Peg Lateral incisor - left side

Peg Lateral incisor – left side

Lateral incisor developed very small

Lateral incisor developed very small

Many good options are available to treat peg laterals.

We may treat peg laterals  using  direct bonding with tooth colored materials on the front and sides of the small tooth to give it a more natural appearance.  Another alternative treatment for peg laterals is Porcelain veneers.  This conservative treatment would be a more permanent and usually more aesthetic option.

Do peg laterals have to be treated?

No! Treatment of peg laterals is usually considered ‘cosmetic’ and not a ‘necessary’ procedure covered by dental insurance, however this treatment will improve the appearance of these lateral incisors, and can boost the self confidence that comes from having a more aesthetic smile!

 

Restoring peg laterals can make a big difference in the appearance of a smile!

Peg lateral incisors and central incisors restored with conservative porcelain veneers.

Peg lateral incisors and central incisors restored with conservative porcelain veneers.

Conservative porcelain veneer to restore  a peg lateral.

Conservative porcelain veneer to restore a peg lateral.

Conservative porcelain veneer restoration on the lateral incisor

Conservative porcelain veneer restoration on the lateral incisor

What Causes Peg Laterals?

There are two primary causes of peg laterals, both of which are beyond your control. These are as follows:

Genetics:  there seems to be a genetic component to this condition.  Some people with peg laterals have parents who had the same condition.

Developmental anomaly:  Sometimes the teeth just do not form correctly.

Some people are genetically missing the adult lateral incisors so the primary or baby lateral incisors remain in the position of the adult lateral incisors.  In a mouthful of full-sized adult teeth the baby lateral incisors will look abnormally small.

Our office would be happy to answer any questions you may have about your teeth!  We would be happy to offer you treatment options for your peg laterals or any other cosmetic concerns.

Peg Lateral Treatment Options:

Right and left peg lateral incisors

Right and left peg lateral incisors – note the discolored bonded restoration covering the corner of the left central incisor.

Anterior teeth have been restored with porcelain veners

Anterior teeth have been restored with porcelain veners

(1) cosmetic bonding with tooth-colored materials

(2) Porcelain veneers

(3) Orthodontic treatment may be needed to position these teeth ideally for either of the above two options.  We work with many talented orthodontists to assist us when necessary for a more ideal result for you!

Sometimes the only treatment needed is to re position the peg laterals with orthodontic treatment or a removable appliance.  Our office will let you know what options are available and help you determine what is best for you.

Canine and Lateral incisor is missing on one side and lateral incisor is 'peg' shaped on the other!

Canine and Lateral incisor is missing on one side and lateral incisor is ‘peg’ shaped on the other!

 

 

Smile restored with a combination of porcelain veneers and a porcelain cantilever bridge.

Smile restored with a combination of porcelain veneers and a porcelain cantilever bridge.

Our office would be happy to tell you about what is going on in your mouth in as much detail as you would like. We are located in Grand Junction, Colorado.  Our office phone number is (970) 242-3635.  You can email us at jgillis@juliegillisdds.com.   We would love for you to ‘like’ us on our office’s Facebook page!  Please find us at Julie M Gillis DDS PC.

As always, yours for better dental health,

 Julie Gillis, DDS

Restoring Smiles/Restoring Health

 

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