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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!

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Using Gum Surgery or Gingival Plastic Surgery to Enhance a Smile

October 21, 2015

Using Gum Surgery or Gingival Plastic Surgery to Enhance a Smile

Following conservative gingival plastic surgery.

Following conservative gingival plastic surgery.

Prior to conservative gingival plastic surgery.

Prior to conservative gingival plastic surgery.

It may sound complicated, but gum surgery or gingival plastic surgery can be an easy and comfortable procedure! In our Grand Junction office we use either a diode laser or electro-surgery to carefully remove tissue to complete the gum surgery.  This can be an easy addition to a treatment plan to achieve better aesthetics and a very important part of a smile makeover.

Note the improvement in the length and shape of the teeth! (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

Born Without Lateral incisors? You have Options For Replacing These Teeth!

December 4, 2014

Born Without Lateral incisors? You have Options For Replacing These Teeth!

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

Lateral incisor is missing on one side and  ‘peg’ shaped on the other!  Adult canine teeth have not yet erupted.

One of the most common teeth to be missing is the upper lateral incisor.  (The most common missing tooth is one or more of the wisdom teeth)  Because a lateral incisor is in the front of the mouth, it is almost always an aesthetic concern when it is not present.  There are many treatment options to  replace a missing lateral incisor:

  1. The adult canine tooth can be re positioned with orthodontic treatment into the lateral incisor position and then reshaped either with a porcelain veneer, direct bonding, and/or conservative enameloplasty (grinding to reshape the tooth) to make the canine tooth look more like a lateral incisor.
  2. An implant can be placed in the lateral incisor position of enough bone is available to do this.
  3. A cantilever bridge (the tooth adjacent to the missing one is crowned and supports a crown in the place of the missing tooth) can be placed to make it appear as if the  tooth is not missing.
  4. A fixed porcelain bridge can be placed to replace the missing incisor.
  5. A tooth can be bonded between the existing teeth to replace the missing tooth.
  6. A ‘flipper‘ or removable partial denture can be made that replaced the missing tooth.
This patient is missing several front teeth including the lateral incisors which will be replaced by all-porcelain bridges.  The dental laboratory has cut away the tissue on the models to check the margins of this bridge.

This patient is missing several front teeth including the lateral incisors which will be replaced by all-porcelain bridges. The dental laboratory has cut away the tissue on the models to check the margins of this bridge.

There are advantages and disadvantages to each of these.

  1. When a canine tooth is in the position of a lateral incisor, it may be too large compared to a ‘normal’ lateral incisor. But often it looks great.
  2. An implant in the position of the lateral incisor may look like you grew a new, ideally shaped tooth! An implant may require orthodontic treatment and bone grafting for a successful result.
  3. A cantilever bridge may be the best treatment especially if the tooth supporting the cantilever bridge could benefit from a change in shape as well.  This does involve placing a crown or partial crown on either the canine or the central incisor.
  4. A porcelain bridge may be the best treatment IF the teeth involved in the bridge need treatment as well
  5. A bonded tooth is a very conservative treatment but may be prone to breaking or involve a change in eating habits.
  6. A flipper or removable treatment partial is a very conservative treatment option and can look very aesthetic but may feel artificial.

    A "flipper" or treatment partial can be made to fill the space where the missing tooth is.

    A “flipper” or treatment partial can be made to fill the space where the missing tooth is.

Our office would be happy to review your treatment options!  We want our patients to select the best treatment for their needs – now and in the future!

“Caring For And Enhancing Your Smile” has been our office’s bi-line ever since I opened my practice in Grand Junction, CO.  Our practice philosophy is to restore dental health and comfort as a priority and restore beauty whenever we can along with this! Our office’s phone number is (970) 242-3635. We would love to have you visit our office Facebook page and “Like” us!  www.facebook.com/juliegillisddspc

Yours for better dental health, Julie Gillis, DDS, Restoring Smiles/Restoring Health!

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.

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

Lateral incisor is missing on one side and peg shaped on the other!  The right canine has been prepared for a cantilever bridge.

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!

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1190 Bookcliff Ave. Suite 201, Grand Junction, CO 81501 USA
Julie M Gillis DDS Grand Junction, CO cosmetic, general, & restorative dentist. (970) 242-3635 (970) 242-8479 jgillis@juliegillisdds.com