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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

 

Straighten Teeth with Porcelain Veneers and Braces or Just Veneers?

June 20, 2017

Filed under: Porcelain Veneers — Tags: , — Dr Gillis @ 7:15 am

Straighten Teeth with Porcelain Veneers and Braces or Just Veneers?

Severe crowding, flaring and tipping of teeth - corrected in one month with porcelain veneers.

Severe crowding, flaring and tipping of teeth – corrected in one month with porcelain veneers.

Severe crowding, flaring and tipping of teeth - corrected in one month with porcelain veneers.

Severe crowding, flaring and tipping of teeth – corrected in two visits with porcelain veneers.

 

Should you straighten your teeth with Porcelain veneers and braces or just veneers?

 

 

The answer is not easy!  Braces are certainly not always needed.  See the photos here that show what is possible with porcelain veneers in our office!

There may be benefits depending on your choice of using porcelain veneers only or porcelain veneers and braces.  In general, if you choose to straighten your teeth with veneers without doing braces you can expect the following: (I will explain all in more detail below)

  1. Considerably shorter treatment time
  2. More shaping of your teeth
  3. There may need to be compromises in the result
  4. May or may not be longer treatment time in the dentist’s chair
  5. Treatment will probably be more expensive
  6. More of your teeth may need veneers than if you were to complete braces before your veneer treatment

Item (1) above:  Treatment that includes veneers and braces will often add 6 months or more to the overall treatment time)

Item (2) above:  When using veneers alone, your dentist will need to adjust just enough on your teeth to achieve your desired cosmetic result.  Your dentist should be able to review the pros and cons of this.  Ask a lot of questions so that you understand the treatment that is proposed.

Item (3) above:  Your dentist should be able to explain to you and/or show you photos and models that describe the result that you should achieve.  If may be that a slight compromise in the alignment of the teeth will still be wonderful for you and will save you months of treatment time and possibly a considerable amount of money.

Item (4) above:  If your dentist recommends veneers and braces it may be because just completing braces will decrease the number of veneers needed to achieve an ideal result.  Veneers and braces may both be recommended to achieve your goals as either one alone may not be enough.  Chipped or discolored teeth will still be chipped and discolored after braces.

Item (5) above:  The combination of veneers and braces will almost always be more expensive but the end result may be worth it!  Talk to your dentist to understand the recommendations.

Item (6) above:  This may or may not be true and will depend on your specific treatment!

Severe crowding, flaring and tipping of teeth - corrected in one month with porcelain veneers.

Severe crowding, flaring and tipping of teeth – corrected in one month with porcelain veneers.

Severe crowding, flaring and tipping of teeth - corrected in one month with porcelain veneers.

Severe crowding, flaring and tipping of teeth – corrected in one month with porcelain veneers.

Our office will often recommend the combination of veneers and braces to achieve a specific result but as you can see here, we can also make it look like you have been through several years of braces and yet your treatment time was only a month or so!  It is extremely important to select a dentist who excels at this type of treatment and who has your best interests at heart.  Please visit our web site at www.juiegillisdds.com for more information about our office.  Dr. Julie Gillis is an accredited member of the American Academy of Cosmetic Dentistry and was the very first dentist in Colorado to achieve this honor.  She now serves as an accreditation examiner for the AACD as well as on the American Board of Cosmetic Dentistry.

 

Porcelain Veneer Treatment for Bulimia and/or Severe Wear

February 28, 2017

Filed under: Porcelain Veneers — Tags: , — Dr Gillis @ 7:22 am

Porcelain Veneer Treatment for Bulimia and/or Severe Wear

Severe wear and erosion of anterior teeth makes these teeth look very small.

Severe wear and erosion of anterior teeth makes these teeth look very small.

Can porcelain veneers be used as treatment for bulimia and severe wear?

Absolutely!  The tooth destruction due to the acid from bulimia or anorexia nervosa or severe wear from any other cause should be addressed before any permanent treatment is comopleted.  You want the treatment to last!  If tooth wear is due to acid in any form or due to bad habits such as clenching and grinding your teeth and this underlying cause of the wear is not addressed the problem will continue.  Beautiful porcelain restorations are not any harder than natural enamel and the same problems could occur all over again.

Beauty and length is returned to the teeth with porcelain veneers.

Beauty and length is returned to the teeth with porcelain veneers treatment.

This blog does not address correcting the destructive habits of bulemia or excessive wear of the teeth.  If this is one of your concerns ask your dentist or medical doctor for help.  They will probably have recommendations to end these destructive habits!  The goal here is just to show what can be achieved with porcelain veneer treatment.  Maybe this very positive result will help someone suffering from the disfiguration in a smile that can result from these habits.

Porcelain veneer treatment has returned this beautiful smile!

Porcelain veneer treatment has returned this beautiful smile!

Note the short teeth in the before photos shown here and the improvement in the overall smile.  You can sense the personal confidence of the patient receiving treatment porcelain veneer treatment!  Our office would be happy to offer treatment options for improving your smile!  Treatment plans should be flexible to meet your needs.  Dr. Julie Gillis and her talented team have been restoring smiles and restoring health for many years.  We look forward to hearing from you and seeing you in our Grand Junction, Colorado office.  Please call our office at (970) 242-3635 for more information!

 

Caring For and Enhancing Your Smile

Julie M Gillis DDS, PC

 

Gummy Smile? Dark Teeth? Smile Makeovers Help!

February 9, 2016

Filed under: Porcelain Veneers,Smile Makeover — Tags: , , — Dr Gillis @ 5:50 pm

Gummy Smile? Dark Teeth? A Smile Makeover Can Help!

Gummy Smile? Dark Teeth? A Smile Makeover Can Help!

Gummy Smile? Dark Teeth? A Smile Makeover Can Help!

What is a ‘gummy smile’ and what can a smile makeover do to help?

We are often asked our opinion on how to help the appearance of a ‘gummy smile‘.  If you have not heard this term before, a gummy smile is one name for a smile that displays excessive gum tissue.  This is sometimes, but not always, combined with the upper lip really lifting towards the nose during a smile.  Some lips just have more active muscles or are shorter to begin with due to genetics. Three things in general make a smile less attractive related to the gums:

  1.  When you smile and instead of showing nice teeth you show a thick layer of gums.
  2. When you smile and show a very uneven display of gums – more in one area than others.
  3. When the gums are unhealthy and have that red bulbous appearance, the smile is always less attractive.
A more attractive smile after treating with conservative gingival plastic surgery and porcelain veneers.

A more attractive smile after treating with conservative gingival plastic surgery and porcelain veneers.

A gummy smile and dark , short teeth detract from this smile. A Smile Makeover Can Help!

A gummy smile and dark , short teeth detract from this smile. A Smile Makeover Can Help!

Conservative treatment of ‘gingival plastic surgery’ and porcelain veneers has made the excessive display of gums  or gummy smile much less noticeable!  This easy procedure was completed in our office as part of the overall treatment.  Sometimes the best option may be to include other specialists though.  In our office we will evaluate a patient’s concerns and the overall condition of their oral health.  This includes the health of the teeth, the gums, the unsporting bone, the jaw joints or TMJ’s, and the musculature that makes everything work.  At that point, we will come up with treatment options to best satisfy your goals while maintaining the health of your mouth.  Our office will review your options in as much detail as you would like and then find a way to make your treatment fit into your life!  That is, I believe, the best way to manage a smile makeover!  Note the improved appearance of the smile above after treatment.

Yours for better dental health (and beauty!),
Julie Gillis DDS, PC
Restoring Smiles/Restoring Health
Smile makeover after conservative treatment with porcelain veneers and a 'gum lift'!

Smile makeover after conservative treatment with porcelain veneers and a ‘gum lift’!

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…)

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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