Dental whitening in the medical room
The dental whitening performed in the medical room is done after ultrasonic scaling and professional brushing. The substances used are three times more concentrated than the substances used in the ”home-based” treatment and are based on hydrogen peroxide. These highly concentrated substances are applied by your dentist, in order to protect, first of all, the gum from the chemical burn that might occur when hydrogen peroxide enters in contact with it, by creating a gingival barrier. After this step, hydrogen peroxide is applied and, depending on the desired shade, on the quality of the dental enamel and on the sensitivity of each patient, it is allowed to act from 10 to 30 minutes per session. Depending on the desired result and whether or not cold sensitivity occurs, it is recommended or not to continue the whitening treatment.
After obtaining the desired shade, the teeth that have undergone the subsequent whitening treatment are fluorinated, and the patient is instructed not to consume food and liquids that re-pigment the dental enamel. The shade obtained by dental whitening stabilizes after about two weeks. After this period, the existing obturations that do not change their shade by the whitening treatment are replaced, thus giving back to the patient a smile that is 2-3 shades lighter.
Teeth whitening with a mouth guard
This kind of whitening can in itself be a whitening treatment, or it can be considered as a treatment to maintain a dental shade after a whitening treatment carried out in the medical room.
It is considered a smoother dental whitening treatment by using less concentrated substances and by their long period of application. As well as with the first step, ultrasonic scaling is performed in the medical room, to remove the stone deposits that would stand in the way of the whitening substance, followed by a professional brushing. Afterwards, the dental arches are imprinted and whitening mouth guards are made in the laboratory, these consisting in mouldings of your teeth made from a silicone, transparent material.
The whitening substance comes in syringes, from which the gel is applied into the whitening mouth guards and placed over your teeth, staying there for several hours, depending on the substance and on the concentration of the recommended substance.
Ceramic facets are ceramic thin sheets that stick to the surface of the teeth after grinding a very thin enamel surface. Ceramic facets are a viable alternative to many cases that until recently have been solved by crowns. Ceramic facets are an excellent cure for blunt, broken, sparse, stained or cramped teeth. These are long-term restorations that protect teeth and strengthen the beauty of your smile. With a very low thickness, the facets require polishing a very small amount of enamel. Your teeth will have the desired colour, size, and shape with a minimum sacrifice of dental substance and in a short time.
A great advantage of the ceramic facet treatment is that before the surgery itself, a simulation can be made, by which the patient can see what the smile will look like after applying the final ceramic facets. It is an intermediate stage that prolongs treatment, but it is of great importance to the patient. At this stage, there is no direct intervention on the natural teeth, it is completely painless, and the patient may have a glimpse at what his/her teeth will look like in the end. The doctor takes a print of both arches that he/she sends to the lab along with photographs and precise indications about the future shape, colour, and orientation of the teeth.
The patient’s tooth moulds are cast in the laboratory and then waxed facets are moulded according to the dentist’s instructions, following the indicated shape and the other principles. In the next session, based on the waxed facets, the doctor creates, in his medical room, facets made of acrylic or composite materials that he applies to the patient’s teeth, and that have the colour and shape of the final ones. This way, the patient can see what they will look like in the end, and various adjustments and changes in colour and shape may be made.
This simulation technique is not mandatory, but it is recommended in cases where complete restoration takes place through ceramic facets, or in more complicated cases, as it is at the same time an excellent method of prefiguration of the final result.
After the initial examination, after setting the treatment plan and after making the simulation, the doctor proceeds to the preparation of the teeth.
The teeth are prepared by removing a very thin layer of enamel (maximum 0.4 – 0.7 mm) to create a place for the porcelain facet. We will get a print of the prepared teeth, which will be sent to the lab. Choosing the colour of future facets is a very important step. The final shade is chosen according to your desire, but of course on the dentist’s advice. The colour of the future porcelain facets must be adapted to the colour of the skin, of the eyes, and to the general appearance. The dentist may recommend the best option so that the teeth look natural, and the general appearance is charming. Not always are very white teeth recommended. The colour of the future facets should be in tune with the colour of the natural teeth that have not been faceted, in order to obtain a generally harmonious look.
Full ceramic crowns
Ceramic crowns on zirconium support
Reconstruction of fractured teeth
Sometimes small incidents occur that lead to tooth fractures due to a stronger impact or to a greater incidence of insufficient dental enamel walls. In these cases, teeth can be restored by reconstitution depending on the degree of destruction.
If the remaining root is good, if it does not show any inoperable infectious processes, then precast devices may be anchored (glass fibre pivots) or created in the dental laboratory after preparing the root. These devices are anchored by cementing in the dental root canal and then performing a prosthetic work as needed.
If your smile is already beautiful, but you want to draw attention to your teeth, you can resort to the application of a dental diamond.
Dental jewellery is small diamond-like stones that are glued by adhesive technique on the dental enamel. The method of applying these stones is non-invasive, as dental enamel is only demineralized. With different colours and sizes, these stones are easily applied without tooth holes, and just as easy to remove, if the patient no longer wants to keep the jewellery on the tooth, without leaving any trace on the tooth enamel.