Fri. Dec 14th, 2018

Damaged Teeth: How to Find the Smile?

Damaged Teeth

A beautiful smile is not just a question of teeth or whiteness! Moreover, everyone does not have the same idea of the ideal smile: some are embarrassed by teeth too far apart when others are happy with their “teeth of happiness”.

“Every patient is a unique person, with his story and his expectations. It is, therefore, necessary above all to listen to it in order to consider a result as close as possible to its request, “ explains Dr. Claude Finelle, dentist attached to the consultation of the smile of the Saint-Louis Hospital (Paris). The orthodontist can improve the alignment. The dentist can harmonize the shape, appearance or color of our teeth.

But Dr. Laurence Abtan, orthodontist, as well as Dr. Finelle, recall “that before any aesthetic treatment, it is necessary to perform a preparation of the teeth and ensure that all care has been done (caries, gingival inflammation …)” . Once the ground is prepared, the solutions are numerous but often expensive to find a nice smile.

Damaged Teeth

Broken, worn teeth: two techniques to fix them

If one has broken, worn teeth (irregular surface) or if their shape disturbs us (for example a tooth too short), two techniques are possible.

Composites

These are pieces of resin that mimic the color and appearance of the teeth. They are placed on (or in) the teeth by gluing. A composite tends to stain (avoid coloring products such as tobacco, coffee or tea) or deteriorate, but it takes at least ten years and is easily removed or modified.

Facets

These are small, custom molded ceramic plates that cover the visible face of the teeth. They mimic enamel very well and shine better than composites. And they are more resistant.

“The disadvantage is that they involve in 95% of cases to prepare the teeth by filing them, which represents a tissue attack,  says Dr. Finelle. To consider only if one is very complex or if the repair with a composite is not possible.

How many sessions and at what price?

To put a composite, a meeting can be enough: the dentist molds it directly on the tooth. For veneers, it is necessary first to pose provisional then to make footprints before putting the final facets. Count 3 to 4 appointments.

The price? From 800 € to 1 800 € the facet for a tooth (depending on the quality of the facet and the prosthetist), much less for composites (the price depends mainly on the time spent by the dentist).

These techniques can also correct for spaced or overlapping teeth. But we do not put facets if the upper teeth cover those at the bottom or if we grit teeth.

Stained or yellow teeth: abrasion and bleaching

A deterioration of the original color of the teeth can be at the origin of complexes.

Stop stains!

In case of stains due to dyes of the coffee, tea or tobacco type, descaling followed by polishing may suffice. However, in case of white or brown spots due to excess fluoride, the dentist will instead resort to micro-abrasion: he applies a paste based on pumice and hydrochloric acid and then rubs with a brush.

If the stain is deep, it uses macro-abrasion: it digs slightly the tooth to remove the stain, then the height with a composite. Bleaching does not act on these stains due to excess fluorine.

For whiter teeth

For a result beyond a few weeks, it is preferred whitening at the dentist kits sold in pharmacies. It offers an immediate result, which lasts a few months.

Another option, more durable, bleaching “outpatient”: for ten to fifteen days, we wear a tailor-made gutter, at night, after applying a gel. But you should never expect a bright white: “We keep the natural internal color of the tooth. The yellow will become light yellow … “ warns Dr. Finelle. Finally, beware of sensitive teeth and coloring products (coffee, tea, tobacco, beetroot, red wine …), to avoid during treatment!

Overlapping teeth: realign by orthodontics

Orthodontics realign teeth, regardless of age. First, an orthodontic check-up (radios, photos and casts) is needed to assess whether the treatment is feasible, to determine the options available and to estimate the duration and cost.

The Rings

Made of metal or transparent ceramic, they sit at the front or back of the teeth. “In adults, it is often the most discreet solution that prevails, so the rings on the inside,” says Dr. Abtan.

Avoid foods like chewing gums, as well as chew in an apple or sandwich. Finally, it is necessary to apply to brushing and use interdental brushes.

The gutter

Made to measure, invisible, to wear 20 hours a day and to change every 15 days. We take it off to eat. But you have to keep it really well.

In both cases, at the end of treatment, a compression system consolidates the result – night gutter and / or wire glued on the inner side of the teeth.

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