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Designing a beautiful smile requires the integration of knowledge, experience, and technical expertise to harmoniously create a balance between form, function, and esthetics.

Several factors are important when evaluating a smile.

Occlusion/Bite: Your chewing ability must be preserved or improved, therefore it is essential to consider this factor when your new smile is design.

Gumms: In order to achieve a beautiful smile, the gingival tissue must be healthy and symmetrically well contoured around the teeth like a frame to a painting.

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Teeth: In order to make a good treatment plan to restore the smile the structural integrity of the teeth, presence and size of old fillings must be considered as well as the teeth shape, color, position, wear, and spaces between them. A very important factor is to determine if the biting edges of the front top teeth form an upward arc and follow the curve of the lower lip or are the two front teeth shorter than the canines forming a downward arc (frown)?

These are some of the things that must be consider in a smile evaluation. If the bite and the gum tissues are good, then the next step would be to look at the cosmetic treatment options.

Teeth Whitening: Whitening can be done in the dental office in a one hour visit or you can choose the "at home" method. Either method is effective and will make a great difference. This is the simplest and least expensive cosmetic procedure you can do to enhance your smile.

Porcelain Veneers: The state of the art cosmetic treatment option is this. It is make like a fake fingernail built in the lab with porcelain that when bonded to your tooth is extremely strong. It doesn't discolor, has depth of color and shine that resembles natural teeth.

Porcelain crowns: These restorations are similar to veneers, but they are indicated for teeth that are structurally weaker an need a reinforcement all around to protect them better from fractures.

Before	After: Bridge without metal

Porcelain Onlays and Inlays: When restorations are needed on back (posterior) teeth we sometimes use these restorations in stead of composite fillings because they are stronger.

Composite Resins: This material is used as a filling material for either posterior or anterior teeth. It is a tooth colored, bonded material, which can structurally reinforce a tooth, as compared to silver fillings, which weaken teeth.

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These materials can be used to change the color, shape, and position of the teeth to design a perfect smile like we do with porcelain veneer. It isn’t as strong as porcelain and sometimes will suffer chipping but it is easily repair. Another disadvantage is that they may discolor with time. But they are an excellent alternative for those persons who do not feel ready for porcelain veneers.

Tooth color correction Tooth decoloration can be correcterd with composite veneers or porcelain veneers.
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Tooth shape correction Using direct composite veneers the shape and length of the left central was corrected, to produce a symmetric beautiful smile to provide the patient confidence in his/her personal image.
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When patients present spaces between the teeth the problem can be solved using composite resin veneers.
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Composite resin veneers can be used to restore chip incisal edges and malalaignment as seen in the following pictures.
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Take a few minutes and make your own smile evaluation.

With a mirror at a distance from 12 to 14 inches from your face, smile showing your teeth. Look at your teeth carefully to answer the following questions.

• Do you like the appearance of your teeth when you smile?

• Are your teeth too short or crocked?

• Do you have spaces between your teeth?

• Do the edges of your teeth form a downward arch (sad face)?

• Are you unhappy with the shape and color of your teeth?

• Do you have silver or gold color fillings that you don’t like?

• Would you like to change the appearance of your smile?

If you answer yes, to any of these questions, you may be a candidate for any of the cosmetic treatments mention above. But if you fill apprehensive about how the final results may look after any of these treatments, we can use pictures, or models to show you how it would look at the end, before anything is done.

Using a variety of treatment modalities and materials like composite resins, porcelain inlays and onlays, porcelain veneers and crowns, a patient can achieve beautiful smile, free of metal restorations.

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