Cosmetic dentistry isn’t just for celebrities and the wealthy — there’s now a wide variety of options and price ranges that put a better smile within reach for millions of people.
“Cosmetic dentistry has gone mainstream,” says Kimberly Harms, DDS, consumer advisor and spokesperson for the American Dental Association (ADA) and a dentist in private practice in Farmington, Minn. “Just about every dentist does at least some cosmetic dentistry procedures these days.”
From subtle changes to major oral surgery, there are a host of cosmetic dentistry techniques that can treat teeth that are discolored, chipped, misshapen, or missing.
So is cosmetic dentistry right for you? Here’s what you need to know before making the decision.
What Is Cosmetic Dentistry?
While traditional dentistry addresses the health of your teeth and gums, cosmetic dentistry focuses on the appearance of your teeth, mouth, and smile.
“Recent advances in cosmetic dentistry allow dentists to offer everything from improved teeth whitening to translucent tooth coverings to complete smile makeovers,” says Dr. Harms. Cosmetic dentistry has been around for decades, but the materials used today are more durable and natural looking than those used in the past.
According to the American Academy of Cosmetic Dentistry (AACD), two-thirds of patients seeking cosmetic dentistry are female, and the average amount spent on cosmetic procedures by these patients in 2007 was a little less than $4,000. However, some cosmetic dentistry procedures can cost as little as $300. Because cosmetic dentistry is considered elective rather than “necessary,” it’s not usually covered by insurance.
Cosmetic Dentistry Options
There are a variety of cosmetic dentistry procedures available, including:
- Teeth whitening. This procedure brightens teeth that are discolored or stained. Teeth whitening, or bleaching, can be done in a dentist’s office or at home with a system dispensed by the dentist.Over-the-counter teeth-whitening products are also available.
- Bonding. This can improve the appearance of teeth that are chipped, broken, cracked, stained, or have spaces in between them, by bonding tooth-colored materials to the tooth surface.
- Veneers. These are thin, custom-made porcelain shells that cover the front of the teeth to disguise discoloration or imperfections.
- Tooth reshaping. This procedure involves changing the teeth to improve their appearance by modifying or removing enamel. Tooth reshaping (also known as dental contouring) is often combined with bonding.
- Crown lengthening . This can fix a “gummy” smile (where more gums than teeth are visible) or an uneven gum line by removing excess gum tissue to expose more of the tooth’s crown and give the appearance of longer teeth. This involves minor oral surgery.
- Smile makeovers. These procedures involve a comprehensive assessment of the overall appearance of the teeth and smile. Typically, several cosmetic dentistry procedures are required to overhaul the look of a patient’s smile. Think of it as a facelift for the mouth.
How to Choose a Cosmetic Dentist
The skill and experience of the dentist you select can impact the outcome of your cosmetic dentistry work. While some dental specialists, such as orthodontists and periodontists, need additional education and special certifications in order to practice, the field of cosmetic dentistry doesn’t have such requirements. “Any dentist with a degree in general dentistry can perform cosmetic dentistry procedures,” says Harms. “Most dentists who offer cosmetic dentistry have taken continuing education courses in the treatments and procedures.” To be sure that the dentist you select is skilled in cosmetic dentistry, it’s best to ask to for the following:
- Before and after photos of patients treated
- Patient references
- Proof of continuing education
With today’s emphasis on youth and appearance, cosmetic dentistry is becoming more popular than ever. While not many people have naturally perfect teeth, almost anyone can attain a dazzling smile with the help of a dentist.
Time for another commonly asked question… whitening and cosmetic dentistry. Our smiles are hugely vital to how we feel and how we express ourselves. A smile can be an amazing window to souls, not unlike our eyes. It is my job to make sure you are happy with your smile and confident to show those pearly whites.
So, what are some options to enhance our smiles, you may ask? Beyond orthodontics and braces, general dentists can whitening and reshape teeth to make our smiles bright and engaging.
You’ve heard of bleaching, veneers and crowns. Well, lets talk about those options. Bleaching or whitening is one of the easiest ways to enhance your natural teeth. We have a few options regarding whitening but the most effective option is actually low dose hydrogen peroxide with consistent use. The foods we eat everyday can stain our natural enamel. Drinks like red wine, coffee, teas, and soda are notorious for staining teeth. That means daily whitening via custom trays or white strips will provide consistent results. It also lessens the sensitivity one experiences when using whitening products.
You may be thinking, Dr. Wang, what if I have a wedding or special engagement tomorrow and can’t wait. Well, we have an option for that as well. It’s called in office whitening. In office procedures take about an hour and can create a noticeable difference right away. Think of it as 2 or 3 weeks worth of trays in one hour. They may be the right solution for your needs. The caveat is sensitivity increases dramatically.
Our solution can combine the two approaches or focus directly on one or the other. The most effective is personalized to your needs.
In the weeks ahead, keep an eye out on the W Dental website for more tips for beautiful teeth!
-George Wang, DDS
So, a commonly asked question is wisdom teeth. What are they and what do we do about them.
Lets start off with what they are. They are back teeth known as molars. We technically call them “3rd molars” and they are the very last teeth we have. Long ago, we had larger jaws that allowed us to have 32 teeth with no problems. However, we have smaller jaws now and a majority of the population has no room for these wisdom teeth.
What happens when we have no room, what happens to these teeth? Well, they get stuck. This is called impaction. Impactions have different types but all impacted teeth are stuck- most of the time under the gum tissue and in our bone. They don’t help us eat and they have zero function when they are impacted. In fact, impaction can cause problem- often time pain and possibly infection.
So, what do we do about impacted teeth, we want to avoid pain and infections. We remove them. Oral surgeons are specialists that remove these teeth and can put you to sleep.
Some wisdom teeth are not impacted. These teeth look like any other teeth in our mouths. What then? Well, it becomes a matter of how easy they are to maintain clean, cavity, and infection free. If your brushing and flossing habits are good, sometimes we can leave them alone. However, if bacteria is constantly building up around them, it is recommended we remove them as well.
So, how do I know if I need them extracted? Well, first step is to take a panoramic xray and my staff and I will go over the xray and give you our recommendations. Best tip is to get the diagnosis early, as removing teeth is less risky when you are young, and eliminate issues down the road.
-George Wang, DDS