Cosmetic or aesthetic dentistry is dental treatments that improve the appearance of the teeth, gums and usually the bite. It can improve the the colour, position, shape, size, alignment and overall aesthetics of a smile, following evaluation of factors such as jaw alignment, shape of your teeth, lips, mouth, face and dental photos and models for aesthetic consideration, and optimal function.
A crown is a precision fit cover that is precisely made with computer technology, and hand finished by a ceramic specialist. A crown strengthens worn, damaged or broken teeth, and protects a tooth as best as is possible in the bite. They are often used cosmetically, to enhance the size, shape or colour of teeth because of their stain free and long lasting aesthetics. Primarily they are used to build teeth back together when they are badly damaged.
Crowns can vary wildly in quality around the world, depending on the skills, experience and standards of the dental team. Our preferred system for porcelain crowns are those made with the Swiss e.Max pressed porcelain technology, that are all metal free and that can seamlessly and exactly replicate tooth structure, with incredibly strong and long lasting results.
The best ceramists are true artists, and make the crowns from study models and photos that we supply to them, and our crowns are made here in Brisbane with a ceramic specialist.
Just as with any other tooth, crowned teeth must be flossed around daily, with twice daily toothbrushing, along with 6 monthly preventive dental care with your dental professional. There is natural tooth underneath the crown and it must be cared for. Most ceramists manufacture crowns with a 5 years warranty in Australia.
Gold alloy is sometimes used for crowns on the back teeth, albeit rarely, for unbreakable strength on molar teeth, for patients who grind their teeth very heavily. It is extremely difficult to break a porcelain crown, and if this happens we wonder whether a night guard is required to protect the bite against grinding of the teeth during sleep.
Zirconia crowns are used in very specific circumstances, where there is severe staining of the underlying tooth structure, and for bridge work when required to be made without metal.
Nearly everyone who is missing one or more teeth, and is in good health can be assessed for dental implant treatment. Dental implants can last a lifetime, unlike bridges, partials and dentures which may need to be replaced several times.
Invisalign is a series of invisible, removable, and comfortable aligners that are designed to move your teeth by a small amount as they are changed. Patients wear them for 22 hours a day and remove them to eat, drink and clean their teeth.
Dr Amy Daley is an Invisalign provider, having completed accreditation in London in 2006. More than 2 million people around the world have used Invisalign as the clear choice for straightening their teeth.
Invisalign consists of a series of nearly invisible, removable aligners that you change every week for a new set. Each aligner is individually manufactured for your teeth only. As you replace each aligner, your teeth will move - little by little, week by week - until they have straightened to the final position.
Invisalign can be used to treat a wide variety of issues, including overcrowded teeth, widely spaced teeth, cross bites and overbites.
These are thin, tooth-coloured porcelain shells which are seamlessly bonded to, the front of prepared teeth. They are a more conservative treatment than a crown and can be used if the tooth is strong and healthy. Generally they are suitable for people who have very misaligned teeth, and who did not wish to have braces or Invisalign. If the teeth are discoloured or very worn, they may be a treatment option.
A bridge replaces missing or lost teeth by suspending a false tooth from the natural teeth on either side of the space. A bridge can restore lost teeth, support remaining teeth and help keep your teeth in proper position and bite.
Tooth bonding is an effective, simple and painless procedure where our dentists can re-shape and re-surface your teeth to match your bite and improve your smile. Tooth re-contouring is usually used when teeth are slightly out of alignment. Tooth bonding is the use of a tooth-coloured plastic adhesive that your dentist will shape and polish to match the surrounding teeth. Dental bonding is usually painless, and for one tooth takes anywhere from 30 minutes to an hour.
To soften age lines and frown marks, and to feel more refreshed and rejuvenated, our dentist are qualified In cosmetic facial injectables.
This treatment was once reserved for medical use by dentists for jaw joint issues such as acute jaw pain or temporomandibular joint disorder (TMJ) caused by teeth grinding and bite, and with extensive training in facial anatomy, smile design and aesthetics, our dentists have had training over many years to offer a wider range of facial rejuvenation and enhancement injectable treatments. Softening of the jaw is possible with injectables in the jaw muscles.
Advances + technology in dentistry
dr amy daley + dr leila haywood | dentists at brisbane smile boutique
information about porcelain veneers
Dental veneers are also known as laminates, porcelain veneers, and are very thin shells of tooth coloured pressed porcelain designed to cover the front surface of teeth to improve appearance. The porcelain shells are bonded to the front of the teeth to change the colour, shape, size, or length.
Porcelain veneers resist stains better than composite resin veneers and exactly reflect light in a natural and enduring way so that they copy the look of perfect and natural teeth.
Veneers can restore
- Teeth that are discoloured from wear and tear, tetracycline staining, excess fluoride, large fillings
- Teeth that are worn down
- Teeth that are chipped or broken
- Teeth that are uneven, out of line or irregularly shaped teeth with gaps between them (to close the space between these teeth)
the procedure for a Veneer
A dental veneer requires two visits to the dentist
- Diagnosis and treatment planning the dentist will examine your teeth to make sure dental veneers are appropriate for you
- Preparation. To prepare a tooth for a veneer, your dentist will remove about 1/2 millimeter of enamel from the tooth surface, which is an amount nearly equal to the thickness of the veneer to be added to the tooth surface. Your dentist will make a model or impression of your tooth. This model is sent out to a dental laboratory and a ceramist will make the veneer. Your dentist will place temporary veneers for you
- Bonding your tooth will be cleaned and prepared for bonding and a special cement is applied to the veneer and the veneer is then placed on your tooth. Once properly positioned on the tooth, your dentist will apply a light beam to the dental veneer, which activates the cement, causing it to set.
durability of veneers
With active care, porcelain veneers can last 10 years of longer. It is important to brush twice a day, floss daily and to limit sugary foods and drinks. The dentist and dental hygienist need to check on veneers every 6 months, along with professional scaling and cleaning to ensure that the veneers stay in excellent condition.
If you are wanting to whiten your teeth to whiter than white, chances are you are comparing your teeth to the look of a smile with veneers. Models and actors often have porcelain veneers placed to make their teeth straight and to get them as white as possible. Usually these are porcelain because they look so good for a long time, and sometimes they are composite resin.
They are meant to look like natural teeth, and should be indistinguishable from the natural contours of your smile. They restore the tooth surface and can change the aesthetics l of the teeth and smile when placed.
They may be suitable for patients who wish to treat chipped, broken or discoloured teeth, or close gaps between front teeth.
Veneers at Brisbane smile boutique
Our master ceramist is regarded for their high quality, attention to detail and excellence. Our porcelain veneers are made in Brisbane and Sydney by master ceramists, and the quality control happens from the moment that he attends our practice to collect the impressions and photos, which are used as a foundation for the creation of the smile, so that the veneers match in perfectly to enhance your beautiful, natural teeth in shape and for the best aesthetics possible.
They are fixed permanently with bonding by our dentists in an appointment two weeks after the preparation appointment. Temporary veneers are placed as an intermediate treatment while waiting on the new veneers.
Experienced care in veneers
A veneer can last for many years but even with the very best technique and care there may come a time when they require replacement.
Our dentists Dr Amy Daley and Dr Leila Haywood started dentistry at the University of Queensland 25 years ago, and have decades of experience in our boutique private dental practice in Brisbane, and are committed to on going patient care. Our patients are the life of our practice, and with our team having lifetimes of experience you can be assured of the highest quality treatment standard and active dental care.
Our practice has experienced female dentists, a full time dental hygienist who has been with the practice for 10 years, visiting master ceramists, and a caring team of dental nurses. The goal is to have veneers that look as good as the day they were placed for many years to come, and at each 6 months we carefully examine and monitor them to ensure they are in optimal condition.
i have a specific cosmetic question
After diagnosing an issue and creating a treatment plan, the first step to restore a tooth to health is to ensure that you are comfortable. We will place some topical gel on the gum before we give you some local anaesthetic so that you do not feel any discomfort. After the decay or damage is prepared, the tooth is ready to receive either a direct restoration or an indirect restoration.
A direct restoration means that the tooth can likely be restored in one visit and that there is enough tooth structure for the filling to go inside of the tooth. Examples of direct restorations are amalgam, which is silver-colored; and composite; which is tooth coloured . Amalgams are not placed in our practice, due to environmental and health considerations.
1/ COMPOSITE RESIN RESTORATIONS
> tooth coloured fillings / white fillings / plastic fillings / resins
Composite resins are an approach to repairing broken teeth and cavities caused by tooth decay to look natural, match to the remaining teeth and restore health. Resin can be a good filling material when there is enough tooth structure to support it, but may wear out after about 5 years, and is technique sensitive. Our practice uses SonicFill 2 technology to restore the molar and premolar teeth. They are not designed for very large fillings in back teeth where there is little remaining tooth structure for the long term.
2/ 3D printed pressed porcelain restorations
An indirect filling means that the restoration is made outside of your mouth, either by a lab or by a milling machine which is cemented into place. Examples are crowns, inlays, and onlays. A crown covers the entire tooth, an inlay fits inside the tooth and can replace a wall of the tooth, and an onlay replaces at least one cusp of the tooth.
Two appointments are required and Swiss pressed porcelain is 3D printed, custom glazed and this is bonded seamlessly into the damaged section of the tooth. It is much stronger than composite resin fillings, and is strongest way to repair a damaged tooth with high aesthetic demands, and has been used for many years in veneers, inlays, onlays, and crowns
- Matched perfectly to other teeth > aesthetics
- Resistant to surface wear > strong
- Long lasting > durable
- Holds up well against chewing forces
- Needs careful assessment to ensure that it is not going to undergo extreme forces from the bite
- Requires two appointments > sent to a ceramist for 2 weeks
Gold restorations are a mixture of gold and other metals, to make them stronger.
You will need two appointments for a gold restoration. During the first visit, any decay or old filling material is removed, the tooth is prepared for the gold restoration, an impression is taken, and a temporary filling is placed.
The impression is then sent to the lab and a stone model is made, from which the lab makes a wax pattern, which is then cast into a gold restoration, within two weeks. When you return for your second appointment, the gold restoration is cemented into place.
- Good resistance to further decay
- Wears well because it has a similar hardness to enamel
- Is unbreakable
- Highly durable
- Conducts temperature
- Gold colour is undesirable for many patients
- Two appointments
WHY AREN'T AMALGAM fillings PLACED?
Amalgam is a very forgiving and generally long lasting material. It is a tin, silver and mercury preparation that is very easily pressed into the cavity, and the corrosion products create a seal against bacteria entering the tooth. It expands and contracts with temperature changes, very differently to the supporting tooth structure, which can create stress fractures inside and on the outside of the tooth. Sometimes the cracks fatigue and a piece of tooth breaks off that previously supported the filling. If the crack is above the gum line, dentists term this a favourable fracture, meaning it can be restored. If the crack has reached the nerve of the tooth, bacteria can invade this area which must be kept sterile, and the tooth will die. To keep the tooth is an expensive and time consuming process, with root canal treatment (and crown work required for the back teeth). Usually amalgam will last for around 8 to 12 years and is particularly good for the very back teeth, and for mouths that have a high decay experience.
In 2017, we tend to remove amalgams and bond porcelain inlays and onlays into the damaged tooth. We tend to be conservative, and monitor amalgams for distortion, wear and defects, until there appears to be a problem. We shape and clean up the cavity, and leave as much tooth as possible. Generally the amalgam has caused discolouration into the tooth around the filling, after some years. An imprint of the cavity is sent to the technician, and porcelain is computer designed and milled. It is then custom glazed and matched exactly to the surrounding tooth by a master ceramist. We then bond this into the cavity. Porcelain inlays and onlays are extremely durable, biocompatible, incredibly strong and undetectable > everything that dentists could wish for for restorations of damaged teeth.
COSMETIC FACIAL INJECTABLES
To soften age lines and frown marks, and to feel more refreshed and rejuvenated, our dentist are qualified In cosmetic facial injectables.
This treatment was once reserved for medical use by dentists for jaw joint issues such as acute jaw pain or temporomandibular joint disorder (TMJ) caused by teeth grinding and bite, and with extensive training in facial anatomy, smile design and aesthetics, our dentists have had training over many years to offer a wider range of facial rejuvenation and enhancement injectable treatments.