This can be anything done to correct imperfections in the appearance of the mouth. Anyone who is unhappy with their smile can have it fixed. The upper teeth show, usually, only when smiling, while the lower teeth remain hidden. This is reversed when talking, with the upper teeth remaining hidden while the lower teeth show. The color, alignment, spacing as well as regularity of the teeth are the characteristics that give the overall appearance. Any of these can be repaired to give a stunning look to the mouth.
If strips are used, I suggest bleaching the lowers until a satisfactory color is attained, then bleaching the uppers to match. There are at least two good reasons for this. If you bleach both together, you may not be aware that the shades are lightening. Also, the lower teeth are thinner and will attain color change faster. Bleaching both at the same time may result in over bleaching the lowers, possibly adding to internal changes (brittle tendancies) of the teeth.
A patient who works with poitrait paintings has suggested the whites of the eyes need to be whiter than the teeth, so the gaze of the viewer is drawn to the eyes of the subject and not the mouth. Our recommendation is to be mindful of this and not try for "appliance white" teeth!
Often times cosmetic results are better if like teeth are restored at the same time. If one front tooth has an issue, it is ofter more predictable to work in pairs and have two look alike than to try to match only one tooth to all the remaining. I do one tooth at a time, but I do appreciate that to control a general full smile appearance, sometimes cases will do multiple front teeth. The Las Vegas Institute routinely suggests veneer cases cover 8 to 10 front teeth. An processed resin overlay for the arch has resently been developed which can cover all remaining teeth in an arch and create an asthetic appearance for a fraction of the cost of multiple veneers. We have experience with these "instant smile" appliances as well.
An Orthodontist collegue in our neighborhood will consider straightening "the social six" top or bottom front teeth. This is an amazing service. For about the cost of a single veneer, all six of the affected teeth may be able to be aligned, usually within about 6 to 9 months, then maintained with a retainer. It has been his policy to offer a free consultation for this service. Often this alone makes such a nice impact to the eye that no other work may be needed for a pleasing aesthetic result.
GUM TISSUE APPEARANCE
The contours of the gums aroung the necks of the teeth can now be shaped comfortablely with Laser surgery. Periodontis are skilled in this technique. I refer to a number of specialist who are competent in this procedure. The effect of balancing the ratio of tooth to gum often has a positive effect to aesthetics.
Houston, TX 77074
Office: (713) 772-1943