Cosmetic dentistry and porcelain veneers often change my patients’ lives. In this case of 4 porcelain veneers changed the life of this woman who worked for our plant and flower maintenance company. She approached me with the question of “how and how much” would it cost to improve her smile. After sitting with her and going over her smile and teeth pictures on our computer screen, we came up with a plan that included teeth whitening and 4 conservative porcelain dental veneers. That is all she needed. As I have pointed out with my other porcelain veneer cases, I always try to improve any smile with the minimum amount of tooth structure effected. Less trained and experienced cosmetic dentists would have treated this patient with only 2 porcelain dental veneers.
Treating only the two front teeth with porcelain veneers would make the teeth look too wide when the space was closed, for an unnatural, awkward look. Proportionality is a key concept in cosmetic dentistry and an important consideration when treating someone with porcelain veneers. Four teeth needed to be treated with porcelain veneers because the 2 front teeth would be too wide if treated alone. Also the side front teeth (lateral incisors) would appear too small in proportion to the front teeth. The final result needs to be seen in the cosmetic dentist’s mind before the porcelain veneers are started. I knew ahead of time that I needed to widen the side front teeth in order to close the patient’s gap between her front teeth and have the porcelain veneers look proportional to each other.
Dr. Eshom’s Porcelain Veneer Smile Tip For Patients: Communicate your desired smile to your cosmetic dentist. If you don’t know exactly what you want, have your cosmetic dentist do a computer imaging of the new porcelain veneers to show you what final smile will look like on your face. This allows you to see what your smile will look like without your teeth being touched. Dr. David Eshom always does a computer imaging with his cosmetic dentistry consultation to make sure he and the patient know the smile they want at the end of the porcelain veneer treatment.
Sometimes the simple smile changes with dental porcelain veneers are the most difficult. In the office of San Diego cosmetic dentist, Dr. Eshom, we take on this type of porcelain dental veneer challenge frequently because our objective is to make dramatic changes touching the fewest teeth possible. Our patient was once a high stakes stock trader who took out the stress of the market on his teeth. Even though he was young and successful, he had worn the tongue side of his upper teeth so thin that you could see though them and they had chipped from being paper thin. He had also worn the front side of the lower teeth to fit tight into the upper teeth leaving no room to build bonding or veneer material to thicken the edge for strength.
I talked with the patient about his goals for the repair of his smile and the patient told me what a lot of patients tell me, “I like my smile but I want my chipped teeth fixed in a way that looks natural and is strong.” My goal is always to correct a patient’s dental concern using minimally invasive dental techniques I have developed and learned. Minimally invasive cosmetic dentistry means touching or reducing as little tooth structure as possible in the effort to restore or improve a smile as guided by the patient’s goals. In this case 2 porcelain dental veneers with in-office custom shading, upper and lower teeth whitening along with cosmetic contouring and bonding of the lower front teeth. In-office custom shading is what sets our office apart from all cosmetic dental offices in San Diego. We have a porcelain oven, just like a dental lab, so when our patients need special nuances or colors added to their porcelain dental veneers to match their natural teeth we do it while they are in the office on the same day as we are permanently bonding the veneer in their mouth. In-office custom shading allows us to better serve our patients so that they do not need to return a second time after the outside lab reshades their porcelain dental veneer(s).
Dr. Eshom’s Porcelain Veneer Smile Tip For Patients: When you want only one, or two teeth treated with dental porcelain veneers make sure you have an experienced cosmetic dentist who can custom shade your veneer/veneers to match your natural teeth in the office when they are bonded in permanently. Cosmetic dentist, Dr. David Eshom is the only dentist in San Diego that has a porcelain oven in his office and has his lab technician the day of the permanent bonding of your porcelain veneers.
As you can see we accomplished this patient’s goal. The porcelain veneers on his two front teeth match the rest of his teeth. Dr. Eshom’s treatment decisions saved precious natural tooth structure. A less experienced dentist would have done 4 upper and 4 lower porcelain dental veneers to accomplish this outcome. Dr. Eshom saved his patient’s natural teeth and money. Money saving techniques occur everyday in our cosmetic dentistry office. Dr. Eshom and team are committed to making your smile perfect while saving tooth structure with dental porcelain veneers.
Dr. Eshom’s Porcelain Veneer Smile Tip For Patients: Before having porcelain veneers placed on you teeth make sure your bite is analyzed by a experience cosmetic dentist like San Diego cosmetic dentist, Dr. David Eshom, so that that your dental porcelain veneers won’t accidentally chip.
Previous dental work may have looked great at first, but as years go by and dental materials become more sophisticated, teeth can become aged and outdated. Prior dental veneer technology used relied on composite or opaque ceramic as dental veneer material, but modern dentistry uses translucent porcelains for a more realistic and longer lasting result. Small changes can create a large difference in updating your look, and by visiting your cosmetic dentist. If you take a closer look at this patient’s before picture, her gum line is uneven, and her teeth are a little bulky and worn. To create a younger and updated look, cosmetic dentist Dr. Eshom in San Diego replaced her old dental veneers with new dental porcelain veneers.
With cosmetic dentist Dr. Eshom’s help, you can customize your new look by choosing a specific shape or tooth color. Choosing the right shape and tooth color is an important decision that you and your cosmetic dentist will decide, and choosing the wrong one can deter you from looking your best. Furthermore, you can also create a plan to accommodate your financial budget. In this case, cosmetic dentist Dr. Eshom placed dental veneers only on her four front teeth. Just like this patient, you can get the best of both worlds by looking years younger and by customizing a cost-effective porcelain dental veneer plan!
This patient came into Dr. Eshom’s cosmetic dental office in La Jolla with a couple of concerns, the extra dental bonding material on her front tooth, and the worn, uneven edges of her front teeth. After consulting with cosmetic dentist Dr. Eshom, both agreed on a plan that comprised of porcelain dental crowns and porcelain dental veneers. Because this patient’s teeth were already pearly white from teeth whitening, teeth bleaching prior to porcelain veneers was not needed.
Choosing the appropriate tooth shape for porcelain dental veneers is carefully done by the patient and cosmetic dentist to ensure the best possible smile to fit the patient’s facial features. A shorter tooth length would not show during a smile (similar to her before picture), and teeth that are too long can give a cartoonish look. To avoid both problems, cosmetic dentist Dr. Eshom and the patient chose a tooth shape at the perfect length to show the right amount of her beautiful teeth when she smiled.
San Diego Dental Porcelain Veneers Restoration Before and After
San Diego Dental Porcelain Veneers Restoration Before and After
Many people are concerned with the appearance of their smile. It can affect the way you feel, look, and most importantly, it can also be an indication of your health. This patient came to cosmetic dentist Dr. Eshom’s office in La Jolla with the same concerns. With Dr. Eshom’s experience in cosmetic dentistry, he proposed a plan with the patient to get dental porcelain veneers and teeth whitening. An inexpensive way to improve your smile is teeth whitening, and for the first couple weeks, this patient underwent teeth whitening at home by using teeth whitening trays.
Once her teeth were whitened by the tooth bleaching gel to the patient’s desired whiteness, cosmetic dentist Dr. Eshom was able to complete her dental porcelain veneers. It is important to complete teeth whitening prior to placing porcelain dental veneers in order to match the porcelain veneers to the natural tooth color. Teeth whitening after porcelain dental veneers are placed will be problematic if the natural tooth color significantly differs from the placed porcelain veneers. Ten dental porcelain veneers were placed, creating a natural, beautiful smile.
Dr. Eshom’s Porcelain Veneer Smile Tip For Patients: For a whiter brighter smile, teeth whitening before permanently placing dental porcelain veneers is ideal.
San Diego Dental Porcelain Veneers Restoration Before and After
Small details can have a large impact on your smile. For example, this patient’s two front teeth had edges that looked wing tipped and unnatural. Although it may have been a small detail, the two front teeth didn’t match the shape of this patient’s teeth and smile.
Cosmetic dentist Dr. Eshom in San Diego used dental bonding material to fix the unnatural edges of the two front teeth to create a tooth shape that flowed into the rest of our patient’s smile. The feminine rounded edges of her cosmetic dentistry treatment gave this patient a youthful, softer look to her already beautiful face.
Having porcelain veneers done by different cosmetic dentists or at different times can lead to mismatched, unnatural looking teeth. This patient’s dental porcelain veneers progressed in size from right to left because and were too large and too wide for her smile.
Small details like size, width, length, and color all contribute to the look of your smile, and choosing an experienced cosmetic dentist is essential to get that perfect smile. Cosmetic dentist Dr. Eshom understands the importance of small details while keeping the big picture in mind.
Dr. Eshom and this patient were able to create a plan that fit her financial needs and aesthetic needs though dental porcelain veneers and dental crowns.
Over time, our teeth start to wear down and show signs of aging. Discoloration between previous dental work and natural teeth becomes more apparent, just as darkened metal areas from outdated dental crowns around the gumline become more pronounced. This patient came into Dr. Eshom’s San Diego cosmetic dental office concerned with her outdated dental work and discolored smile. Prior dental work included porcelain dental crowns using outdated materials of porcelain on top of metal. The materials and techniques in cosmetic dentistry have greatly improved. Newer porcelain crown and dental veneer materials offer more realistic and longer lasting results.
All-ceramic dental crowns are used in lieu of ugly porcelain on top of metal crowns, which cause the darkened metal areas around the gumline.
On this patient, Dr. Eshom used a combination of porcelain dental veneers, dental bonding to lengthen teeth, and porcelain crowns to replace the outdated dentistry.
Cosmetic dentist Dr. Eshom gave this patient’s teeth a whiter, younger, and more uniform smile-makeover. Outdated smiles can be easily corrected with state of the art cosmetic dentistry.
Living in Southern California, we are fully aware of how teeth can affect your entire look. Teeth whitening has become a huge trend and it is hard to keep up with the brilliant white standard for teeth whitening set by celebrities.
It’s not hard to see how appealing white teeth can be... Teeth whitening instantly brightens your entire face, and having a perfectly straight smile is an added bonus. This patient came to cosmetic dentist, Dr. Eshom wanting a picture perfect smile. Dr. Eshom and his dental team developed a plan to improve her smile through teeth whiting, porcelain veneers, and dental crowns.
The first step to improving our patient’s smile with cosmetic dentistry was teeth whitening to remove unwanted stains which had accumulated over the years. Whitening the teeth before any other dentistry procedures allows the cosmetic dentist to match the dental material to your natural tooth color (rather than matching the natural tooth color to the porcelain veneers, a much more difficult goal to reach.
After teeth whitening, cosmetic dentist Dr. Eshom worked on making her teeth look more symmetrical by placing porcelain veneers, crowns, and some dental bonding of a tooth colored material to the edges of her teeth. When deciding on dental treatment to correct you asymmetrical teeth, as cosmetic dentist, Dr. Eshom about money saving techniques that still result in that perfect smile.
San Diego Dental Porcelain Veneers Restoration Before and After
Taking good care of your teeth is an important way to stay healthy. Recent studies have suggested that the health of your smile can be a good indication of the health of your heart. Remembering to visit your dentist regularly, brushing, flossing, or watching what you eat or drink can help your dental health significantly. In this case, signs of neglect include the yellow staining, the exposure of the dentin in the lower jaw, and the uneven shape of his teeth.
Dr. Eshom, an experienced cosmetic dentist, focuses on dental health as the most important concern of his La Jolla dental office. Dental health issues can be addressed while still maintaining an aesthetic approach with cosmetic dentistry. Laser dentistry can treat built up bacteria and plaque that harbors dental disease and destruction to the gums and with the placement of porcelain dental crowns, this patient’s worn, gapped smile will look brand new.
A full mouth restoration using porcelain dental crowns to close the gaps and whiten this patient’s teeth. Cosmetic dentist, Dr. Eshom with the specific needs of his patient in mind, created a treatment plan that put this patient’s cosmetic and general dentistry needs on the road to a healthier lifestyle.
Dental porcelain veneers are a great “straightening” tool for teeth. I can conservatively make the front teeth look straight by subtracting tooth structure in the right place and adding porcelain to the areas that need it. Two porcelain veneers are added to the top front teeth of this patient to correct the alignment, chips and color inconsistency. Our patient wanted a subtle correction involving only the two front teeth. I accomplished this by calculating on a study model (plaster mold of the teeth) where tooth structure needs subtraction and where I needed to add porcelain to the teeth for the porcelain veneers. This minimally invasive dentistry technique saves precious tooth structure and creates long lasting porcelain veneers.
Dr. Eshom’s Porcelain Veneer Smile Tip For Patients: If you only want one or two teeth treated in the front of your mouth make sure an experience cosmetic dentist like San Diego cosmetic dentist, Dr. Eshom, does a study model and wax up to calculate the exact amount of tooth structure needed to be removed and added to make the teeth straight and natural looking.
This patient came into my office requesting his “yellow chicklet” porcelain front teeth to be improved. The interesting thing is that these veneers were just done 3 months earlier in another dental office in town. When a patient comes to me unhappy about previous cosmetic dentistry work done by another dentist, I spend extra time with them to make sure their concerns about their smile are addressed before developing a final dental treatment plan. After talking with the patient and asking for his goals for his front teeth, we decided to use in-office custom shaded porcelain veneers
. Teeth whitening of this patient’s natural tooth color brightened his smile for the final result of his cosmetic dentistry. This patients’ unnatural porcelain dental veneers were removed in one short visit with our WaterlaseMD dental laser.
The porcelain dental veneers were removed by “dissolving” the bonding cement with the dental laser, rather than by uncomfortable grinding of a dental drill. Extremely thin porcelain dental veneers were then created to replace the bulky, previous dental work. With no extra tooth removal or uncomfortable grinding, this patient’s smile went from drab to sophisticated in two visits. Custom-in-office shading ensured our patient got porcelain veneers that matched his existing tooth color for that natural look. When looking for a cosmetic dentist to improve you smile: use an experienced cosmetic dentist who can show you before and after pictures similar to the changes you would like to see for your own smile.
Dr. Eshom’s Porcelain Veneer Smile Tip For Patients:
If your porcelain dental veneers ever need to be removed make sure that a dental laser is used to remove them. The WaterlaseMD removes porcelain dental veneers by dissolving the dental bonding material between the porcelain and the tooth. No tooth structure under the porcelain dental veneer is removed this way. Dr. David Eshom is one of less than 2% of the dentists in the country that has this laser and is certified to remove porcelain dental veneers this way.
Often, with age, my patients wear out front teeth slowly. Then one day a front tooth chips. I show my patients pictures of their teeth and all of a sudden the years of wear can no longer be hidden. Notice, on this patient, how short the front 4 teeth are in relation to the cuspids or “eye teeth”. A major guideline in cosmetic dentistry is to have the “eye teeth” the same length as the central front teeth. This makes the smile look beautiful and flowing as the edges of the teeth curve to the shape of the lower lip. Notice how these four porcelain veneers lengthen her teeth perfectly and her smile curves to the shape of her lower lip. This patient also admitted to grinding her teeth at night which wore down much of her lower teeth. Dental bonding was used on the chips in her lower teeth. A night guard was made to protect her porcelain veneers from grinding and teeth whitening rounded out her beautiful new smile. Porcelain veneers are a conservative way to regain a youthful smile, enhance your confidence, and bring a positive outlook to your appearance.
Dr. Eshom’s Porcelain Veneer Smile Tip For Patients: Whenever you want to change more than one tooth with a porcelain veneer make sure you look at the rest of the upper and lower teeth in regards to how they come together and the specific lines of your smile. An experienced cosmetic dentist like Dr. David Eshom understands how each tooth contributes to the overall smile and appearance of the face.
Often over time, your teeth can start to wear down due to stress, grinding of your teeth, or age. With Dr. Eshom’s experience in cosmetic dentistry, he is capable of improving the appearance of your smile with a variety of techniques including porcelain veneers, dental bonding, inlays or onlays, and laser teeth whitening.
In this case, the San Diego patient was concerned that the worn edges of her teeth were affecting his smile. Using minimally invasive dentistry and dental bonding, cosmetic dentist Dr. Eshom greatly improved the look our patient’s entire smile, without having to work on her entire mouth. Cosmetic dentist Dr. Eshom addressed this patient’s upper teeth and preserved natural tooth structure by using a porcelain veneer alternative, dental bonding. Cosmetic dentist Dr. Eshom improved this patient’s teeth with dental bonding, giving her a natural and healthy smile.
Cosmetic Dentist Dr. Eshom’s Porcelain Veneer Smile Tip for Patients: For natural looking dental bonding, make sure you use an accredited cosmetic dentist. Dental bonding can be used to correct gaps and spaces, chipped teeth, and tooth discoloration.
This patient came to cosmetic dentist Dr. Eshom’s San Diego office seeking a solution to the visible gap between her front teeth. Cosmetic dentist Dr. Eshom recommended dental bonding, an easy fix to the front tooth gap. One of the major dental bonding advantages is that it is a low-cost alternative to porcelain dental veneers. A simple procedure, dental bonding can correct front teeth gaps without having to touch precious tooth structure. Cosmetic dentist Dr. Eshom uses a tooth-colored dental bonding material to match the existing natural teeth. Both a dentin (the underlying tooth material) and an enamel dental bonding material are used to give the dental bonding a natural finishing touch. Dental bonding in many cases can correct simple chips or discoloration of the tooth or in the case of this patient, dental bonding corrected the gaps between her front teeth.
Grinding of your teeth at night, age, sports, or stress are some ways your teeth can start to wear down or chip. Even though we may be unaware of these occurrences, we are all vulnerable to the wearing of our teeth. When this patient came into cosmetic dentist Dr. Eshom’s office, the obvious chipped teeth were of immediate concern. “Sometimes, patients come into my practice wanting to take smaller steps toward changing their smile,” says cosmetic dentist Dr. Eshom, “When dental bonding is appropriate, as in the case of this patient with a few chipped teeth, I recommend it for its simplicity and cost advantages over porcelain veneers.” For a more comprehensive treatment that can take years off your age, cosmetic dentist Dr. Eshom recommended a teeth whitening treatment before the dental bonding was placed. Dr. Eshom placed dental bonding on the chipped front tooth and used dental bonding to smooth out the edges of other teeth starting to show wear and tear.
Many everyday circumstances can have a negative toll on your teeth. After a while, stress or grinding can alter the shape of your teeth, and exposure to smoke, coffee or certain foods can cause staining or discoloration on your teeth. A common concern for many patients, this dilemma can be easily remedied through cosmetic dentistry. Creating a beautiful, natural, and realistic smile is a major priority for cosmetic dentist Dr. Eshom when patients come to his cosmetic dental office in San Diego. To create the best smile possible, this patient underwent teeth whitening to remove all the stains on his teeth. Using teeth whitening bleaching trays is one teeth whitening option you can consider from your cosmetic dentist to instantly create a younger and brighter smile. Once the patient had undergone teeth whitening, cosmetic dentist Dr. Eshom used a tooth colored material to bond to the grinded edges of his teeth on his upper jaw. Using minimally invasive dentistry to place the natural tooth colored dental bonding material on his chipped teeth, cosmetic dentist Dr. Eshom gave this patient a brighter and more beautiful smile.
One small accident can have a large effect on your smile, and accidentally hitting your teeth on a hard surface can lead to chipped or cracked teeth. An artistic eye is a needed skill to be successful in cosmetic dentistry. Just like making a sculpture, cosmetic dentist Dr. Eshom uses his creativity and artistic ability to improve the look of his patients’ smiles by molding the shape of the tooth and creating a very naturalistic smile. In this case, this patient came to cosmetic dentist Dr. Eshom in San Diego to repair her chipped front tooth that she had accidentally hit on a hard surface. To fix her chipped tooth, cosmetic dentist Dr. Eshom dental bonded a tooth colored material to the front tooth maintaining the shape and color of the other front tooth. When the dental bonding material was placed, her once chipped tooth was no longer visible, creating a new smile that now matched her beautiful face.
One reason many adults may hold back from fixing one crooked tooth is thinking that they need braces. Braces are an expensive and awkward procedure for adults. A consultation with cosmetic dentist, Dr. Eshom will offer you alternatives to traditional orthodontics such as porcelain veneers or dental bonding to correct crooked or gapped teeth. This patient came to Dr. Eshom’s cosmetic dental office in San Diego with the majority of his teeth straight, except for one worn, crooked front tooth. Assuring the patient that braces were not required, cosmetic dentist Dr. Eshom suggested that dental bonding a tooth colored material would transform the crooked, worn tooth into a straight tooth. Using his artistic ability and minimally invasive dentistry, cosmetic dentist Dr. Eshom was able to fix the crooked tooth by dental bonding that perfectly blended and matched the color of the tooth and other surrounding teeth.
Grinding your teeth can cause teeth to look jagged, worn, and uneven. Although many people may be unaware of it, evidence of grinding can become more apparent as time goes on. Usually as a nighttime occurrence, grinding can also become more noticeable during the day as stress increases in your life. Seeking advice from a dentist to fix uneven teeth can be easily fixed through cosmetic dentistry. To make jagged, worn teeth look more even, cosmetic dentist Dr. Eshom places a tooth colored bonding material to the necessary uneven edges of the tooth. In order to create a natural looking smile, Dr. Eshom chose a dental bonding material that perfectly matched the natural color of the tooth. The dental bonding material is blended into the tooth by cosmetic dentist Dr. Eshom to elongate and improve the shape of the tooth. After dental bonding the tooth colored material, wearing a night guard is necessary to protect and prolong the shape of their newly even teeth.
Just like Tom Cruise, you may notice that this patent’s teeth are leaning on an angle (canted) and are not perpendicular to the rest of this patient’s face. Canted teeth are not known to affect your oral health and people who choose to fix their canted teeth purely do so for aesthetic reasons. Canted teeth can develop over time and will not straighten eventually. Consulting an experienced cosmetic dentist is necessary to fix angled or canted teeth.
To corrected this patient’s canted teeth, cosmetic dentist Dr. Eshom placed one dental crown on the left central incisor (the left front tooth), three dental porcelain veneers on the other central incisor and on the two lateral incisors, and four other dental porcelain veneers were also placed on her lower four front teeth. Placing a dental veneer and a dental crown next to each other can be tricky—an artistic eye is necessary to create a realistic and natural looking smile. With cosmetic dentist Dr. Eshom’s experience, he can help you attain that straight smile that you are looking for.
Misaligned teeth can have a larger affect on your teeth than you may think. In this case, because this patient’s teeth were misaligned, it caused extreme wearing down of the teeth, even into the dentin (the interior tooth tissue). With teeth this worn down, everyday activities can become extremely hard to do. Exposed dentin can cause teeth to become sensitive, vulnerable to cavities, and can cause difficulty in eating.
Porcelain veneers can be used for aesthetic and health reasons.
In cosmetic dentist Dr. Eshom’s San Diego dental office, oral health is considered to be a top priority. To fix the exposed dentin and the worn down teeth, cosmetic dentist Dr. Eshom placed a combination of porcelain crowns and porcelain veneers on the most exposed worn teeth of his smile. In this case, careful placement of the porcelain veneers and crowns were necessary to prevent eventual grinding. To put a stop to the grinding, the shape of the porcelain veneers and crowns were carefully chosen and properly aligned. In addition, this patient was given a night guard to use while sleeping when grinding is most prevalent. Take a look at his before and after photos—the end result is indescribable!
Frequent illnesses at a young age and certain medications can cause the color of your teeth to look blotchy and discolored. Because the discoloration is not a surface stain, correcting it can be difficult without dental porcelain veneers. This young patient came to cosmetic dentist Dr. Eshom in San Diego with hopes of eventually having a beautiful smile. Besides having blotchy colored teeth, her teeth were unevenly shaped and did not have a uniform look that is commonly wanted in a smile. To create her new smile, ten porcelain dental veneers were placed to remove the blotchiness and to create that uniform look.