Cosmetic Dentistry Services

We know the appearance of your teeth is important to you. At Brumbach Family Dentistry, we are dedicated to delivering the attractive smile you desire. Our cosmetic dentistry services include Smile Design, Teeth Whitening, Porcelain Veneers, and Bridges. For more information about these cosmetic services, click on the links below.

Smile Design

Studies show that many adults are not 100% happy with the look of their smile. If you are one of those people, we have a solution that is completely customizable to your needs and desires.

The art of smile design not only enhances your appearance, it also improves your self-confidence, health, and emotional well-being. There are many whose genetics, injuries, or bad habits have induced cosmetic issues that keep them from smiling. In turn, they may find less confidence in social environments, career endeavors, and romantic relationships. Although it is not the final solution to these issues, it can certainly be a good step in improving the quality of life in these areas!

The design of your smile is a completely customized process, inviting input along the way to achieve the final result.

How to Design Your Smile | Where to Start

As a dental professional, Dr. Brumbach focuses on smile design guidelines such as symmetry, harmony, balance, and proportion. There is a combination of art and science to improving and reaching that smile you have always dreamed of.

The initial part of the process involves a complete oral exam to see if you have any underlying health issues related to your cosmetic goals. For example, a discolored tooth might show a need for a root canal or treatment of periodontal disease. Essentially, establishing a strong foundation is important. We want you to have a healthy and beautiful smile that stands the test of time.

Cosmetic Dentistry Services We Provide

  • Whitening

    We offer in-office whitening treatments that use the strongest bleaching solutions available. We also can make custom-fitted mouth trays for powerful bleaching at home.

  • Orthodontics

    Orthodontics, or the straightening of teeth, are a great tool we can use to help design your smile. Misaligned or crooked teeth can have a significant impact on how you feel about your smile. We have new, technologically-advanced options that make orthodontic treatment less obvious and disruptive than ever — with desirable results!

  • Laboratory Wax-Up

    This serves to visualize what changes might look like. This table top procedure can be copied and applied to your teeth temporarily for a smile evaluation before anything permanent is done.

  • Porcelain Veneers

    Veneers are thin coverings made of ceramic material that are placed over the front of the tooth to change shape, spacing or mask poor color.

  • Bonding

    Composite resins (glass and plastic resin mixture) are attached or “bonded” to repair a decayed, discolored, chipped, or fractured tooth in order to improve its appearance.

  • Porcelain Crowns

    These crowns are made out of different ceramic materials and are used to restore badly decayed, injured, or even missing teeth. Porcelain crowns can be sculpted to closely replicate the look of natural tooth enamel while providing strength and resilience.

  • Dental Implants

    These are small, screw-shaped titanium posts used to replace the root of a missing tooth. These are typically finished with a crown that is custom-made to match the color and shape of your existing teeth. Together, the implant and crown are an excellent option for tooth replacement. They are as close to the natural tooth that we can get.

  • Bridges

    Replacing missing teeth with bridges is also a great option especially if the teeth on either side of the space are in need of treatment.

TEETH WHITENING

Most people can agree that a shiny, white smile is attractive. However, keeping our smile white can be difficult and sometimes time consuming. With all of the options available today, let us help you decipher what would work best for you.

Where To Start

Teeth Whitening Before and AfterIn our office, teeth whitening is a safe and cost-effective way to improve your smile. The result can be striking — In-office whitening can lighten teeth three to eight shades in just one hour (results may vary).

Professional whitening by our office is more effective and less painful than store-bought treatments, and will better safeguard sensitive gums and tooth-root surfaces. We do not recommend whitening treatments performed by someone not properly trained.

As a first step, you should always have an oral exam before you start any whitening procedure to determine if teeth discoloration is related to any underlying health issues.

Professional Whitening Methods

Professional whitening uses high-concentration bleaching gels that are not available to the general public.

  • In-Office Whitening Treatment — This process offers immediate results with the most powerful whitening solutions available. First, we cover your gums and tooth-root surfaces with a protective barrier. Then, we place a retractor to hold your lips and cheeks away from your teeth as we apply a professional-strength hydrogen peroxide gel. This gel stays on for one hour and the results can be seen immediately upon removal.
  • Take-Home Whitening Treatment — This is a viable option to whiten your teeth, though it will take more time to produce visible results. More likely than not, it will take a few weeks to reach the level of whitening you desire. First, we take a mold of your teeth to make two, flexible plastic mouth trays, custom-made in our office. At home, you will fill the trays with a whitening gel we provide for you. Next, you’ll fit them over your teeth and leave them in for an hour. In some cases, you can leave them in overnight depending on the strength of the bleach.

How to Maintain Your New White Smile

Maintain your usual habit of brushing and flossing twice a day to make sure your whitening results last. Typically, results last six months to two years, or even longer for some. Also, keep up with your regularly scheduled professional cleanings twice a year with our office.

Try to avoid heavy consumption of foods and beverages that can stain your teeth, such as red wine, tea, and coffee. If you’re a smoker, you can use your newly beautiful white teeth as motivation to quit, or at least cut back.

Don’t ever feel like it may not be worth it because you drink “too much coffee”. Easy intermittent touch-ups, either at home or at the dental office, can keep your smile white and beautiful for years to come

Maintain Your New White Smile

BONDING

Not only is dental bonding one of the simplest ways to restore a broken, chipped, or decayed tooth, it is also one of the most cost effective methods available to our patients.

What Is Tooth Bonding?

What is a BridgeDental bridges close the gap left by missing teeth. A bridge is a prosthesis (an artificial part) that is stabilized by the healthy teeth surrounding the gap. Healthy teeth that provide stabilization and support surrounding the missing tooth (or teeth) are called abutments. The false replacement teeth are called pontics and can be made from gold, alloys, porcelain, or a combination of these materials.

Typically, abutment teeth are also crowned in order to provide the support needed for the placement of the bridge. We normally follow the same process we use for placing a crown. First, we remove a layer of enamel from the abutment tooth. This creates enough space for the crown to completely cover the tooth while still keeping its natural appearance. The crowns on the surrounding abutment teeth are then attached to the pontic (false) tooth between them. The pontic is essentially just another crown; the difference is that there is no tooth underneath.

How Does Tooth Bonding Work?

how-tooth-bonding-worksTooth bonding can typically be done in one visit. We ask that patients allow 30 minutes to one hour from start to finish. We start by removing the plaque and tartar from the tooth to provide a clean, smooth surface. Then, we apply a pore-opening acidic gel, so that the resins can effectively be absorbed by the tissue. After the gel, we rinse it off and apply a thin layer of composite resin onto the surface of the tooth. As mentioned above, the composite resin is matched to the natural coloring of your existing teeth. We use a unique light to cure and harden this first layer of resin, and then we apply another layer and cure again. This layering and curing continues until we achieve the desired thickness. After, we use a small drill to shape the bonding material to match the shape of your existing teeth. Finally, we polish the tooth so it looks and feels exactly like your other teeth.

Each case is different, and Dr. Brumbach considers each patient on a case-by-case basis.

Bonded Teeth Maintenance

As always, we suggest brushing and flossing your bonded teeth every day, along with dental cleanings twice annually. The composite resin can absorb stains exactly the same way your natural teeth can. That said, it’s important to avoid excessive consumption of certain foods and beverages that cause yellowing or staining such as coffee, red wine and tea. Smoking can also cause staining, so we recommend reducing or totally eliminating smoking.

It is important to note that composite teeth can yellow and stain, but they cannot be whitened. Therefore, if you are considering teeth whitening, it’s best to have it done before starting your tooth bonding treatment so we can match the color of your teeth as closely as possible. With good daily maintenance habits, a bonded tooth can last anywhere between three to ten years.

PORCELAIN VENEERS

What do you look for in a nice smile?
Some characteristics of an appealing smile are obvious: white, bright tooth color, pleasing formation and shape, and straight alignment. If your teeth could use help in those areas, porcelain veneers could be a great option.

What Are Porcelain Veneers?

Veneers are wafer-thin, custom-made shells of tooth-colored material designed to cover the front surface of the teeth. For cosmetic dentistry, a veneer is made of strong porcelain that substitutes for natural tooth enamel. The shells are bonded to your teeth to change the color, shape, size, and possibly length of the tooth to create a natural-looking new smile. Dental porcelain, like real tooth enamel, is translucent and durable. Additionally, a veneer is beneficial because it doesn’t stain or darken like your natural tooth enamel can.

In recent years, great technological advancements have been made in applying dental porcelain. Typically, a very thin layer of tooth enamel needs to be removed from the existing tooth to make the new porcelain surface fit and look as natural as possible. Now, veneers can be made so thin that they can be bonded directly on to the existing tooth. Very conservative “No-Prep” Veneers can transform a smile without ever removing the existing natural tooth.

Advantages of Porcelain Veneers

We utilize porcelain veneers to improve the following features of your teeth:

  • Color — Over time, teeth can become discolored by consumption of certain foods and drinks, smoking, and even as part of the normal aging process. Veneers are available in many shades, from a natural color, to a bright Hollywood-celebrity white.
  • Size and Shape — Teeth can become worn down from habitual grinding, or you may be unhappy with the size or shape of your natural teeth. Veneers can be custom shaped and sized to fulfill your desired look.
  • Alignment and Spacing — Veneers also are utilized to close small gaps between teeth, and they can be used to make small corrections in alignment.

Restrictions of Porcelain Veneers

In some situations, veneers may not be the best treatment option. For example,orthodontic treatment may be more effective for significantly misaligned teeth or a large gap. And, if you have lost tooth structure from decay, trauma, or grinding, it may be a better to repair your teeth with porcelain crowns, which cover the whole tooth. Dr. Brumbach strives to give you effective yet conservative options to optimize your smile.

Creating a New Smile with Porcelain Veneers

Porcelain Veneers Before and AfterThe first step in creating a new smile with porcelain veneers is to discuss your smile goals with Dr. Brumbach. It may be beneficial to bring examples of smiles you admire as a starting point for discussion. We can then model how veneers would look on your teeth in a variety of ways. One option is to create a model of your teeth and put wax imitation veneers on the replica. Or, we can put acrylic, natural tooth-colored filling material directly on to your teeth to imitate how the veneers would potentially look. Changes can easily be made in the acrylic before moving to the final permanent porcelain veneers.

Once we have a plan for your smile, we may need to remove a small layer of enamel from your teeth. Other times, no preparation is needed. We then take molds of your teeth, and send them to the dental laboratory to create your veneers. In the meantime, you’ll receive a temporary set of veneers to use during the short time it will take to create your permanent ones. When the veneers are ready from the lab, you’ll try them for fit and approval before being permanently cemented onto your teeth.

How to Care for Veneers

Just like your natural teeth, porcelain veneers need gentle brushing and flossing twice a day in order to rid your mouth of plaque and ensure healthy gum tissue surrounding the veneers. Semi-annual checkups at our office should be an integral part of your oral and general health routine.

Remember that even though veneers are durable, they should not be used as tools (like to open packages) or to bite into very hard foods, like hard candy — which isn’t good for your real teeth, either! Also, if you grind or clench your teeth at night, ask Dr. Brumbach about getting a custom-made mouth guard to protect and extend the life of your veneers.

BRIDGES

Missing teeth can cause challenges for our patients. Difficulty biting and chewing, communicating, and poor self-image are among the most common. Dr. Brumbach has many ways to replace missing teeth, and an effective technique is a dental bridge.

What Is A Bridge

What is a BridgeDental bridges close the gap left by missing teeth. A bridge is a prosthesis (an artificial part) that is stabilized by the healthy teeth surrounding the gap. Healthy teeth that provide stabilization and support surrounding the missing tooth (or teeth) are called abutments. The false replacement teeth are called pontics and can be made from gold, alloys, porcelain, or a combination of these materials.

Typically, abutment teeth are also crowned in order to provide the support needed for the placement of the bridge. We normally follow the same process we use for placing a crown. First, we remove a layer of enamel from the abutment tooth. This creates enough space for the crown to completely cover the tooth while still keeping its natural appearance. The crowns on the surrounding abutment teeth are then attached to the pontic (false) tooth between them. The pontic is essentially just another crown; the difference is that there is no tooth underneath.

How We Build a Bridge

Bridge Step by StepIf you have a single missing tooth, your bridgework will consist of three crowns. Two of the crowns will cover the surrounding abutment teeth on either side of the gap left by the missing tooth. The two crowned abutment teeth will then become stabilizers for a third crown placed in between them, filling in the empty space. This arrangement is known as a three-unit bridge (shown in the illustration).

If more than one tooth is missing, we will need to add additional crowns in order to close the gaps in between surrounding abutment teeth. In some cases, we may need to utilize more abutment teeth. There are several factors that we consider in deciding how many abutment teeth we will need to utilize. We consider the number of teeth that are missing, the size and length of the roots of the abutment teeth, the level of bone support for each abutment tooth, and the location of the missing teeth.

Each case is different, and Dr. Brumbach considers each patient on a case-by-case basis.

What You Should Expect

Bridgework is broken up into two different office visits. During the first visit, Dr. Brumbach will prepare your abutment teeth as described above, using local anesthesia to minimize any discomfort. Then, we make a three-dimensional mold of your teeth using an impression material or by taking a digital scan. The 3D models of your teeth will assist the dental lab techs in creating your crowns.

While the dental lab techs are creating your crowns, we will give you a temporary bridge to wear. During your second visit, we will remove the temporary bridge and cement your permanent bridge in place. Some patients may experience a short transition period as they become used to the feel of the new bridge in their mouths.

It is important to note that your crowned teeth require the same daily care as the rest of your other teeth. For instance, make sure you regularly brush and floss every day to prevent plaque build-up around your bridge. It is also crucial to maintain a regular schedule of professional cleanings at our office.

IMPLANTS AND CROWNS

Missing or broken teeth can be a huge cosmetic burden that can oftentimes be painful and hard to manage. Dental implants and crowns are a great way to cosmetically improve these areas of your mouth and solve the problems that these issues have created for you.

The difference between implants, crowns, and bridges

Implants: Implants replace a single gap, or single missing tooth. It consists of a small, bio-compatible, titanium post that is surgically inserted beneath the gum line and allowed to fuse with the bone. After some healing time, the post is topped with a fake tooth (a crown) that acts as a fully functioning tooth long term. Implants are essential for preventing bone loss in the jaw over time. They don’t come loose and can also be used in the “bridge” process.

Crowns: Crowns are made to restore or cover up cracked or chipped teeth throughout the mouth. They are placed over implants or damaged natural teeth, acting as a normal tooth both in look and in function.

Bridges: Bridges are comprised of at least three pieces and aim to fill or fix gaps between missing teeth. There are two abutment teeth (either two natural teeth with crowns or dental implants with crowns). These teeth serve as the bridge posts. The false tooth in the middle that “bridges” the gap (supported by the abutment teeth) is called a pontic.

Advantages of Crowns

Crowns are widely used with restorative dental procedures, and validly so. They offer a relatively inexpensive fix to restore your damaged or missing teeth. Some of the benefits of crowns are:

  • They can be used with natural teeth as well as atop implants. If anything happens to the crown, they can be replaced again.
  • In many cases, they prevent having to fully extract a damaged tooth, which can cause other problems over time
  • They are barriers to
    • infection
    • decay
    • any further damage to an already damaged tooth

Consider a crown if:

  • Your tooth has a cavity that is too large for a filling
  • You have a tooth that is cracked, worn down, or otherwise weakened
  • You’ve had root canal treatment – a crown will protect the restored tooth
  • You want to cover a discolored or badly shaped tooth to improve your smile

Why Get Dental Implants?

Dental implants are considered minor surgical procedures. Essentially, their purpose is to replace the root of the tooth to preserve and promote jaw bone health. Generally, they serve as a cosmetic restoration of a single tooth. Why get implants:

  • Long-term solution: Implants are a long term solution to the burden of a missing tooth. Because the small titanium posts are inserted beneath the gum line, they actually fuse to the jaw bone. Thus, they become permanent fixes. Then, they’re topped with a prosthetic tooth made to match the surrounding teeth.
  • Prevent Bone Loss: Because implants take the place of a tooth root by fusing into the jaw bone, the jaw bone maintains structure where it otherwise would begin to lose density. Bone loss in the jaw can pose other health problems like loss of facial structure, decreased functionality to chew and talk, and the breakdown of gum tissues that support your other healthy teeth.
  • Aesthetic: Of course, filling in the gaps from your missing teeth are a great way to undo the stress caused by an unhealthy or unattractive smile. The effects of smiling with comfort and confidence can make a world of difference for an individual. Don’t wait to achieve your beautiful, healthy smile!

ORTHODONTICS

As mentioned above, orthodontics is a cosmetic service that aims to correct any misaligned, non-straightened or otherwise imperfectly-placed teeth. Most of the time, this cosmetic service is pursued in order to create a more aesthetically-pleasing smile. However, there are also long-term benefits that coincide with orthodontic treatment.

What is Orthodontic Treatment?

Orthodontic treatment is, at it’s most broad, a systematic, long-term treatment to move teeth to predetermined positions. This happens by applying constant, gentle force to the teeth over a set amount of time (generally months to a couple years). The amount of time needed to move teeth to the desired positions can vary among each patient. Reasons for varying treatment time are due to age, the extent of the problem, or the type of treatment used.

Why Get Orthodontic Treatment?

There are many reasons that one would consider orthodontic treatment! Oftentimes, an imperfect smile is something that hinders positive self-image. Thus, many people seek orthodontic treatment in order to achieve the beautiful smile of their dreams. After all, there is scientific evidence that proves the health benefits of smiling!

In addition, misaligned teeth can be about more than just beauty. For example, it can also be in relation to an improperly-fitting bite. This might mean that you have an underbite or an overbite. If this is the case, then misaligned teeth could result in jaw pain, trouble chewing, TMJ, and disproportionate pressure on some teeth, causing enamel wear and cavities. If so, braces may be the preliminary method of correction for this before further treatment is needed.

There are a variety of reasons that one would consider cosmetic procedures. For example, the last decade has seen an increase in the quality of service that often deters patients from correcting their cosmetic issues. Specifically, improved technology is minimally invasive, increasingly pain-free, and conducive to more accurately-preformed dental procedures. Procedures like implants, veneers, whitening, and orthodontics are quicker and more painless comparatively to past decades. In addition, the materials have also transitioned from various metals to quality surgical steel and ceramics, resulting in greater patient satisfaction and producing better aesthetic results.

We can help you decide whether your cosmetic issues qualify for our state of the art orthodontic treatments or whether a specialist or other type of oral surgeon would be better suited. Come in for a consultation today!

What are my Options for Orthodontic Treatment?

ClearCorrect Aligners

What is ClearCorrect?

ClearCorrect clear aligners straighten teeth using plastic that is almost invisible. Similar to a retainer, the aligners are easily removable and there are no wires that trap food or get in the way when you floss. The clear aligners are BPA free, made in America, and 100% safe. If you’re interested in learning more about ClearCorrect, continue reading to find out about the treatment process.

The ClearCorrect Process

As with most treatments, ClearCorrect treatment starts with a consultation with Dr. Brumbach. He will evaluate your bite and teeth alignment with a visual examination. If he believes you are a good candidate for ClearCorrect, the following steps will take place:

  1. First, we’ll take x-rays, images and molds and use those to create a digital image your teeth.
  2. Then, we’ll map out how we plan to slowly move and straighten your teeth to the desired position.
  3. We’ll send the digital images to ClearCorrect, where they produce the aligners specifically created for your teeth.
  4. During check-ins, we’ll check your progress and give you new sets of aligners roughly every two weeks. You wear the aligners for at least 22 hours a day, and progress through each set until your treatment is complete and your teeth have reached their final position.

Traditional Braces

Traditional braces are made of metal brackets that are attached to teeth. The brackets are responsible for maintaining the tension of the wire that is connected from bracket to bracket. This tension is key as it is the actual force that moves your teeth over time. Sometimes, brackets need elastic bands that keep wires in place and/or apply additional directional force.

braces-colourful-equipment-healthcare

How to Get the Best Results out of Orthodontic Treatment

The American Association of Orthodontics says that the best way to achieve quick and effective results with braces is to be intentional. If you want to have a beautiful smile, then you will want to work with the process, and not against it. This means that you should limit foods that are bad for your teeth or chewy/hard foods that will damage or get stuck to your braces or other orthodontic equipment in your mouth. You should also be sure keep up on your scheduled dental cleanings and orthodontic check-ins to maintain the health and efficacy of your treatment. Follow your doctor’s instructions and you will certainly be proud of the results once those braces are finished!

LABORATORY WAX-UPS

Laboratory wax-ups are a great way to help patients see accurate representations of cosmetic and restorative procedures before permanent measures are taken. We know your unique smile is important to you, so we want to make sure you approve the changes that will take place.

What is a Laboratory Wax-Up?

Essentially, wax-ups are exactly what they sound like- a sculped wax model of the physical aspects of your teeth. These are generally crafted by professional dental technician labs in partnership your dentist. Although there are a few different versions, they are generally made of wax and crafted from an array of inter-dental measurements, molds, and photos taken of your teeth. A professional laboratory will take the time to craft the wax-up using various techniques and recommendations from Dr. Brumbach. This simply serves as the starting point, or the rough draft, in perfecting your ideal smile. Cosmetic preferences considered are shape, length, arch, position, and color of each tooth. Over multiple visits, your dental mock-up will be shaped to your liking. As mentioned previously, the art of Smile Design employs many principles- both esthetic and biological.

Wax-Ups: Taking the Guesswork Out of your Biology

As mentioned previously, the art of Smile Design employs many principles- both esthetic and biological.

In addition to cosmetic services, dental procedures like orthodontics and implants are also considered biological processes. This is because your teeth are not stagnant, passive pieces of bone, but biologically-influenced and interconnected pieces of your body. Moving and removing teeth will, in turn, affect the surrounding teeth and even your underlying bone structure and density. This is the same reason why wearing retainers is important after a beautiful, straight smile is achieved- they will keep moving regardless of the fact that they are in a good position. Understanding and planning for the biological processes of your oral health and subsequent dental procedures is paramount for achieving long-term success. Your teeth will, undoubtedly, respond to changes occurring in your mouth over time.

Why Are Lab Wax-Ups Important?

Wax-ups are very helpful because they serve as a tangible way to see exactly how your smile will look after treatment. It is, of course, much easier to visualize what your new teeth will look like with more than just a verbal explanation. It may also help you and your dentist consider various options for treatment. Additionally, it may help you see the value in receiving treatment and allow you to see past what may be a daunting price tag.

In all, Dr. Brumbach will always work with you to come up with a treatment plan for you that sustains both the health and beauty of your smile. Lab wax-ups are an option for some of your dental treatments. If you have any questions, please inquire with Dr. Brumbach during your consultation or appointment.

Maintain Your New White Smile
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