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43570 Garfield Clinton twp., MI 48038

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By David A.Susko DDS, PC
March 19, 2018
Category: Dental Procedures
Tags: veneers  
TransformYourSmilewithPorcelainVeneers

You have a problem with your teeth. Functionally, there's nothing wrong with them — but it's another story when you look in the mirror: discoloration, wearing or maybe a slight gap between them.

Fortunately, you don't have to settle for a smile you're not happy with. Less costly than crowns or bridgework, porcelain veneers can nonetheless correct many mild to moderate cosmetic problems with teeth and transform them into an attractive smile.

Like the name implies, a veneer is made of thin layers of dental material custom-designed and bonded to the outside of a tooth. Veneers can correct problems with color, tooth shape and size, and mild misalignments or spacing. It's akin to installing new siding on a house.

To begin your journey with veneers, we must first examine your teeth to fully assess your dental needs and ensure you have no issues that could prevent applying them. Then, we prepare your teeth: although not to the extent as for a crown or bridge, we must remove a small amount of tooth material so the veneer will appear natural and not bulky.

We then make an impression mold of your prepared teeth that a dental technician will use to create your veneers. During this process they build up layer after layer of liquid porcelain until they achieve the right thickness, shape and color to match your teeth.

In the meantime, we can fit you with a temporary set of veneers made of acrylic plastic so you can chew, speak and smile normally. These provisional veneers also give you and your friends and family a chance to see what your new smile will look like.

When your veneers are ready, we'll create micro-etches in your teeth that will help keep the veneer secure after we've bonded them. Once bonded, the veneer will feel like an inseparable part of the tooth and look it too. No one except you and us need know you're wearing veneers.

If you take care of them — keeping up daily hygiene habits, not biting into hard surfaces, and visiting us regularly for checkups — your veneers can last for many years. And so will that beautiful, new smile.

If you would like more information on porcelain veneers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Porcelain Veneers.”

PreplessVeneerscanTransformYourSmileWithoutAlteringYourTeeth

Porcelain veneers represent one of the best values in cosmetic dentistry, capable of radically changing a person’s smile with little tooth surface preparation. Still, the small amount of tooth enamel usually removed to accommodate them will permanently alter the affected teeth, to the point they will require a veneer or other restoration from then on.

The traditional veneer has remarkable versatility for solving a number of minor cosmetic problems, correcting mild tooth positioning problems and replacing lost or damaged enamel. But to avoid an unnatural bulky appearance, a portion of the tooth enamel must be permanently removed to accommodate them.

In recent years, though, a new concept known as “prepless veneers” has emerged in the field of cosmetic dentistry. Understandably, this new, “drill-free” veneer application has caused a lot of debate among dentists and patients alike, with concerns of bulky, overly-contoured teeth resulting from the technique. But the concept is growing as many well-regarded dentists have incorporated both minimal prep and prepless veneers into their service offerings.

The prepless veneer offers a cosmetic solution that doesn’t alter the tooth permanently. Using techniques such as feathering, which tapers and blends the veneer seamlessly with the tooth at the gum line, we can avoid an unnatural appearance while offering patients a much less invasive outcome.

The main disadvantage of prepless veneers at this time is that they’re not appropriate in every case. In fact, careful patient selection is a key to a successful outcome. For example, relatively large teeth or teeth positioned too far forward don’t work well with an added layer of thickness.

If, on the other hand, you have small, short or worn teeth, or teeth overshadowed by your lips — just to name a few likely scenarios — then you may benefit immensely from prepless veneers without permanent alteration to your teeth. A detailed examination is your first step to finding out if this new technique could provide you with a less-invasive smile makeover.

If you would like more information on drill-free porcelain veneers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Porcelain Veneers without the Drill.”

By David A.Susko DDS, PC
December 30, 2014
Category: Dental Procedures
ldquoPreplessrdquoPorcelainVeneersAreTheyRightForYou

Designing a better smile sometimes requires a change in the size, shape, or color of your teeth. Porcelain laminate veneers (thin layers of dental ceramic material) enhance your appearance by replacing the natural enamel on the outside of your teeth. A veneer is physically bonded to the surface of a tooth, in essence, becoming part of it.

Traditionally, a small amount of the natural tooth enamel is drilled away to allow room for the veneer. But today, in some circumstances, it is possible to use an approach where enamel reduction or preparation is not necessary because the veneers can be bonded directly onto the tooth's natural surface. These are called “Prepless” or “No-prep” veneers, and are used to create aesthetically pleasing and natural looking restorations. An advantage of the prepless procedure is that the process is reversible so that you can give your new smile a “test drive.”

You may be a good subject for Prepless veneers if:

  • Your smile is narrow because the teeth in the sides of your smile are positioned inward and do not show from a frontal view.
  • There is spacing between your teeth, and the teeth appear too small.
  • You have a fairly common genetic condition in which one or both of the teeth directly next to the two upper front teeth are very small and peg-shaped.
  • There is an imbalance between the size of your lips and teeth (large lips and small teeth), which are not in proportion to show off your best smile.

Prepless veneers are probably not for you if:

  • Your teeth are not aligned properly in your bite.
  • Your teeth are very crowded, resulting in poor facial profile.
  • Your teeth are already relatively large or positioned forward.

In these cases you may need to have some form of orthodontic treatment to move your teeth into better position. Sometimes veneers can be used to create an illusion of proper tooth alignment, but some amount of tooth reduction may be required.

We can assess whether prepless veneers are right for you. There is no substitute for an expert dentist's talent and expertise with the various cosmetic techniques available today. These skills combined with a thorough diagnostic evaluation, and a clear understanding of your goals, are the keys to providing you with a successful and beautiful smile.

Contact us today to schedule an appointment or to discuss your questions about cosmetic dentistry. You can also learn more about prepless veneers by reading the Dear Doctor magazine article “Porcelain Veneers Without the Drill.”

By David A.Susko DDS, PC
November 18, 2013
Category: Dental Procedures
ArePorcelainLaminateVeneersRightForYou

Porcelain laminate veneers are one of the innovative techniques dentistry has developed for restoring teeth to improve their color and shape so that they look as good as or better than the originals.

What are porcelain veneers? Porcelain is a ceramic material that is baked in a high-heat oven until it becomes glass-like. Your grandmother's antique china teacups are probably made of porcelain. Dental porcelains are especially made to perfectly mimic the color, reflectivity and translucency of natural tooth enamel. A veneer is a covering or shell, a false front; dental porcelains can be fashioned into veneers used to restore the enamel surfaces of teeth.

What is a laminate? A laminate is a structure created by uniting two or more layers of material together. Dental porcelain laminate veneers refer to the combination of tooth enamel bonding material and porcelain veneer.

When are porcelain laminate veneers used? Porcelain veneers are used to enhance the color of stained, darkened, decayed and heavily restored teeth. They are also used to: correct spaces between teeth; straighten slightly rotated teeth; correct problems in tooth shape and some bite problems. They can be good solutions for broken teeth or teeth that have been worn by habitual tooth grinding.

What is the process of placing the veneers? Room generally needs to be created to place a veneer; generally requiring about half a millimeter of reduction of tooth enamel. Artistic dental laboratory technicians fabricate veneers. About a week of laboratory time is usually needed to construct your veneers.

How do I know whether I will like the way my new veneers look? Computer imaging can be used to digitally replicate your teeth and create images of the proposed changes. Models of your teeth can be cast and changes can be made in white wax for your preview. Temporary veneers can also be fabricated as a test drive before the final veneers are fabricated.

How long will porcelain veneers last? Veneers can last 20 years or more. They are very strong but like glass, they can break if extreme force is applied to them. You should avoid such activities as opening bottles, cracking nuts, or biting into candy apples with your veneers.

How do I look after my new veneers? Once the veneers are placed, you should continue daily brushing and flossing. There is no higher incidence of decay around them than with your natural teeth. However, the more dental work you have in your mouth, the more vigilant you need to be. Of course, keeping your sugar consumption low helps to protect all of your teeth from decay.

Contact us today to schedule an appointment or to discuss your questions about porcelain laminate veneers. You can also learn more by reading the Dear Doctor magazine article “Smile Design Enhanced with Porcelain Veneers.”

By David A.Susko DDS, PC
July 08, 2013
Category: Dental Procedures
HowDoILookAfterMyNewPorcelainVeneers

You've just had porcelain laminate veneers placed on your teeth to improve their appearance, color and shape. Now what? How do you maintain them and keep them looking their best?

A dental porcelain veneer is a thin layer of porcelain that is bonded to a tooth, replacing the enamel (the outermost layer of a tooth). Dental porcelain is a glass-like substance that can be used to mimic natural tooth enamel perfectly because of its bright, reflective and translucent (see-through) qualities.

To look after your veneers, it is important to maintain the health of the teeth on which they were placed, and of the surrounding gums.

  • About a week after your veneers have been placed, return to our office so that we can check them to make sure they are functioning well.
  • Brush and floss regularly using non-abrasive fluoride toothpaste; make sure you remove biofilm, the film of bacteria that collects on the teeth, every day. Flossing or brushing will not harm your veneers.
  • We recommend regular dental checkups to review the state of your veneers and your dental health in general.

Porcelain is a ceramic glass-like material, and like glass it is strong but brittle and can fracture when placed under too much stress.

  • You can eat almost all foods without harming your veneers, but avoid biting into hard things like candy apples.
  • Many people habitually grind or clench their teeth. If you are one of them, let us know. We can make a protective bite guard that you can wear to reduce stress placed on your teeth (and your veneers) while you sleep.

With good dental hygiene, and regular dental check-ups porcelain veneers can last from seven to twenty years or even longer. This makes them a good solution that will improve your smile for years to come.

Contact us today to schedule an appointment or to discuss your questions about porcelain laminate veneers. You can also learn more by reading the Dear Doctor magazine article “Smile Design Enhanced with Porcelain Veneers.”



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