In this post from Vanguard Dental Group in Derry NH, we focus on something that happens occasionally when a patient requests cosmetic dentistry.
Let us set the stage. The patient comes in for a consultation about a smile makeover. We’ll call him Mr. Jones. We listen carefully as he explains the aesthetic problems that he wants to remedy. Mr. Jones wants to fix two chipped teeth, get a dental implant for a tooth that is missing altogether, and whiten his whole smile. He describes what he envisions for his smile after undergoing treatment.
We perform an examination of his entire mouth and takes x-rays. We discovers some additional problems. There are three teeth with moderate decay, one tooth with acute decay, gum disease, an old crown with a crack in it, and severe bone recession at the potential dental implant site where the tooth was extracted ten years ago.
We explain that these problems need to be addressed before the smile redesign is performed. Mr. Jones says that the smile makeover is his first priority and plans to deal with the other problems sometime in the future.
How do we advise Mr. Jones? We will probably explain that the lasting success of a cosmetic dental procedure such as porcelain veneers, dental bonding, or tooth whitening is influenced by the condition of the mouth at the time of treatment. There must be a solid, healthy foundation, so to speak, on which to build the smile makeover.
First things first. It makes no sense to attach a veneer to a decayed tooth that may need a root canal. A dental implant may not integrate with the surrounding bone structure if placed at a site where there is bone recession. Tooth whitening will probably not produce favorable results where there is gum disease and exposed tooth roots.
Can Mr. Jones ever have his dream smile? Yes! There are treatments to correct all of the problems mentioned previously. But just like many other things in life, the order of operations is critical.
If you are interested in cosmetic dentistry or simply need a check-up, call us at Vanguard Dental Group in Derry NH. Our services include family and pediatric dentistry, and urgent dental care. Make an appointment with us today.
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