Cosmetic Dentist

cosmetic-dentistYour smile is one of the first things people notice about you and if your teeth aren’t exactly in tip-top shape, it can be embarrassing to show off your smile when meeting new people.

At Grange Family Dental, we offer the best cosmetic dentistry to give you a set of pearly whites you can be proud of. From cosmetic teeth whitening to smile-enhancing crowns and veneers, we have the right treatment plans to fit your needs.

You’ll absolutely love our incredible staff. Our caring cosmetic dentists are with you every step of the way, from your first assessment to the final result – and they can’t wait to put a bright smile on your face!

Grange Family Dental has over 20 years of experience offering cosmetic dentistry services of the highest caliber – at prices you can afford – and we use all the latest technology and equipment in order to give you the best care possible. We’re so confident in our work that we even include in-house guarantees on all of our procedures, from 6 months to 10 years, depending on your course of treatment.

Cosmetic Dentistry Brisbane

Smile Enhancement - Crowns and Veneers

What are Porcelain Crowns and Veneers?

Porcelain crowns and veneers in dentistry refer to “shells or sheets” of porcelain which are created to replace lost tooth structure. They are usually around 0.5-1.5mm thick and are very strong to withstand bite forces in patient’s mouth.

Veneers on the 2 front teeth

Veneers on the 2 front teeth

Porcelain crown and bridging treatment on upper teeth, and direct restoration of lower teeth using composite “white fillings”

Porcelain crown and bridging treatment on upper teeth, and direct restoration of lower teeth using composite white fillings.

What is involved in doing crowns/veneers?

In order to have sufficient strength to last many years, crowns/veneers require a minimum thickness of usually 0.5mm or more. This means on teeth where there isn’t enough room to fit the crown, a small amount of tooth structure needs to be milled down to allow room for the crown to fit. However, in many cases where crowns are needed, there is often already significant amounts of tooth structure missing so reduction is usually minimal.

Once the tooth is milled down to the ideal shape, a mould is taken and sent to the laboratory to fabricate the crowns. During this period of time, we will make a set of “temporary crowns or veneers” to ensure you are never without teeth.

Once the crowns/veneers arrive back from the laboratory, they are then “bonded” on to the teeth using a dental adhesive. A well made crown/veneer supported by a sufficient amount of tooth structure can usually expect to last up to 10-12 years although this can vary dramatically between people pending their bite strength and oral hygiene. At Grange Family Dental, we guarantee all crowns and veneers for the first 5 years so you can be sure you are always going to get good quality from us.

What are the benefits and limitations of crowns and veneers?

Porcelain crowns/veneers are extremely durable and when used properly in the right situation, should withstand the test of time. They can be used to completely change the colour and shape of your natural teeth and even strengthen or replace missing tooth structure in most circumstances.

However, crowns and veneers are only as strong as the amount of support provided by the underlying teeth, essentially “amplifying” the strength of existing tooth structure. Therefore in cases where there just isn’t enough tooth structure left, the longevity of crowns will be compromised as well.

An additional limitation of crowns/veneers is that they can not change the position of your teeth. This means that, for a person with severely crowded or tilted teeth, crowns and veneers can only correct the colour and shape of the teeth, but have a minimal impact on the alignment of the teeth. Please visit the See Our Work section for more examples of completed cases.

Replacing Missing Teeth - Dental Implants

What are Dental Implants?

Most dental implants are made from various grades of titanium alloys and are shaped like a “hollow bolt”. Titanium and its alloys are biocompatible metals which fuse to the bone when allowed to heal without disturbance. The amount of time can vary from 10 to 12 weeks and at the end of the “healing period”, a porcelain crown can be fitted into the middle of the implant to replace any missing teeth.

Dental Implants Diagram- Implant is placed surgically, an abutment is attached and a permanent crown is affixed.

How are implants put in?

Dental implants are usually secured into the bone via minor surgery where the implant body is either “screwed in or tapped in”. After the healing period, the implant becomes completely fused to the bone and the “hollow” in the centre of the implant becomes housing for an abutment (connector). A crown is subsequently placed over the abutment to look and feel like a natural tooth. Sometimes where there isn’t enough bone, we can perform a “bone graft” to grow more bone into the desired area in order to hold the implant once placed. A bone graft can vary from using bone from other parts of the body to foreign or synthetic “bone chips” to encourage bone to grow into the desired area.

What are the Pros and Cons of implant dentistry?

Dental implants have long been considered the “gold standard” when it comes to replacing single missing teeth. Its strength and longevity make it the closest replacement to a lost natural tooth. When a good level of oral hygiene is maintained, dental implants have been seen to last more than 20 years and at Grange Family Dental, we guarantee all implants placed in house for the first 10 years*.

However, dental implants are not suitable for everyone, and must be considered on a case-by-case basis. As dental implants are held in by bone, in areas where there is insufficient bone, a dental implant may not be possible immediately until a bone graft is performed. Furthermore, if an implant is exposed to too much bacteria (plaque or tartar), it can become infected just like a natural tooth and possibly even drop out. Finally, certain medical conditions such as diabetes, osteoporosis or environmental factors such as smoking can also affect the success rate and lifespan of an implant. An experienced dentist should be able to advise you on the relative risks of all these factors.

Replacing Missing Teeth - Fixed Bridges

What is a porcelain bridge?

A porcelain bridge consist of 2 crowns placed on either side of a missing tooth which allow then supports an artificial tooth between them. Whilst the outer layer is made from porcelain to mimic the appearance of a real tooth, the underlying supporting structure can vary from gold alloy, zirconia or porcelain as well.

Can you tell the difference?

Can you tell the difference? 3 single crowns, and 3 unit bridge (joined)

How is a bridge made?

Dental Bridge Diagram

A bridge is made by changing the shape of the 2 adjacent teeth to the gap. This allows us to fit a crown to each of these 2 missing teeth, and at the same time suspend a 3rd artificial tooth (or “pontic” tooth) onto these 2 teeth for support. A bridge is permanently fixed inside the jaw and does not move or come out and on average should last around 10 years or more when made well. It is possible to only use 1 adjacent tooth to create a bridge and such a design is known as a cantilever bridge and may be the preferred option in some situations. Bridges can also be fitted on dental implants as well in the same way its fitted on natural teeth.

What are the pros and cons of dental bridges?

In general, a dental bridge has a very high success rate and can be completed within 1-2 weeks in most cases. The result is immediate and compared to implants, there is no surgery and no healing period. The life span of a bridge when used correctly is similar to that of a dental implant, and is certainly the preferred choice for patients whom surgery is contraindicated.

However, as we are using 2 natural teeth to bear the load of 3 teeth, bridges may be contraindicated when the 2 adjacent teeth are already weak and not appropriate for load bearing. Another long term concern for bridges is the risk of gum “shrinkage” beneath the artificial tooth, which may expose a “dark gap” between the bridge and the gum. This can prove problematic with cleaning, and can be highly unpleasant if visible in the smile. One method commonly used to avoid this issue is the creation of an “ovate pontic”, where the artificial tooth is designed in such a way that it makes contact with the gum, which can assist in slowing down the gum shrinking process (but not stop it completely).

Improve Denture Stability - Implant Supported Dentures

What is an Implant Supported Denture?

Implant Supported Denture Diagram

All forms of dentures have traditionally derived their support from either the remaining teeth or the gum. As we lose more teeth, this support dwindles and the denture becomes looser. Introducing implants under the denture to anchor the denture down can greatly increase the retention and stability hence the ability to chew with them.

How do implants improve the stability of the denture?

Often dentures sitting on nothing but gum will float around with little resistance resulting in difficulty in chewing/biting. When an implant is introduced underneath the denture, it can be joined to the denture via a “ball and socket” joint (or other designs) which allows the denture to grip onto the implant. As the implant is fixed to the jaw, the denture will no longer be able to move around when it’s tied down to the implant. Whilst multiple designs are available, just about all the designs will need the “connectors” to be replaced after a period of usage to maintain maximum tightness.

All On Fours Design

Dentures - All On Fours Design

A common design for implant supported dentures is known as “all on four” and describes a design where a denture is fixed on 4 implants. In this design the denture is permanently fixed to the 4 implants and can only be removed by a dentist with the right tools for regular maintenance. Please contact Grange Family Dental for more details of this procedure.

What are the pros and cons of implant retained dentures?

Implant retained dentures have revolutionised the use of dentures and given patients long troubled by poor fitting full dentures a much improved option. It dramatically improves the fit of the denture thus the quality of life of the patient. However, before an implant retained denture can be made, one must go through the implant surgery first and a 3 month healing period is usually required. Another limiting factor, is the availability of bone required to fit the implants may be reduced in patients who have been missing their teeth for a prolonged period of time.

Teeth Whitening

What is Teeth Whitening (aka bleaching)?

This refers to the process where intrinsic stains (stains embedded inside the teeth) are removed from the teeth via bleaching/whitening gels thus resulting in a whiter appearance of the teeth afterwards.

How does it work?

All types of teeth whitening require a medium (whitening gel), with the two most common types of whitening gels being Carbamide Peroxide and Hydrogen Peroxide. These gels can be found in various concentrations, and can be applied to the teeth by wearing a “bleaching tray”. A bleaching tray is a thin, custom-made mouthguard worn by the patient for around 30-45min per night. After 3-4 applications, patients should notice a visibly brighter smile.

(Direction based on product currently used by Grange Family Dental)

Contra-indications and risks:

The most common contra-indication for whitening is sensitive teeth. As the process usually involves using a strong chemical, it has the potential to exacerbate existing sensitivity or even to initiate one. Therefore, we would always recommend the use of anti-sensitive dental products 1 week before and 2 weeks after the whitening process.

Another contra-indication is strong colours in dietary or social habits. Things like red wine, coffee or smoking will cause the whitening result to vary and sometimes it can even result in teeth that are darker than before. Therefore, please speak to your dentist before starting whitening at home.

Worried about having to find a ride for oral surgery or another major procedure? A quick bus ride on Bus 325 or 353 from Queen Street will bring you right to our front door! We’re located in Grange, right outside the suburbs of Brisbane.

Our cosmetic dentistry services include crowns and veneers, dental implants and fixed bridges for missing teeth, implant supported dentures, and teeth whitening. No matter what you need, Grange Family Dental is your one-stop cosmetic dentistry practice in Brisbane!

Make us your first choice in cosmetic dental surgery, today! Call us at (07) 3356 0166 or contact us and one of our friendly staff members will happily set an appointment for you or answer any questions you may have.

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