June 27, 2017

Archives for December 2010

Porcelain Veneers used to Treat Thin Chipping Enamel

Thinning teeth that constantly are chipping
porcelain veneers for thinning, chipping teeth

To correct for her thinning, chipping teeth Renee had ten porcelain veneers placed by Dr. Huefner. Alternative treatments were composite bonding or porcelain crowns.

Renee from Rancho Santa Margarita in Orange County, CA, was concerned about her teeth and was contemplating cosmetic dentistry and porcelain veneers. “They just don’t look good any more,” she told Dr. Huefner at her cosmetic dentistry consultation.  “They just seem to be getting thinner and thinner, and my front teeth are constantly chipping at the edges.  I”m worried that if I don’t do something now that eventually I won’t have any teeth.”

Upon closely examining Renee’s teeth she was right.  She had lost about a half millimeter from the front of her teeth and 1.5mm from the length.  The edges of her teeth were sharp from her constant grinding of her teeth.  The normal thickness of the teeth were probably lost by a combination of chemical erosion and attrition.  Chemical erosion probably a result of a very acid diet and very frequent use of carbonated drinks.  The attrition most likely due to using an abrasive tooth paste and too frequent “scrubbing” of her teeth.  The net result were her teeth were wearing away.

Porcelain veneers for Renee compared to composite bonding or porcelain crowns
dental erosion abrasion and attrition

Renee's teeth had thinned and shortened over the years as a result of erosion, abrasion and attrition. They were progressively chipping and wearing away and she wanted to get back a more youthful smile.

Renee knew there was no way to magically grow her teeth back and that some type of dental restorations would be indicated.  In her case Dr. Huefner explained to her that she was an ideal candidate for porcelain veneers treatment.  Other alternative treatments were plastic composite bonding, which although much more conservative would be less likely to hold up against her heaving teeth grinding, and porcelain crowns, which would have been a much too aggressive treatment.  Considering everything, Dr. Huefner told Renee that in his opinion porcelain veneers would be the best choice for her!

Dr. Huefner discussed the design of the porcelain veneers that he recommended:

  • longer teeth, as they had originally been before the tooth wear shortened them
  • whiter teeth
  • thicker teeth, as they had original been, optimizing natural lip support

After looking at the smile design libraries Renee chose the LVI “softened” smile style.  For the color she studied the tooth color shade guide and chose the BL2 shade.  Ten porcelain veneers were done for Renee, and she got the beautiful smile she had been wanting.  Also, Dr. Huefner fabricated a “night guard” bruxism appliance that he recommended she wear at night while sleeping to minimize or help prevent other teeth from wearing down in the future.

Sprucing Up Mature Woman’s Smile with Porcelain Veneers

porcelain veneers laguna niguel

Marla's smile makeover with porcelain veneers and an all-porcelain crown. She wanted whiter teeth, but not white teeth. She chose a lighter natural shade that was still appropriate for her age.

Marla, a gracious lady in her late 70s from Laguna Niguel, was disappointed in how her teeth looked.  “Boy, they have really gotten bad over the years and I always have gone to the dentist”, she said at her cosmetic dentistry consultation.  “I’m not getting any younger.  I guess it’s time to do something about it.”

Dr. Huefner asked her what was the things she disliked most about her teeth?  Marla said what bothered her most was the color, her teeth were too dark!  She didn’t like the crown on her front tooth.  It didn’t match the other teeth and there was a space between her teeth.  Also, she said her teeth were crooked and her eye teeth (canines) were too dark and pointed!

extremely dark aged teeth in need of cosmetic dentistry

Marla hated her dark, aged teeth. The front crown didn't match her other teeth and there was a space between her front two teeth. She felt that her eye teeth were too long and pointed.

“I understand that you want all your teeth to match.  How white do you want them?”, Dr. Huefner asked Marla.  She answered that she didn’t want “white teeth”, but she did want her whiter.  She said again that she hated how dark they were. Marla also said that she wanted her teeth to “look real” and appropriate for her age.

Dr. Huefner recommended replacing the front porcelain-fused-to-metal crown with an all-porcelain crown for improved esthetics, and then placing seven porcelain veneers on her other upper front teeth.  Marla accepted Dr. Huefner’s treatment plan and her cosmetic dentistry was completed in under a month’s time She chose shade A2 from the dental shade guide.   Marla loved her new teeth and beautiful smile.

Irvine Man’s Yellow Worn Teeth Transformed with Porcelain Veneers

yellow worn teeth to be corrected with porcelain veneers irvine

Charles didn't like his yellow and worn down teeth.

Charles, a businessman from Irvine, had very yellow and worn down teeth.  In the public’s eye, in front of clients all the time, he became self conscious about the way his teeth appeared.  He came to Dr. Huefner’s Orange County cosmetic dental practice for a second opinion.  A very straight shooter, Charles told Dr. Huefner “I want all my teeth whiter.  I don’t like the yellow color  and want the worn down appearance corrected.”

porcelain veneers irvine to correct yellow teeth

Charles had ten porcelain veneers placed on his upper teeth and teeth whitening on his lower teeth.

Dr. Huefner recommended teeth whitening for his lower teeth and porcelain veneers for his upper front teeth. Charles chose a “softened” smile style from the LVI smile catalog and a shade BL3 from the tooth shade guide. His treatment was completed in less than a months time.

Laguna Niguel Porcelain Veneers and Instant Teeth Straightening for Kandes

From Scottsdale, AZ, to Laguna Niguel, CA, for a smile makeover
mrs. southwest-globe with porcelain veneers

Kandes, Mrs. Southwest States, came to Dr. Huefner for a smile makeover. Dr. Huefner gave her a new smile with porcelain veneers using the "enhanced" smile style for the LVI smile library.

Kandes from Scottsdale, AZ, came to Dr. Huefner’s Orange County cosmetic dentistry practice for a beautiful smile.  Her family dentist back home said she needed braces to fix her crooked teeth.  Kandes said, “I don’t want braces, I just want a beautiful smile. Can you give me a beauty pageant smile with veneers?”  She was Mrs. Southwest States and competed in the Mrs. U.S.-Globe beauty pageant, and came to us because Dr. Huefner had done much cosmetic dentistry for other beauty pageant contestants.

It is always very important for the cosmetic dentist to listen to the patient before recommending cosmetic dental treatment.  Kandes said, “I just want straight teeth and I want them to be whiter.” She went on to say that most of all she didn’t like her canine teeth which stuck out so far!  Also, one of her back teen on her left was pushed in so far it looked like it was missing.

Enhanced smile style for a more youthful appearance
enhanced smile design with porcelain veneers

Kandes wanted a more youthful, feminine smile. Dr. Huefner recommended the "enhanced" smile style, the most popular smile style utilized in his cosmetic dental practice for women.

So for Kandes the recommendation was simple, Dr. Huefner recommended doing ten porcelain veneers in a lighter color (BL2 from the dental shade guide), which would give the straight white teeth she wanted.  Dr. Huefner discussed the different combinations of tooth shapes from the smile style libraries.  Kandes said to Dr. Huefner, “I’ll leave it up to you, but I just want a smile that makes me look a little younger.  Can you do that?”

mrs. southwest states had crooked teeth and didn't want orthodontics

Kandes, Mrs. Southwest States, was competing in the Mrs. U.S.-Globe beauty pageant. She had crooked teeth and wanted a beautiful smile with straight teeth.

Dr. Huefner explained that the most popular smile style he does for women is the Dr. Bill Dickerson LVI “enhanced” smile style.  Most people having smile makeovers want their smile to help them make look a little younger, especially women.  Upon showing Kandes the “enhanced” smile design, she agreed.  She said that she liked it because the cuspids weren’t too pointy, which is what she didn’t like about her own teeth.  A slight surface texture and slight incisal translucency were both added to the design of the porcelain veneers to help impart a more natural and youthful appearance.

Kandes made two trips from Scottsdale to Laguna Niguel to get her new smile, which was completed in just under three weeks time. “The results are amazing,” said Kandes.  “My teeth were crooked and now they look so beautiful!”

Porcelain Veneers and a Bright White Smile for Body Builder

Defining the color – Bruce wanted his teeth bright white
bright white smile orange county

Bruce wanted a "bright white" smile. Also, he wanted his teeth to be thicker, slightly longer and his front four teeth to have rounded corners. Dr. Huefner created Bruce's new smile with porcelain veneers.

Bruce is a body builder from Laguna Niguel and take much pride in his appearance.  In his late 30s, Bruce’s teeth had discolored and was progressively chipping at the edges.  At his cosmetic dentistry consultation appointment Bruce indicated he had already reached certain conclusions as to what he wanted.  Because his teeth were chipping and cracking, and because he was a “big guy”, Bruce strongly felt that he needed longer, thicker and “bigger” teeth.  Also, he wanted “white teeth, definitely white!”

We discussed his options, which were primarily teeth whitening (which would only whiten the teeth and NOT change the shape, length or thickness of the teeth) or porcelain veneers (which could be utilized more precisely to change the shape, length, thickness and color of the teeth).  It didn’t take Bruce long to make his decision, he wanted porcelain veneers.  “And remember,” said Bruce, “I want them WHITE!”  Ultimately Bruce chose a BL1 shade from the dental shade guide.

Defining the shape – Bruce wanted the corners of his front teeth to be rounded
thin teeth that were chipping away

Bruce's teeth were wearing and chipping away. He didn't like his thin, discolored teeth, which seemed to be getting shorter. He wanted a bright white smile with longer teeth.

As Dr. Huefner was designing Bruce’s smile, Bruce told Dr. Huefner that he didn’t want the corners of his front porcelain veneers to be square.  He definitely wanted the corners more rounded.  “No problem,” said Dr. Huefner.  That what I want to hear, what you do and don’t like.  After all, I really want the end result to be something that you’re extremely happy with and I won’t know what you really like if you don’t tell me!”

Since Bruce wanted his upper teeth (porcelain veneers) really white, Dr. Huefner did tooth whitening on Bruce’s lower teeth.  It was important that this be done or else there would be quite a noticeable contrast between Bruce’s upper and lower teeth.  Then Bruce’s porcelain veneers were completed in just under three weeks time.  The final result was a “wow” from Bruce.  He got the bright, white smile he wanted, and the thicker and longer teeth with rounded edges.

Whiter Straight Teeth with Porcelain Veneers Laguna Niguel

Porcelain Veneers or Orthodontics?
porcelain veneers laguna niguel straight teeth

Janis had Dr. Huefner place porcelain veneers on her crooked, discolored upper front teeth. She is now undergoing braces for her crooked lower teeth, which will be followed with teeth whitening.

Janis from Laguna Niguel had slightly crooked teeth that were moderately discolored. Her children were out of the house and now she was ready to do something for herself that she had always wanted – straight white teeth!  She came to Dr. Huefner’s Orange County cosmetic dentistry practice to discuss her options.

After carefully listening to Janis’s concerns, Dr. Huefner discussed her options as to what she could do to get the perfect smile she had always wanted:

  • teeth whitening and orthodontics (braces) on her upper and lower teeth
  • porcelain veneers on her upper and lower teeth (it would make her teeth straight)
  • porcelain veneers on her upper teeth and followed by treating her lower teeth with braces and then teeth whitening (bleaching)
Beautiful smile with porcelain veneers create straight white teeth
crowded worn chipped discolored teeth

Janis wanted a more attractive smile. Her teeth were crowded and she didn't want braces on her upper teeth. Also her teeth were discolored and chipped. Porcelain veneers on her upper teeth and orthodontics followed with teeth whitening for her lower teeth is the cosmetic dental treatment Janis chose.

Dr. Huefner referred Janis to an orthodontist to discuss braces with her and then she returned to Dr. Huefner for her final decision.  She mentioned that she could do braces on her lower teeth, but not on her upper front teeth.  Janis chose the third option, immediately doing porcelain veneers on her upper teeth, followed by braces and then teeth whitening on her lower teeth.

Janis’s porcelain veneers were placed by Dr. Huefner in less than a months time and she is now undergoing braces for her crooked lower teeth.  When the orthodontist has straighted her lower teeth, Janis will return to Dr. Huefner for teeth whitening.

Dr. Norman Huefner, 30131 Town Center Drive, Suite 160, Laguna Niguel, CA 92677, Orange County Cosmetic Dentistry and Porcelain Veneers. Serving the surrounding cities of Irvine, Newport Beach, Mission Viejo and Rancho Santa Margarita

Short Worn Teeth Get Smile Makeover with Porcelain Veneers – Rancho Santa Margarita

Porcelain Veneers for Rancho Santa Margarita Lady
youthful attractive smile with porcelain veneers orange county

Dr. Huefner treated Trisha's short, worn down teeth by placing ten porcelain veneers and fabricating a night guard to protect her teeth by wearing while sleeping.

Trisha, from Rancho Santa Margarita,  had a problem.  She is a “night grinder”, the dental term for this is ” bruxism”.  What results is that many bruxers continually wear their teeth down so that they become shorter and shorter as the years progress.  When teeth get very short like Trisha’s teeth, it gives a “aged” look, and in this day in time most people who try to look their best also want to look a little younger if they can.  Short, worn down teeth doesn’t help this.

Night guard to treat tooth grinding – bruxism
short worn teeth produce an older looking smile

Trish didn't like her teeth, which had really worn down and shortened, in addition to darkening. She wanted an attractive and more youthful smile and came to Dr. Huefner to discuss porcelain veneer treatment.

Coming to Dr. Huefner’s cosmetic dentistry practice in Orange County, CA, Trisha was interested in having porcelain veneers to give her longer teeth (like they were when she was back in college) and whiter teeth!  After careful evaluation of Trish’s teeth it was determined that she would be an excellent candidate for porcelain veneers provided that she wear a protective appliance at night to minimize the negative effects of her bruxism habit.  The appliance is called a night guard.  Made of plastic, similar but much smaller and thinner than an athletic mouth piece that a football player wears, a night guard keeps opposing teeth from wearing down against each other.  It is also an aid for patients who clench their teeth and get resulting head aches and muscle pain from the habit.

Ten porcelain veneers were placed on Trisha’s upper teeth and a night guard was fabricated for her.  The results were impressive.  Her short little teeth were restored to their proper length.  She got the whiter teeth that she had always wanted and a more youthful and attractive smile! Trisha’s porcelain veneer and night guard treatment was completed in just under a month’s time.

Vampire Teeth Gets Smile Makeover with Porcelain Veneers Mission Viejo

Transforming a vampire smile
vampire teeth mission viejo cosmetic dentistry

Jason hated his "vampire teeth". When he was in high school they teased him a lot. Now an adult he realized how important having straight teeth was. He was ready to have "instant orthodontics" with porcelain veneers.

Jason, a young Mission Viejo man, hated his teeth, especially his eye teeth!  According to Jason, “Kids really used to make fun of my teeth in high school.  Vampire man was my nick name.”  At Jason’s cosmetic dentistry consultation we discussed all his treatment alternatives and orthodontics was one of them.  Jason explained that as a teenager his mother had taken him to an orthodontist, but he refused treatment.  Now he wish he had.

We explained to Jason that for someone his age braces is still the way most dentists would recommend he be treated.  His teeth were crowded and crooked, that’s one of the primary indication for braces.  However Jason was adamant, “No, braces are still not an option for me.  I know it would still take a couple years to get my teeth straight, and I’m too busy and the treatment would take too long. Besides, I was told that I would have to wear a retainer for years afterwords.  What else can be done?”

Instant orthodontics with porcelain veneers vs. braces
instant orthodontics porcelain veneers mission viejo

Dr. Huefner reshaped Jason's gummy smile with the dental gum laser. Then Dr. Huefner placed ten porcelain veneers, giving Jason the straight white teeth he had always wanted.

Fortunately for Jason in this day and age cosmetic dentists offer a alternative treatment called “instant orthodontics” whereby utilizing porcelain veneers crooked teeth can be straightened into a beautiful smile in a matter of just a few weeks.  Although technically not orthodontics, and technically the teeth aren’t really moved into a straight position, the porcelain veneers on top of the teeth yield a result that crooked teeth look like they are straight!

In addition to the “straightening the teeth” part, porcelain veneers have some other added benefits that braces don’t have:

  • the color of the teeth can be changed
  • size and shape of the teeth can be changed
  • no retainer necessary
  • usually treatment can be completed in less than a months time, compared to 1-3 years of adult orthodontics

When Jason looked closer at the photographs Dr. Huefner took of his teeth and smile Jason was asked to be very specific about what he didn’t like about his teeth and wanted to be changed:

  • his eye teeth (canines) were too pointed (referring to his “vampire teeth”)
  • he wanted the color of his teeth whiter
  • his later incisors (the ones next to his front two teeth) were pushed in
  • he showed too much of his gums (i.e. gummy smile)
Laser gum reshaping and porcelain veneers create beautiful smile for Jason

After going over all the pros and cons of both treatments, braces vs. cosmetic dentistry with porcelain veneers (informed consent), Jason decided to have cosmetic dentistry.  Because of the unevenness of his gums and that he didn’t like the gummy look, Dr. Huefner reshaped his gums with the dental gum laser.  Then ten porcelain veneers were placed.  The treatment took 4 office visits over a months time.  The end result was an incredible smile!  No more vampire teeth for Jason.

Looking Ten Years Younger with Porcelain Crowns and Porcelain Veneers Orange County

Always a good patient doing what the dentist recommended
ten years younger with cosmetic dentistry orange county

Replacing old, worn out dentistry with new porcelain crowns and veneers Eleanor looked ten years younger!

Eleanor from Mission Viejo had gone to her family dentist her entire life and had always done what he had recommended.  She had one thing done every two or three years.  One time a crown, another time a filling, then a bridge to replace some missing teeth, then another porcelain crown, etc.  When she came to our Orange County cosmetic dental practice we asked Eleanor what her main concern was.  She answered that she spent all this time and money in the dental office over the years and her smile looks horrible!

A common cosmetic dental failure – doing dentistry one tooth at a time over years
old dentistry needs replacement with orange county porcelain crowns and porcelain veneers

Old, worn you dentistry that failed to give Eleanor a good smile. Unfortunately she had much dentistry done "one tooth at a time" over years, and the results was an unattractive smile and teeth that didn't match each other.

Looking closely, Eleanor had a very good point.  None of her dentistry matched and her smile didn’t look very good.  There was a noticeable space between two of her front teeth, her front two teeth didn’t look the same at all, her side teeth were dark and discolored, her bridge had a big gap under it that accumulated food.  Eleanor’s intent was to be a good patient, do what the dentist recommended, but her smile kept getting worse.  She experienced one of the most common cosmetic or esthetic dental problems, having dentistry done one tooth at a time!

Dentistry that worked with her budget

After agreeing with Eleanor, we asked her what she wanted us to do for her?  She replied that if she could afford it and it didn’t take too many visits, what would it take to redo her old dentistry and give her nicer looking teeth, teeth that matched!

The answer was that her old dentistry could be replaced with modern, good looking cosmetic dentistry in less than a months time and less than a handful of appointments with Dr. Huefner.

Eleanor made a strong point, saying that she’s “no spring chicken any more” and has to be very careful with her money.  She went on to say that she could probably do it provided that the cosmetic dentistry was affordable, meaning that if she could pay for it over time.  Happily, we arranged a payment program for her that fit within her budget.

A smile that looked ten years younger!

When Eleanor’s cosmetic dentistry was completed with a new porcelain bridge, and several new porcelain veneers and porcelain crowns.  Eleanor was elated with the results.  She came back for one of her adjustments mentioning that one of her friends said that she looked ten years younger!

Dr. Norman Huefner, 30131 Town Center Drive, Suite 160, Laguna Niguel, CA 92677, Orange County Cosmetic Dentistry and Porcelain Veneers. Serving the surrounding cities of Irvine, Newport Beach, Mission Viejo and Rancho Santa Margarita

Aged Teeth Rejuvenated Smile with Porcelain Veneers – Irvine

Worn and prematurely aging teeth
irvine porcelain veneers

Rus with a younger, more attractive smile with porcelain veneers by Dr. Huefner.

Some people are downright  hard on their teeth causing them to wear and age prematurely.  Rus from Irvine was one of those people.  A handsome, healthy looking guy had everything going for him, except his teeth.  He “clenched” and ground down his teeth.  Along with that, over the years some of the choices of food and drink eroded and discolored his teeth.  Rus was also about to move and change jobs.  He knew that now was the time for him to finally get his teeth and smile in order.  Wanting to consult regarding porcelain veneers, Rus came to Dr. Huefner’s Orange County cosmetic dentistry that also treats patients from Irvine, Rancho Santa Margarita and Newport Beach.

On close examination Rus has experienced many of the things that cause premature aging of teeth, erosion, attrition and abfraction.  This is usually caused by tooth grinding and clenching at night when the patient sleeps.  Also possibly a factor was tooth brushing way too hard.  Chemical factors, such as too much or too frequent acid diet and/or frequent ingestion of carbonated drinks can also strip away the enamel off the surface of the teeth.  Unfortunately, these things not only weaken the teeth, but they significantly disfigure the appearance of teeth.  Rus understood that and wanted to know if porcelain veneers were the best option for him?

worn teeth attrition abfraction erosion

Rus's teeth had prematurely aged and he was ready for a smile enhancement with porcelain veneers.

There are several options that cosmetic dentists offer to improve the appearance of teeth and porcelain veneers are just one of them.  Teeth bleaching can whiten teeth, but does not change the shape of the teeth.  Porcelain crowns are useful when there are large defects in the teeth, usually due to breakage, cavities or large fillings.  Composite bonding (plastic bonding) is useful for smaller defects on few teeth and is especially useful for younger patients.  Before answering Rus, Dr. Huefner had to qualify what goals he had for his teeth and smile.  Cutting to the chase, Rus said he wanted a really nice smile with whiter teeth that were longer.  He realized that appearance is important, both in his career and in the social environment.  Thus, after careful consideration, Dr. Huefner recommended ten porcelain veneers for Rus.

Whiter and slightly longer front teeth with porcelain veneers for a more youthful smile
youthful smile with porcelain veneers

Rus with a more youthful and attractive smile with porcelain veneers by Dr. Huefner

Rus proceeded with the cosmetic dental treatment that Dr. Huefner had recommended.  Dr. Huefner designed a smile that he felt would look great for Rus.  However, in the interim Rus chose to customize the smile design and requested that the porcelain veneers be slightly longer than average front teeth. Rus realized that his teeth had shortened over the years and shorter teeth are usually associated with a more aged smile, which was something he definitely didn’t want! Rus wanted a more vibrant, youthful smile, which is what Dr. Huefner created for him.

His porcelain veneers and cosmetic dental treatment was completed in three weeks and the results were exactly what Rus had hoped for.  Now he has a great looking smile!

Dr. Norman Huefner, 30131 Town Center Drive, Suite 160, Laguna Niguel, CA 92677, Orange County Cosmetic Dentistry and Porcelain Veneers. Serving the surrounding cities of Irvine, Newport Beach, Mission Viejo and Rancho Santa Margarita
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