October 30, 2014

Search Results for: redo

Aliso Viejo Porcelain Veneers used to redo unsatisfactory looking veneers

Redoing four porcelain veneers

Lower photo: Susan had two sets of porcelain veneers on her upper four front teeth. She was dissatisfied with two sets that her family dentist made for her and had the dentist remove them. Upper photo: Dr. Huefner made Susan four Aliso Viejo porcelain veneers. Carefully taken into consideration was the color, length, shape, surface texture and translucency. An absolutely beautiful and natural looking result was achieved.

Susan from Aliso Viejo was unhappy with her front teeth and told her family dentist about it at her routine checkup.  He advised doing four Aliso Viejo porcelain veneers for her, which she agreed to.  After her dentist placed them she realized that they didn’t match her other teeth, and he agreed with her and offered to replace them for her.  However after placing porcelain veneers for her a second time the new ones still didn’t match her other teeth.  Unfortunately, this led to an argument between Susan and her dentist and she left the dental office without any porcelain veneers at all.

She came to our cosmetic dentistry practice pretty discouraged.  “I shouldn’t have let him talk me into them the first place,” Susan told us.  “I knew he was a family dentist, and had always taken good care of me and my family.  And when he told me that he could do porcelain veneers for me I trusted he knew what he was doing.  I was just so disappointed with the results both times that I just didn’t trust that he would ever make them look right.  The color was off both times and they were way too thick.”

“They need not only to match, but they can’t be too thick and have to look real,” she exclaimed to Dr. Huefner.  He assured Susan that he could match her other teeth and give her a great looking smile.

Dr. Huefner explained to Susan that for her Aliso Viejo porcelain veneers to look right that he would have to take into careful consideration many things.  Of course matching the color of her other teeth was one of the things at the top of the list, but he would also need to make the four front teeth the right length for her face.  The shape was important too, as he explained the many choices they would have to consider in the tooth shapes library.  The translucency and surface texture were also details that would lend itself to the new Aliso Viejo porcelain veneers looking natural or artificial.

Susan started to understand the challenges and difficulty making natural looking porcelain veneers and that probably her family dentist or his ceramist just didn’t take all those things into consideration.  Dr. Huefner and Susan worked through all of the design elements and her new Aliso Viejo porcelain veneers were completed two weeks later.  Just as Dr. Huefner had said, Susan got to see her new Aliso Viejo porcelain veneers on her teeth to give him her written permission, and then  Dr. Huefner permanently bonded them onto her teeth with the dental bonding laser.

Dr. Norman Huefner, Laguna Niguel and Aliso Viejo cosmetic dentist, Orange County, CA
www.drhuefner.com

Q: Can my two front teeth made bigger with bonding or do I have to get veneers to lengthen them?

I have bonding on my two front teeth, they look dull and darker. I’m happy with the rest of my teeth, except for the two front ones because of the color change and the teeth are also shorter now because I clinch my jaws sometimes. What’s my best option? Should I get veneers or should I redo the bonding on there? Since I would like the two front teeth to be a little longer, can the two teeth be extended to look longer with bonding? How frequently would I redo bonding? I want a natural look.

Dr. Huefner’s answer:
You mention that your teeth have gotten shorter from clenching.  In general, teeth don’t get shorter from clenching, but rather from grinding, which mostly occurs at night.
Your teeth can be made longer with either approach, however porcelain veneers are much stronger when it comes to lengthening teeth, and as such, should last you many times over what direct composite bonding will do, especially if you are “grinder.”
Also, the shape of the teeth tend to be much better with veneers than bonding, and likewise the color of the teeth is much better and more stable over time.
Thus, I would advise porcelain veneers over direct composite bonding.
You might be interested in seeing some examples of patients who have had their teeth lengthened with porcelain veneers.  See the web reference below.

Web reference: http://www.cosmetic-dentistry-and-porcelain-veneers.com/category/worn-teeth

Porcelain Veneers Treat Congenitally Missing Lateral Incisor

porcelain veneers used to restore smile and replace congenitally missing tooth.

Masculine and natural looking smile, Lance was pleased with the results of his cosmetic dentistry.

Lance, one of Dr. Huefner’s patients from Mission Viejo, had a congenitally missing lateral incisor.  Back in the late 1980s Lance had porcelain veneers placed.  After over thirty years he had experienced some recession around his veneers and one of them chipped.  He knew it was finally time for his porcelain veneers to be redone and this time he was hoping for an even better result than the first time.

So, of course, Lance’s first question to Dr. Huefner was will they better than the first set he had a few years after porcelain veneers were first introduced to dentistry? Explaining that he only wanted to have the old veneers replaced, and not have porcelain veneers placed on his other visible teeth, Lance also wanted to know how different and improved the new design of his smile would look?

old porcelain veneers and congenitally missing tooth

Lance and his porcelain veneers after 20 years of wear

The answers Lance got were encouraging. First, huge improvements in both the materials and bonding techniques have been made over the past two decades.  Second, using some advanced cosmetic techniques to mask the congenitally missing tooth and give the allusion that all teeth were present (called lateralizing the cuspid and cuspidizing the bicuspid) he would have a vastly improved smile.

Proceeding with treatment, Lance was very pleased with the end result. He got a natural looking smile that was greatly improved compared to his original dentistry. Beginning to end, it was completed is just two visits two weeks apart.

Dr. Norman Huefner, serving Laguna Niguel, Mission Viejo, Irvine, Rancho Santa Margarita and Newport Beach.
www.drhuefner.com

improved results of missing tooth and porcelain veneers

Lance was pleased with how his new cosmetic dentistry masked the problem of his missing tooth, and results are an absolutely normal looking smile.

Q: What dental work is suggested and what is a rough estimate for cost?

Hello, I am a 40 year old with known dental work. I need 2 implants on my upper left and right 2nd molars with crowns, as well 7 additional crowns, upper right 1st molar and both bicuspids, 2 upper bicuspids on the the left and 1 on each right and left lower bicuspids. In the last 10 years, my teeth have extensively changed, they are shorter, thinner, yellow and more transparent. Bite looks different. Does the above change facial features and expressions???

Dr. Huefner’s answer:
I’m sorry, but it isn’t that easy to give an estimate based on the information you’re giving.  You are speaking of partial or full mouth reconstruction with dental implants.  “Average costs for crowns and implants” may not at all apply to your particular situation.  Dental implant fees vary considerably between dentists, and you may also need some kind of bone augmentation and custom abutments, both which also add to the fees.
So, I highly advise you have consultations with SEVERAL dentists, and I can assure you that you will get different fees from each.  Also, I would strongly recommend that you not choose your dentist solely based on the lowest fees.  Case in point, not too long ago I had a patient come to see me after a bad experience at a dental implant clinic that she chose based on “the lowest fee”, and of the seven implants she had, two had come out, three were not done properly and also needed to be redone, and only the remaining two implants were OK.
As a restorative cosmetic dentist working as a team with an implantologist (the dentist who actually places the dental implants, while I do the actual crowns or bridges on the dental implants), the experience I’ve seen this past decade is that dental implants have over a 95% success rate!  The only two patients I’ve seen with problems were diabetics or SMOKERS!!!!  Thus, if you are either a diabetic or smoker, your chances of success with dental implants is considerably less than patients who don’t smoke or don’t have diabetes.
Regarding whether or not your teeth have changed your facial features I cannot say, except it oftentimes does, especially with people who have missing or severely worn teeth or have lost all their teeth and are wearing dentures.  Generally speaking, properly done dentistry will improve your facial features and make both your teeth and face look younger.

Crooked Smile Fixed With Porcelain Veneers in Laguna Niguel

Jenny wasn't happy with appearance of porcelain veneers

Jenny’s dentist redid her porcelain veneers three times, but she still wasn’t satisfied with the appearance.

Jenny, a Newport Beach resident, had gone to her cosmetic dentist for porcelain veneers.  Her dentist followed normally accepted protocol done by reputable cosmetic dentists, which was placing her porcelain veneers on her teeth to preview and accept prior to permanently bonding them into place.  But when Jenny previewed them she didn’t like the way they looked.  Her dentist noted her concerns, put temporary veneers back on her teeth and sent the veneers back to the lab to change the design.

A week later Jenny returned to her dentist to preview the corrected veneers, but she still wasn’t happy with the design.  Again, her dentist replaced her temporaries and send her veneers back to the lab to make modifications requested by Jenny.  However when she returned again for the third time the following week she still wasn’t satisfied with the appearance.  Unfortunately, she lost confidence in her dentist and came to our practice for a second opinion as to how her porcelain veneers might be redesigned.

At that time the most important thing we could do was listen very attentively to Jenny, noting her goals and concerns.  She didn’t like the color of the veneers, the direction her teeth were angled, the length and the difference between the length of her two lateral incisors (the teeth next to the front two teeth).

The first thing we shared with Jenny was that her dentist had done an excellent job with the fit of her temporary veneers, indicating that her dentist had demonstrated a very high skill level.  We also told her that we didn’t know her dentist, however the reputation of her dentist was very high.  This was all true!

However to accomplish Jenny’s goals several modifications in the design would be necessary.  First, to do her veneers in a lighter, whiter color as she had requested, it would be necessary to do more than just four veneers, which is what her previous dentist had recommended.  If more weren’t done, when she smiled she would show front teeth that would be significantly lighter than all the other visible teeth.  Second, we showed Jenny the photo of her smile and how her lips, bite and jaws had a significant asymmetry and the fact that there was more gum tissue on the upper right lateral incisor than the left lateral incisor.  That was why the two lateral incisors had different lengths, which really bothered her.  To correct that a simple procedure called “laser gum recontouring” would be necessary.  That would remove some of the excess gums on the right lateral incisor, enabling the two teeth to appear the same length.

Finally Jenny understood, accepted the decision to do eight porcelain veneers instead of four, and was ready to have her porcelain veneers redone with a new smile design.  We placed eight temporary veneers in the design that we envisioned would achieve Sandy’s goals.  That is called the “trial smile” or provisional stage, which serves as a template for the final veneers after Jenny approved of them.  This verification of the final design BEFORE fabricating the final veneers is a major step in achieving a successful final result for the patient.

Jenny's new porcelain veneers

Significant changes were made to Jenny’s new porcelain veneers accomplishing a successful smile design.

This story, which started with Jenny being very frustrated, had a happy ending.  She got the whiter, brighter smile that she wanted.  The excess gums on the one tooth was adjusted with the dental gum laser and the length of the two lateral incisors were more equal in length.  The angle of the teeth was changed to coincide with the direction of her face.  The only thing that couldn’t be corrected was the asymmetry of her upper lip.  However, considering that all the other issues were corrected, Jenny was very pleased at the final results of her porcelain veneers and new smile.

Dr. Norman Huefner, Porcelain Veneers in Laguna Niguel, CA
www.drhuefner.com

Q: Can crowns on your front four teeth be shortened just a bit without taking the glaze off the fronts of them?

I’ve have my front four teeth crowned recently & they are just a bit too long. I’m really worried about getting them shortened because I don’t want to mes them up. They are already cemented in. I have already had them redone once. I’m happy with everything about them but the length. My dentist told me to wear a few days & if I still wanted yo take a bit off…he could. It just scares me because I don’t want to mess them up cause I can’t afford to have them cut off & redone again. Thank you

Dr. Huefner’s answer:
Generally porcelain crowns or veneers on front teeth can be shortened slightly without a problem.  They can also be polished to a glaze like finish by your dentist.  Cosmetic dentists do this all the time.
However, how much will depend on how much of the underlying tooth has been shaped, how much you want off, whether it is an all-porcelain crown or a porcelain fused to metal crown.
An important question is did your dentist show your crowns to you before cementing them on? Did he get your acceptance and “permission to permanently cement them”?  This is common practice with cosmetic dentists, and if that was not done you have grounds to ask him to redo them without charging you again.  If he did, and you accepted them, then whether or not he should redo them at full fee will depend on the dentist and your relationship with him.  However, I would recommend that he try to reshape the porcelain to see if that satisfies you before resorting to redoing the crowns.

Q. Can my two front teeth made bigger with bonding or do I have to get veneers to lengthen them?

I have bonding on my two front teeth, they look dull and darker. I’m happy with the rest of my teeth, except for the two front ones because of the color change and the teeth are also shorter now because I clinch my jaws sometimes. What’s my best option? Should I get veneers or should I redo the bonding on there? Since I would like the two front teeth to be a little longer, can the two teeth be extended to look longer with bonding? How frequently would I redo bonding? I want a natural look.
Dr. Huefner’s answer:
You mention that your teeth have gotten shorter from clenching.  In general, teeth don’t get shorter from clenching, but rather from grinding, which mostly occurs at night.
Your teeth can be made longer with either approach, however porcelain veneers are much stronger when it comes to lengthening teeth, and as such, should last you many times over what direct composite bonding will do, especially if you are “grinder.”
Also, the shape of the teeth tend to be much better with veneers than bonding, and likewise the color of the teeth is much better and more stable over time.
Thus, I would advise porcelain veneers over direct composite bonding.
You might be interested in seeing some examples of patients who have had their teeth lengthened with porcelain veneers.  See the web reference below.
Web reference: http://www.cosmetic-dentistry-and-porcelain-veneers.com/category/worn-teeth

Newport Beach Porcelain Veneers

Newport Beach porcelain veneers

Viviana got an amazing improvement in the appearance of her teeth and smile with her new porcelain veneers by Dr. Huefner. She got the whiter color she wanted, and most importantly her teeth were now straight and even! Her entire treatment was completed in a little over two weeks at Dr. Huefner’s Laguna Niguel cosmetic dental office.

Viviana is a mother of two from Newport Beach.  She had several porcelain veneers placed fifteen years ago.  “When my dentist made my veneers back then he corrected several huge problems, as my teeth really didn’t look very good,” she told Dr. Huefner.  “But over the years three things have happened that make me unhappy with them.  Now I’m ready to replace them with new porcelain veneers that really look nice.”

Dr. Huefner asked her what those three things were?  First, she said that her dentist had made her new veneers to match her other teeth.  What she really wanted was whiter teeth.  Second, her gums receded around  five of her teeth and was hoping that the new porcelain veneers could be made longer around her gum line to hide her darkish yellow roots.  The third thing was that even with the porcelain veneers, her teeth are crooked.  She asked Dr. Huefner if by redoing her old porcelain veneers could he make them all straight and even?

crooked teeth and old porcelain veneers that needed replacing

What Viviana disliked most about her old porcelain veneers was that her teeth were crooked and uneven. She also wanted her new porcelain veneers whiter, to cover her exposed yellow roots and to eliminate the discoloration between her old veneers.

After carefully looking at her teeth and old dentistry, Dr. Huefner assured Viviana that her could do all the things she wanted with new porcelain veneers. He could make her new porcelain veneers whiter, actually any tooth color that Viviana chooses.  The new porcelain veneers would also be made longer to cover her dark roots, and also straight and even, unlike her previous dentist had done.

new porcelain veneers replace old porcelain veneers

Photo below: Viviana’s old porcelain veneers. Photo above: Dr. Huefner replaced Viviana’s old porcelain veneers with eight new porcelain veneers to give her an amazingly beautiful smile. Her teeth are now straight and even, whiter, the discolored roots are covered over and there is no more discoloration between her veneers. Viviana new smile not only made her look much more attractive, but the whiter straight teeth made her look a little younger too!

Viviana’s cosmetic dental treatment with new porcelain veneers was actually very straight forward and was finished in just over two weeks time.

Dr. Norman Huefner, cosmetic dentist serving Orange County, Irvine, Laguna Niguel, Mission Viejo, Newport Beach and Rancho Santa Margarita, CA
www.drhuefner.com

Younger Looking Smile with Porcelain Bridges and Porcelain Veneers

whiter teeth

Lower photo: Thirty years ago Adrienne had two porcelain on metal bridges for her six front teeth. A yellow color was used to match to her other teeth. Upper photo: Adrienne felt her teeth were dingy and old looking and she wanted a whiter, younger looking smile. Dr. Huefner redid her old dentistry with two new all porcelain bridges using a much whiter color. He also placed four porcelain veneers on her side teeth. The end result for this amazing lady in her 70s was a much more attractive and “younger looking” smile.

Adrienne from Laguna Hills has been a patient of mine for over 30 years.  I first met her after she had an accident.  She had fallen on her face, knocking out one tooth and breaking several others.  So, we fixed Adrienne’s smile by making her two bridges for the front of her mouth.  But back then, in the 1980s, cosmetic dentistry wasn’t anything like it is today.  I did for Adrienne what most other dentists were doing at that time, I matched her bridgework to her other teeth.  Back then ideal dentistry centered around the word “natural”, and that meant any new dentistry “should” match the other adjacent teeth, regardless of how yellow, dark or discolored those other teeth were.

Adrienne wanted a younger looking smile

After several decades Adrienne’s bridges were still holding up fine, but her teeth had moved slightly, creating a slight space between the front two central incisor teeth.  That didn’t seem to bother Adrienne.  What did bother her was that she felt like her teeth were dingy yellow, making her look older.  Adrienne has a great personality and very positive attitude, always laughing, but now she was getting self conscious about smiling!  She said she was ready to redo her old dental work, but she wanted whiter teeth and a younger looking smile!  This is a very common remark that we hear from many of your patients today that we really didn’t hear to much thirty years ago.

dark dingy teeth

Adrienne loved to smile, but her dark, dingy looking teeth were making her self conscious. It was time to replace her old dentistry and get the kind of teeth that would enhance her smile and her appearance.

We discussed some of the new options I could now offer Adrienne.  An all ceramic bridge without any metal understructure would look much more natural than her other bridge.  However if we were going to make her her six front teeth whiter, then we still had to contend with her very dark side (bicuspid) teeth.  Dr. Huefner asked her if she would be willing to have him place four porcelain veneers on her side teeth? That would solve the color match problem.  If we did that, all the teeth she showed when she smiled would be white and younger looking.

all porcelain bridges and porcelain veneers

Adrienne loved the new smile that Dr. Huefner made for her with two new all porcelain bridges and four porcelain veneers. “I love to smile now,” she told Dr. Huefner.

“In a heart beat”, Adrienne answered Dr. Huefner.  “Just promise me that my smile will be more attractive and younger looking.  I don’t expect you to make me look like a young girl, because I’m certainly not, but I don’t want my smile to be an old lady’s smile anymore!”

In only six weeks Adrienne got the younger looking smile that she had always wanted

We started Adrienne’s cosmetic dentistry, replacing her old unattractive dentistry the following week.  We made her two all porcelain bridges for her front six teeth, and also four porcelain veneers for her side teeth.  Her treatment was completed in less than three weeks time and Adrienne was elated with the results because she got the younger looking smile she asked Dr. Huefner for.

Dr. Norman Huefner, Laguna Niguel cosmetic dentist serving Orange County, Laguna Hills, Mission Viejo and Irvine
www.drhuefner.com

Agnes’ Smile Looks 25 Years Younger with Porcelain Veneers & Crowns

New dentistry makes Agnes look 25 years younger

After replacing Anges’ old dentistry with new porcelain veneers and porcelain crowns, she felt that her smile now looked 25 years younger.

Agnes was sick and tired of the appearance of her teeth!  She’s a happy lady in her 50s who loves to smile, but also was very self conscious regarding how old and dingy her teeth look.  She has gone to the dentist her entire life, always doing whatever her dentist recommended.  However now most of her dentistry was so old, discolored and unattractive that she knew it was finally time to redo much of her old dentistry.

When Agnes spoke to Dr. Huefner about her goals she made it clear that her smile made her feel old and she didn’t want that.  Rather, she wanted much whiter teeth, and seeing how so many of her teeth differed in color, she definitely wanted all her teeth to be a uniform color!

Agnes’ whole life she had gone to the dentist and done what was recommended. However the old dentistry was failing her esthetically. A happy lady who loved to smile, she became very self conscious about her dingy and old looking teeth. It was time for a little rejuvenation, and replacing her old dentistry with new all ceramic dentistry was just what was needed to give her a younger, healthy looking smile that she would be proud of.

After carefully examining Agnes’ teeth and dental work it was amazing that much of it, albeit 25-30 years old, still fit and had actually served her very well.  It is just that the ugly appearance of the old dentistry had finally failed her.

Restoring Agnes’ old dentistry with new all ceramic dentistry, with natural color and appearance, would be very straight forward, Dr. Huefner told her.  The two main things Dr. Huefner needed to know from Anges was what color she wanted her new porcelain veneers and crowns, and how many teeth she wanted to have retreated?  Agnes decided on a relatively white color that was significantly whiter than her old dentistry, shade BL2 from the tooth shade guide.  And Agnes had a broad smile, that showed at least ten of her upper teeth.  Thus, so that all of her visible teeth would appear the same color, Anges asked Dr. Huefner to change out the dentistry on her ten upper teeth.

From this point on Agnes’ treatment progressed quickly and easily, and her entire treatment was completed in under three weeks time.

Upon looking at her new smile, Agnes couldn’t help by grin ear to ear.  “I can’t believe it,” she said.  “My smile looks so clean now, it makes me look 25 years younger!”

Dr. Norman Huefner, cosmetic dentist serving Laguna Niguel, Mission Viejo and Irvine
www.drhuefner.com

 

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