Emax onlay

Large dental fillings may break under important or repetitive mastication forces. This can also lead to the fracture of the tooth itself, sometimes beyond repair. Onlays are a good way to restore a tooth and they are superior in terms of resistance than direct fillings. They are also more conservative than crowns. Treatment performed by Dr TL.

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Dental impressions are taken during the first appointment and the onlay is glued on the second appointment. Onlays can be made in gold or porcelain. In this case, an Emax porcelain has been placed.

Maryland bridge

A Maryland bridge can be a great option to replace a missing tooth with minimal removal of dental tissue. Treatment performed by Dr TL.

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When it’s not possible to consider an implant to replace a missing tooth (for technical or financial reasons), a Maryland bridge is a good compromise to restore the aesthetics of the smile without too much preparation of the abutment teeth. Depending on cases, one or two wings will be glued at the back of the adjacent teeth.

(Waiting for the right time to get your permanent tooth replacement treatment? You can contact Daniel Lavrin, Denturist)

Porcelain veneers

Porcelain veneers are a great way to correct shape, size and shade of the front teeth. Treatments performed by Dr TL.

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This treatment requires at least two appointments. The first one consists in the preparation of the teeth to make space for the porcelain veneers, under local anesthetisia. Dental impressions are then taken, temporary veneers are built and the shade of the future veneers is chosen with the patient. During the second appointment, the porcelain veneers are glued on the teeth.

Tooth contouring

In some cases, a simple contouring (reshaping) of the tooth can dramatically change your smile. Treatments performed by Dr TL.

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After a minor fall or because of a mild malposition, a smile can appear uneven. If no risk factors or contra-indications are spotted, a tooth can be sculpted by removing only a bit of enamel tissue. It is also called tooth reshaping or tooth contouring.

Internal whitening

How to improve the shade of a tooth treated with root canal filling, affected by discoloration. Treatment performed by Dr TL.

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After a root canal treatment, the tooth sometimes becomes darker. The discoloration comes from the inside so only an internal whitening will be effective. The results are not guaranteed but most of the time it’s possible to visibly improve the shade. The tooth is re-opened and some of the material is removed to make space for the whitening product (hydrogen peroxide). Several sessions will be required over several weeks.

Some teeth can fully recover their initial shade but some don’t. Cosmetic bondings or a porcelain veneers can then be considered.

Cosmetic bonding treatments

In one appointment, how to reduce sensitivity and improve the aesthetics by placing a cosmetic material on the affected area along the gum line. Treatments performed by Dr TL.

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When the gums recede or when the enamel is damaged, the exposed area can be sensitive and show a yellow color. A bonding treatment can be considered without removing further dental tissue: the surface is prepared with an etching gel to get more retention, a bonding agent and a cosmetic material (chosen to match perfectly with the natural shade of the teeth) are then applied on the surface and light-cured before polishing.

Tooth whitening before and after

After a combination of hygiene session and laser whitening treatment. Treatments performed by Dr TL.

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In the UK, 6% of hydrogen peroxide is the maximum a dentist can prescribe and use for teeth whitening treatment (roughly equivalent to 16% carbamide peroxide). Before proceeding, an clinical examination is carried out to ensure there are no risk factors or any oral pathology of concern. A proper cleaning may be required to make sure the surface of the teeth is suitable for treatment.

A laser whitening treatment usually consists in 3 sessions of 15 minutes in one appointment with replacement of the whitening gel between each session. The results vary a lot depending on people, some may get amazing results and some others may not respond.

Most of the time, using a custom-made whitening home kit will enhance the results and allow the patients to maintain the results over the time. Dental impressions are taken to make transparent trays, perfectly fitted to the teeth. Ideally, trays and gel should be used overnight for one to two weeks. It’s important to be supervised by the dentist during the treatment.