Silver amalgam fillings have been a very popular dental restoration for over 150 years. They are compromised of a mixture of mercury, silver, tin and copper. Amalgam fillings have enjoyed widespread use because they are fairly strong and last quite a few years before they need to be replaced. Luckily, modern dental technologies offer us many tooth-colored alternatives to the dark silver amalgam filling material.

Do My Silver Fillings Need to be Replaced?

Before we look at the alternatives to amalgam fillings, a discussion about when and how these fillings should be replaced is warranted. All dental restorative materials wear out at some point, just like a roof wears out on your house after so many years. There are some things to look for when deciding if a silver filling needs to be replaced. Some of these things will only be visible to a dentist under magnification or with x-rays. Other symptoms can be picked out by the patient. Here is a short list of these signs and symptoms:

- When there are cracks in the filling material or chips around the edges of the filling, that means bacteria can get under the amalgam.

- If the dentist sees shadows of a cavity under the silver filling on an x-ray, it is time to replace it.

- If the patient notices sudden cold or sweet sensitivity on the tooth with an amalgam filling, that generally indicates leakage of the filling.

- Sometimes the filling will loosen and shift around in the tooth.

- Noticing redness of the gum tissue, cheeks or tongue near the filling could indicate a sensitivity or allergy to one of the metals in the filling material.

- There are times when a whole chunk of tooth near the filling, or a large piece of the filling will just break out. This is a clear sign to get this old filling fixed.

All of these events would present a good opportunity to get the old amalgam filling out to protect the health of the tooth. Many times patients will just go ahead and have their old silver fillings removed to improve the aesthetics of their teeth, or for environmental and holistic health reasons. These are valid reasons also. It is the patient’s mouth, and they can decide which materials they want in their own mouths to fill their cavities.

What Precautions Should be Taken?

When it is time to actually remove the old amalgam fillings, there are several precautions the patient and dentist may want to consider. To get the old fillings out, the dentist needs to drill out the amalgam metal. This creates little pieces of filling debris and filling dust. To keep the pieces from going down your throat, a device called a “rubber dam” can be used. It is a thin sheet of latex that isolates the tooth or teeth that the dentist is fixing keeping all debris on one side of the rubber dam. A high volume suction is used to suck up all the debris and water as the dentist works. The patient should consider safety glasses to keep any flying pieces from getting in their eyes.

When the fillings are being drilled, this can generate heat and create a mercury vapor. To eliminate this, the dentist should use lots of water spray to keep the metal filling cool, and to keep the dust down. Patients can take their amalgam filling removal precautions to one more level with chelation therapy. This is a process of detoxing or cleansing the body to help remove mercury from the system. There are not really any large studies that show the effectiveness of this treatment, but patients can do some research and decide if this is something for them.

Aesthetic Options for Replacement

As mentioned earlier, there are numerous aesthetic and highly durable options for replacing old amalgam fillings. Here is a list of some of them, sorted by increasing cost:

- Composite fillings – These tooth colored synthetic resins are the most common option for replacing small to medium sized silver fillings. They are placed directly into the tooth and hardened with a special light. This bonds the material to the tooth making it strong enough to last on average 10-15 years using the newer materials. The cost of a composite filling ranges from about $100 to several hundred dollars. In this same category, there are indirect composite fillings. An impression is made of your mouth so that the composite filling can created in the lab under ideal conditions. Then it is bonded back into the tooth. The advantage here is some added strength. The disadvantage is a little more cost than the regular composite, and it take a couple of appointments.

- Porcelain inlays – These white fillings tend to be stronger than composites, and they can look very natural. They work best to replace small to medium sized fillings and can last on average 15 – 20 years. They usually take two appointments like the indirect composites, because they are made in a lab and are bonded into the tooth at another appointment. They can range in cost from several hundred dollars up to almost $1000.

- Porcelain onlays and crowns – As we get older, our teeth get more brittle and are more susceptible to cracking. This tends to be more noticeable in back teeth with larger silver fillings. Instead of just filling the same area with white material, it is better to cover the cracked parts of the tooth at the same time to prevent breakage of the tooth down the road. The porcelain covers over the weak parts and strengthens the whole tooth. They can last 15-25 years and they can cost from several hundred dollars to over $1000.

Talk with your dentist to see what is best for your situation. Provided good planning, your teeth can last a lifetime.

A dental crown, also referred to as a fixed prosthodontic or “cap” is a cast (metal) or porcelain restoration that is cemented into place to become a permanent part of the dental arch. Dental crowns provide valued support to the remaining teeth and prevent drifting of the occlusion (bite) in instances where missing teeth are present. Think of a crown as a protective covering over any damaged or chipped surfaces on the natural tooth.

When are They Used?

• Severe tooth decay – Tooth decay that has gone untreated can structurally weaken the teeth, requiring reinforcement with crowns. When decay is removed, sometimes the pulp or nerves can also be exposed. If this is the case, glass ionomer cement and composite resin can be used to build up the area before placing the crown. This will reduce any sensitivity of the tooth.

• Tooth trauma – Crowns can be used to preserve teeth that have become fractured or cracked due to trauma.

• Dental implants – Crowns are fitted over dental implants to restore missing teeth.

• Incisal wear – caused by bruxism. Preservation of the crown will require the use of a mouthguard.

• Dental bridges – Another use for crowns is to hold a three unit bridge in place on abutment teeth. This will help to stabilize the adjacent teeth by affixing the bridge on either side of the pontic crown which is the center crown.

• Aesthetic Correction – Crowns can be used to straighten a misaligned smile. A crooked or misshaped tooth can be crowned and fixed without need for braces. This is an invasive treatment approach if the deformed teeth are otherwise healthy.

• Root canal therapy – Teeth that have undergone endodontic treatment are fragile and prone to breakage. A crown will add strength to that tooth and protect it from fracturing.

Who Qualifies for Treatment?

A contraindication for a crown would be the presence of periodontal disease or excessive mobility of other teeth. Otherwise, crowns are an ideal choice unless less invasive treatment is available. For instance, a dental onlay might be preferred for treating a large carie (cavity) such that healthy parts of the tooth are preserved. Not all dentists offer this type of treatment but it is worth seeking out for minimized tooth trauma.

What is the Cost of Dental Crowns?

The cost of a dental crown is typically $1,000 and upwards. The cost is dependent on where you receive treatment, the type of crown your get, and whether you have insurance coverage. Some dentists will agree to work out a payment schedule to help with the cost.

What Types of Crowns Are Available?

There are several type of crowns available that are appropriate for a wide array of circumstances. Some of the factors that influence crown selection include aesthetic considerations, occlusal (biting) forces present in the area being treated, and the patient’s budget.

Porcelain Fused to Metal (PFM)

Full crowns cover the entire tooth surface. On posterior (back) teeth they are usually made of porcelain over high noble metal (such as gold). The addition of a metal substrate provides for a more stable biting surface with less chance of any breakage. These are called PFM crowns or Porcelain fused to metal crowns.

All Porcelain Crowns

A crown can also be made of solid porcelain or of solid metal with no porcelain such as gold. An all-porcelain crown is usually used for anterior (front) teeth as it gives a more translucent, natural tooth appearance. If a PFM crown is used on the anterior teeth, there is a risk of metal allergy which manifests as a dark outline at the top of the crown on the gingival gum surface. This effect is not aesthetically pleasing and does not occur with all porcelain crowns.

Partial Crowns and Others

Partial crowns cover three sides of the tooth surface. During a partial crown preparation, retention grooves are made on both the mesial and distal sides of the tooth. These grooves help to hold the seated crown into place. There are also resin crowns and 7/8 crowns. Despite all these choices, patients opt for a PFM crown in the large majority of cases.

How Are the Teeth Prepared for Dental Crowns?

During your first visit for a crown, expect to have impressions of your tooth and the upper and lower arches taken and also a bite registration. Usually there are also x-rays taken and an exam to help decide the best course of treatment. At this point local anesthetic is administered. The shape of the natural tooth is reduced using a diamond stone and any caries are removed. Sometimes the dentist will use a laser in place of a drill to remove any decay. This is a fairly new technique that is growing in popularity amongst patients. Talk to your dentist to see if you are a candidate.

If a traditional drill is used, at this point the finishing burr is used to prepare the shoulder or circumference around the crown. The next step in the procedure is gingival retraction followed by another impression. At this point a shade color for the new crown is determined. Next, a temporary crown is then created and placed and the patient sent home.

On your second visit the temporary crown is removed and the new crown is tried on. If all goes well and the color matches and the fit is ideal, it is then cemented into place. As the cement dries the excess along the margins is cleaned away by the dental assistant with an explorer. A bite registration is now taken and any adjustments are made. This is usually done with articulating carbon paper that will indicate any high spots. These are then polished away and once the bite feels right the patient is dismissed.

How Long Do Dental Crowns Last?

Crowns will last for many years even as long as 40 and some for a lifetime. With a well fitting crown, you should be able to brush and floss your teeth as usual. Regular dental checkups are essential for keeping crowns in working order.

Dental bridges are used to restore one or more missing teeth for aesthetic and functional purposes. A dental bridge is typically compromised of three units. The two end pieces are dental crowns that suspend a pontic at the site of the missing tooth. They are fit over the adjacent teeth after they have been prepared by removing tooth enamel. The entire restoration is cast from a single piece to ensure high durability.

Why Replace Lost Teeth?

Posterior tooth loss can impair masticatory (chewing) function by placing undue stress on your front teeth. This, in return, can lead to accelerated tooth deterioration and temporomandibular joint disorder. Unless quickly treated, missing teeth can cause bone resorption making the placement of dental bridges and/or implants more challenging.

Is A Dental Bridge for Me?

You should ask yourself these questions before pursuing treatment with dental bridges:

• How much am I willing to spend? – If money is no object, dental implants are preferred for their superior strength, life longevity, and conservative placement. Dental implants are a large upfront investment, but the cost of upkeeping dental bridges will outpace the cost of implants in a person’s lifetime.

• Are you willing to compromise otherwise healthy teeth? – The placement of a dental bridge results in trauma to the teeth anchoring the appliance. These teeth will sustain additional trauma once the bridge has to be replaced and will be more susceptible to decay potentially leading to root canal therapy. There are conservative dental bridges, specifically the bonded bridge. This requires minimal preparation on the lingual (back) surface of the teeth and is a good temporary option for a patient waiting to get implants. These are common for replacing anterior teeth following orthodontic treatment.

• How is my oral hygiene? – Dental bridges require strict upkeep when compared to implants. There is no interproximal space between the teeth on the bridge, which means you will have to use a floss threader to get under the bridge.

How are Dental Bridges Outfitted?

A patient is outfitted with a dental bridge much in the same way as a crown. The dentist must first verify that the adjacent anchoring teeth and gums are healthy. Placement of bridges can exacerbate existing periodontal problems, moreso if the patient fails to practice adequate oral hygiene. Gum disease, tooth decay, and bone deterioration are all potential risk factors.

After the patient is anesthetized, the abutment teeth are reshaped and an impression is taken. A temporary bridge is then outfitted on the area and the impressions are sent to the dental lab.

What are Dental Bridges Made of?

Dental bridges are often made from an alloy of high noble metals, porcelain, or a combination of the two. Highly noble alloys are ideal for dental work due to their non-reactive nature. This is an important consideration in the mouth where factors like moisture are present. These alloys can be composed of gold, silver, palladium, etc. These materials cannot be used alone in the fabrication of dental bridges due to their expense and limitations. Gold, for instance, is much too soft to withstand the forces present in the mouth.

Porcelain-fused-to-metal or PFM bridges give patients the best of both worlds. The core of the bridge consists of a highly noble alloy while the outer shell is crafted of porcelain. These bridges are strong enough to be used in the posterior (rear) area of the mouth without compromising aesthetics. While PFM bridges offer a superior tooth-like quality when compared to all metal bridges, they fall short of all porcelain bridges. The all metal core affects the translucency of the porcelain making it less ideal for the front teeth. Furthermore, integrating these bridges with the gumline can be a challenge. Most often, there is a dark outline present along the gingival margin. This affect can worsen with gingival recession.

Porcelain bridges are best suited for the anterior (front) teeth. Here they are less susceptible to breakage due to occlusal (biting) forces. Porcelain bridges are prone to chipping and fracturing but their aesthetic quality may supplant this risk.

How Does the Lab Create Them?

The dental lab fabricating your bridge will rely on the impressions taken at your dentist’s office for guidance. In the lab, the metal type is poured into clay casts made of the impression. This is cooled and then removed from the clay. It looks good at this point but still needs finishing work. At this point, it is sandblasted in a controlled area to smooth out imperfections and round out the edges. Then the piece is transferred to a person that paints on a textured material that the enamel can adhere to. First this sandy material is put on in two coats and baked in a small oven. Then after cooling another person skillfully shapes the enamel into the correct tooth structures. Then it is cooled, polished, and checked. It is a true art form that most people do not even think about.

How Long Do Dental Bridges Last?

A good dental bridge can last a person’s lifetime. At the very minimum it will be there for at least twenty years. A few things that could shorten a bridge’s life longevity include gum disease and a poorly fitted bridge. It is very important to make sure that the fit is correct on a dental bridge. Any gap along the edges of the gum line will let bacteria and moisture leak in and provide a place for dental decay to advance. Good dental hygiene is essential around dental bridges and crowns.

How Do Bridges Compare to Implants?

A comparison of dental bridges to implants is warranted. An implant is ideal in circumstances where the bone is solid and the gums are firm. An implant is a single unit fixed crown with an attached root post that acts like the natural tooth. But implants cannot be used in imperfect situations like missing or soft bone structure. And for that reason it is pretty certain that dental bridges will still be used for many years to come.

Other factors that can play into a patient’s decision include:

• Speed of treatment – Treatment with implants can take six months or more to complete. Bridgework can be completed in a matter of weeks.

• Invasiveness – Implants are considered far less invasive than bridgework due to lack of need for tooth preparation.

• Budget – An implant and crown can cost far more than a bridge.

The patient needs to communicate their specific needs with their provider to determine the best treatment approach.

How Much Do Dental Bridges Cost?

The cost of dental bridges is affected by the type of bridge chosen (conventional, bonded, etc.), material choice, as well as the number of teeth it is intended to replace. Expect to pay a minimum of $500 for a basic single unit bridge.

Porcelain veneers are thin, custom made dental restorations that resemble your natural teeth. They are cemented to the labial (facial) surface of your teeth to hide issues such as discoloration, gaps, misalignment and misshapen teeth. Veneers can be used in lieu of orthodontics or more invasive restorations like crowns to restore a smile to its natural beauty. Advancements in cosmetic dentistry have allowed for better color matching, more natural emergence profiles, and better long-term retention of porcelain veneers.

Am I a Good Candidate for Veneers?

A good candidate for veneers should present with a need to transform their smile that cannot be met with less invasive treatment in the time allotted. Permanent alteration of existing tooth structure is often required to accommodate veneers, and this is why the decision should not be taken lightly. Cosmetic dentists often exercise extreme caution in case selection to ensure the final outcome will meet the patient’s aesthetic goals in the long term. Some examples of issues that might exclude a patient from treatment include:

• Missing/loose teeth
• Severely rotated teeth
• Severe decay
• Overcrowding
• Pre-existing oral conditions

Many of these issues can be resolved and the patient re-evaluated for veneers after treatment is complete.

How Much Do Porcelain Veneers Cost?

Porcelain veneers cost approximately $1,500 per tooth. They are not covered by insurance and are often financed instead. Due to the enormous expense, some patients may opt to first pursue alternative treatments. These may include:

• Teeth whitening
• Tooth bonding
• Orthodontic Braces
• Removable cosmetic appliances (ie. Snap-on Smile)

How is Tooth Reduction Carried Out?

Proper tooth reduction in preparation for dental veneers is essential for minimizing healthy tooth structure loss, promoting optimal veneer adhesion and achieving excellent aesthetics. Several factors must be considered in determining the extent of enamel removal such as the thickness of the restorations, emergence profile of the tooth, and the patient’s aesthetic goals. Failure to address each of these areas often results in unsatisfactory treatment outcomes, including veneers that fall off prematurely or a “bulky,” chicklet-like smile. Even relatively minor problems such as staining along the gingival margin can leave patients dissatisfied.

How Does the Process Begin?

The first step in the preparation process begins with an assessment by a cosmetic dentist. The dentist will be able to evaluate the patient’s problem areas and determine whether veneers are appropriate. Beyond some of the obvious considerations mentioned above, a history of certain oral conditions like bruxism may rule out veneers. Furthermore, it may be determined that porcelain restorations are unnecessary. A tooth whitening session or simple composite bonding may be sufficient to address aesthetic concerns. A qualified cosmetic dentist will be very careful with case selection to ensure satisfactory results.

Tooth Enamel Removal

A few millimeters of the hard, outer covering of your tooth known as the enamel will need to be removed before veneers can be installed. The cosmetic dentist will carefully reshape the labial (facial), incisal (biting edge), and interproximal (between teeth) portions of the tooth to make room for the veneers. Enamel reduction along the gingival margin (gum line) will also be required.

This initial sequence of steps will result in a depth groove on the tooth that the dentist will use to finish preparing the labial surface while preserving enamel. The depth of these channels will depend on the thickness requirements of the veneers as well as the translucency desired.

Is Tooth Reduction Painful?

The patient should experience very little if any pain during the preparation process. If the extent of enamel removal is sufficient, the patient may be given anesthesia. Some post-operative tooth sensitivity should be expected that will diminish once the permanent veneers are cemented and some time is allowed to lapse.

Impressions

Once the teeth are prepared, the cosmetic dentist will take an impression of the teeth for the permanent veneers (and temporaries if applicable). This impression will be sent to a dental lab for fabrication of the veneers. The dentist should first prepare the gingival margin using a retraction cord, which will help ensure that the impression captures subgingival areas of the tooth such that the veneer integrates nicely with the gum line. An identical technique is used when preparing teeth for dental crowns.

Temporary Veneers

The exposed tooth structure remaining after preparation may require temporary veneers. The dentist will fabricate these temporaries in-office based on a mold taken earlier in the appointment. The temporaries will not mimic the aesthetic quality of the permanent veneers and will only need to be worn for a few weeks (depending on how quickly the veneers return from the lab). During the patient’s delivery appointment, the temporary veneers will be removed by making a single groove (of appropriate depth as to not remove further tooth structure) in the center of the labial surface. The temporaries can then be pried off. Once all the provisionals have been removed, the teeth are polished in preparation for the cementation process.

How Are Porcelain Veneers Installed?

The cosmetic dentist can begin installing your veneers once they have returned from the lab. The painstaking part of the process has already been completed in the preparation phase.

A test fitting is first conducted to ensure that the veneers have been made to specification. The dentist will now bond the veneers in place using a special cement. A tint may need to be mixed with the bonding cement to achieve superior color matching. Once the veneers are in place, the cement is cured using a special light and excess bonding agent is carefully removed around the margins.

How Long Do Veneers Last?

The life longevity of dental veneers can vary greatly as a function of several factors. In general, porcelain veneers can last ten years or more. Composite veneers can last three years or more.

What is Veneer Failure?

Porcelain veneer failure can occur in a number of ways. These include veneers that have:
• Fallen off
• Become fractured
• Chipped
• Sustained surface wear
• Been ground down

These issues often necessitate complete replacement of the veneers. This process is expensive and requires another round of tooth structure removal.

Composite or Porcelain?

Porcelain veneers tend to outperform composite veneers in terms of lifespan. Composite veneers are expected to last no more than a few years. If the tooth bonding is confined to a small area, then it could be expected that the lifespan might be more acceptable. A cost-benefit analysis is in order when deciding between the two. If you have a minor deformity like a tooth chip without additional issues, then composite might be optimal. Composite veneers stain but have the advantage of being easily and inexpensively repaired when damaged.

Do You Clench your Teeth?

Untreated bruxism can severely impair the lifespan of dental restorations. Bruxism is characterized by the clenching and grinding of the teeth at night. Your dentist should be able to alert you to outward signs of the condition (ie. incisal wear) and prescribe you a mouthguard.

Gingivitis/Gum Disease

Gum disease or its precursor gingivitis can present problems in successful long-term treatment with veneers. These conditions can cause a retraction of the gums, exposing the edge of the veneers creating an unsightly outline effect. In a progressed state, gum disease can even weaken the structural integrity of teeth. Regular dental check-ups will help ward off these issues and treat them such that your veneers remain intact.

Dietary Choices

Making prudent dietary choices can make your investment in dental veneers go a long way. As a general rule of good oral hygiene, avoid constant consumption of sugary foods to avoid attracting cavity-causing bacteria. Although porcelain itself does not decay, the prepared tooth structure underneath the restoration does. Hard foods should also be consumed with caution as they can place excess strain on the veneers.

Tooth discoloration is one of the factors that drive people to get veneers in the first place. However, they are not a free ticket to excess coffee and wine consumption. Your untreated teeth can still stain, making the veneers look out of place and thus requiring more rapid replacement. If excess bonding cement was left on the incisal areas (edges) of the treated teeth, it can become discolored compromising the aesthetic appeal of the veneers. This should not be a concern if proper installation was undertaken but a precaution worth noting.

Visits with Your Dental Professional

Having your teeth examined by a general dentist every six months will help ensure ongoing satisfaction with your veneers. Brushing and flossing is not enough for removing all plaque deposits. Furthermore, plaque is constantly accumulating in interproximal areas which are difficult to reach. Maintaining a plaque-free environment prevents decay and gum disease.

Lumineers are a special type of dental restoration developed and marketed by Den-Mat, LLC. These veneers are fabricated of a Cerinate (R) porcelain, which has a crystalline component that provides increased durability and thermal expansion. The concentration of this component (Leucite) can be regulated during the manufacture of porcelain restorations through various means, including multiple firings of the porcelain powder. This high concentration of lecuite facilitates the extra-thin fabrication of Lumineers, which at their thinnest measure an astounding .2 mm. In comparison, dental veneers can be as thick as .8 mm. The extent of tooth structure removal required during the procedure is a direct function of the actual bulk of the veneers and some additional factors. During the patient’s initial consultation with their provider, they will have an opportunity to discuss their specific treatment goals. In some situations, the patient may opt for a thicker set of Lumineers to achieve a certain aesthetic outcome.

What Type of Tooth Preparation is Required?

Most dental patients are intrigued by Lumineers because they promise a beautiful smile through non-invasive means. The proposition of no shots or drilling (and as a consequence no longstanding commitment to the veneers) is very appealing to most people. In the United States alone, nearly 80% of the population exhibits some degree of dental fear. In the absence of ideal conditions, however, the “no-prep” technique (as the manufacturer of Lumineers has dubbed the least invasive variant of the procedure), is not possible. For instance, crowding teeth, malrotation, and misalignment may warrant some preparation. The next progression in tooth preparation only requires slight enamel removal (.3mm to .5mm). Fortunately, this too can be performed painlessly without the aid of anesthesia. The most invasive technique is reserved for patients who want a thicker set of Lumineers. Temporaries will need to be worn in these circumstances, where as much as 2mm of tooth enamel may need to be removed. As the lab is fabricating your set of veneers (a process which could take up to three weeks), these temporaries will protect your teeth against decay and diminish any tooth sensitivity.

Treatment Outcomes

The results you can achieve using Lumineers can be spectacular, provided you have them outfitted by a dentist who is experienced and comfortable with the procedure. These veneers are much more difficult to master due to the restrictive nature of the procedure as far as enamel removal is concerned. This goes to explain the extreme opinions circulating online and elsewhere about the product. Some are extremely happy with the results, while others incredibly frustrated. It’s not terribly difficult to distinguish which group spent the most time searching for a dentist.

Complaints About Lumineers

The most prevalent complaints about Lumineers center around the veneers becoming dislodged, having an overly unnatural appearance, or becoming stained. These all reinforce the importance of choosing your provider carefully. Lumineers that pry off unexpectedly and for no apparent reason are usually the result of insufficient tooth preparation. A bulky smile is again indicative of a dentist who has not mastered complexities involved in the procedure. Finally, stains manifest when installation is poorly executed, allowing for excess bonding agent to remain on the edges of the teeth. This cement can absorb stains, making for an unsightly looking smile.

The official Lumineers website hosts a form that you can complete to receive information about Lumineers-certified dentists in your area. Alternatively, you can call the listed phone number. These cosmetic dentists have received formal instruction in the procedure and are solid bets.

Cost of Lumineers

As far as cost is concerned, expect to pay upwards of $1,000 per tooth. There will be some fluctuations according to where you reside, but the costs generally falls between several hundred dollars and $1,000. Insurance companies cover Lumineers on an infrequent basis. If you sustained an injury from an accident, you may qualify for coverage. In addition, Lumineers may be used in place of other restorations, like crowns, in certain circumstances. Talk to your dental insurance provider for details. Lumineers, like other cosmetic dentistry procedures, can be financed through your dentist’s office. The specific terms can vary.

Warranty

The product comes with a five year limited warranty that requires patients to attend regular checkups and cleanings. It only protects against product defects. Your dentist will have to install the veneers per the recommended guidelines and using the specified products in order for your warranty to remain valid.

The only way to find out how good of a candidate your are for Lumineers is to schedule an appointment with a certified cosmetic dentist. Your oral health will be assessed and your dentist will present you with potential courses of treatment. So, if you’ve been contemplating a dental makeover, there is no better time to act than today.

As a patient, make every effort to become informed about the pros and cons that Lumineers possess so you can avoid unwanted expenses in the future. There are countless stories of patient’s being dissatisfied with the bulky appearance of their smile or the opaque nature of the veneers. Talk to your practitioner about these concerns as they may have a better indicated restoration to fit your aesthetic goals. The additional expense occurred by having your Lumineers replaced with another brand of veneer is less significant than the trauma the underlying tooth structure has to undergo due to resurfacing.

If you want to protect your investment in your smile, make sure your practitioner is trained in proper installation technique. This should go beyond having attended the training program that the maker of Lumineers offers. The practitioner should have examples of past work he or she has done with the restorations to demonstrate their skill level. Although the Lumineer’s warranty does protect against installation defects, ongoing visits to the dentist can prove to be a nuisance.

The patient has their own obligations to uphold in qualifying for the warranty. Regular dental checkups and cleanings at six-month intervals are crucial for containing plaque buildup that can contribute to tooth decay and failure of the restorations. Remember that the tooth structure underneath the Lumineers is at risk for decay due to the tooth enamel that has been removed. Without evidence of ongoing oral care, the warranty may be voided and your investment compromised. You can read more about the Lumineer’s warranty here.

Most offices will finance Lumineers to those who qualify through their lending partners. The terms of the arrangement are subject to your credit worthiness and other factors. Factors like the length of the product warranty should be considered when deciding on a financing term, as should any lender incentives.

Lumineers can be a lucrative option to patients who understand the limitations of the restoration as it relates to their particular treatment goals. Although the manufacturer of Lumineers has coordinated a very successful marketing campaign, the bottom line is that in some instances a minimally invasive approach is not prudent. Cost and time investment aside, your goal as a patient is to achieve the best looking smile that requires minimal upkeep and lends itself to longevity. If this means spending a little more money or opting for dental crowns, so be it. Finding an cosmetic dentist that is responsive to your concerns and has demonstrated competency in the field is the most important step in restoring your smile, whether it be by means of Lumineers or comparable restorations.

Snap-on smile is a relatively new restorative device offered by the makers of Lumineers. This device is intended for those that are unable to invest in porcelain veneers or other cost-prohibitive cosmetic treatments. Snap-on-smile is designed to “snap” onto your existing teeth to mask all the smile deficiencies that conventional restorations such as Lumineers are used to hide such as gaps, missing teeth, abnormal rotation, discoloration and many other issues. The device encases not only your front teeth, but also your molars and other posterior teeth. It forms a seamless transition with your gum-line such that the end aesthetic result is excellent.

Before and After Pictures

How is Snap-on Smile Made?

A patient can be fitted with this device within two dental appointments and for a price comparable to what they would pay for a single porcelain restoration. The fitting process starts during the patient’s initial appointment, where an impression is taken of their teeth and necessary documentation is sent to the Snap-on-smile dental lab for fabrication of the device. Patients can expect to wait two weeks between appointments for the appliance to be fabricated. Once the cosmetic dentist receives the finished product, they fine tune the aesthetic result using specially designed burs to craft the acetyl resin material that the appliance is made of. During the second appointment, the final fitting will be conducted and any necessary adjustments will be made. If everything is in order, the patient will be able to enjoy their Snap-on-smile .

How Long Does it Last?

Your Snap-on-smile device is expected to last for several years. Your cosmetic dentist will provide you a cleansing solution and anti-bacterial gel that provide for safe operation of the device. The cleansing solution is to be used to clean the device between meals or as directed by your cosmetic dentist.

It is up to the patient to decide when and where they choose to wear their Snap-on-smile appliance. Since no bonding adhesives are used to hold the appliance into place, it is easily removable for eating or during bedtime. You should exercise caution while wearing the device during meals as to ensure that food particles don’t become lodged in the device accelerating the possibility of tooth decay.

What is the Cost?

The Snap-on-smile cost starts at about $1,000 for a single arch and goes up from there depending on your specific circumstances and aesthetic goals. Financing is available to those who qualify through the manufacturer. A separate arrangement may be possible through your cosmetic dentist.

Treatment Limitations

As with any other cosmetic treatment, there may be some limitations in terms of what patients can be outfitted with the device. If anything, this appliance should be regarded as a “stepping stone” to permanent treatment using porcelain veneers or the like. Although the “before and after” pictures you may see circulating online are difficult to dismiss, the fact remains that porcelain veneers are superior in terms of strength and other tooth-like qualities. They are the golden standard for smile alteration and can be crafted to create a smile identical to your Snap-on Smile.

A consultation with an orthodontist, where an initial examination of the teeth is performed, usually including X-rays, to identify the problems, is the only way for a patient to learn what options are available. After the consultation, the orthodontist will present the patient with his recommendations and the cost of braces, and the patient can choose, with the guidance of the orthodontist, which treatment to follow.

Traditional braces use metal brackets, wires and elastic bands to correct misaligned teeth and bite issues. The brackets are bonded to the front side of the teeth, and an arch wire is threaded through the brackets. This wire is attached to the brackets using small elastic bands or thin wire ties. Additionally, some patients, particularly younger patients, also need rubber bands that attach to the top and bottom brackets to apply localized pressure and hasten the speed of the treatment.

The arch wire is adjusted monthly to continue to apply pressure to move the teeth into a correctly aligned position. Treatment with braces is gradual because rushing the treatment can be quite harmful to the teeth. The teeth are slowly moved into new positions then given time for the bone to adjust to this new position and grow in to support the tooth. The pressure loosens the teeth and if it is too forceful too quickly, it can cause the patient to lose a tooth.

The rubber bands that apply localized pressure, known as inter arch elastics, are designed to be worn all day, except when the patient is eating or cleaning his teeth. These elastics are attached vertically or diagonally to the upper and lower brackets. They have a dual function of providing additional pressure to move the teeth and helping the teeth work better in conjunction with the jaw. The pressure they provide is very intense and can actually cause undesirable movement of the jaw when the bones are not growing. This is the reason they are normally used with younger patients who still have growing, more pliable bones. Because these rubber bands lose their elasticity quickly, they must be replaced daily. Patients also need to be careful not to open their mouths too wide, or they can cause the band to snap inside their mouth, which can be very painful. Not wearing the inter arch elastics can also cause slower progress and extend the total duration of the treatment.

The duration of treatment for traditional braces averages from one year and a half to about three years. The actual duration is based on the complexity of each patient’s case. It can also be affected if the patient does not follow all of the orthodontist’s indications. Patients whose treatment includes rubber bands but do not wear these daily as they should can also expect to prolong the duration of the treatment.

Ceramic braces and clear braces work in the same way as traditional braces. The difference between the treatments is aesthetic rather than medical. These braces blend in with the teeth, since they are either transparent or an off-white color that matches the teeth. The materials used for the brackets are polycrystalline or monocrystalline alumina. These materials are responsible for the clear or off-white color of the brackets.

Ceramic brackets are strong, with non-porous surfaces that resist most stains and odors. However, they are somewhat less durable than metal brackets because the material is more brittle. Due to this, orthodontists have to be more careful when adjusting the pressure of the arch wire with these braces, and this can extend the duration of the treatment. Additionally, the type of materials used, the longer duration of the treatment and the specialized training dentists must receive to work with these braces also means that the total cost of this treatment is higher than that of traditional braces.

One disadvantage to choosing this option is that the material of the brackets is harder than tooth enamel, and overexposure to the material can harm the enamel. Because of this, patients with certain bite issues are not eligible for this treatment. This treatment will usually last at least a few months more than traditional treatment.

Another option for patients who are image-conscious are lingual braces, which are, in a way, the inverse of traditional braces. The brackets for these braces are bonded on the tongue-side of the teeth. The technology used for these braces is also different, since advanced Cad/Cam computer technology is utilized to create custom-designed and fitted brackets for each patient. Unlike traditional braces, which use mass-produced brackets and wire, these braces are custom made for each patient.

For this orthodontic treatment, the orthodontist takes an impression of the patient’s teeth at an initial visit. This impression is used to create a mold, which is sent to a laboratory that specializes in designing the brackets for this type of treatment. The brackets are then embedded onto an applicator tray, which is used to bond the brackets to the teeth all at once. Usually, the patient needs to wait about four weeks from the initial visit when the impression is made to the visit for installation of the braces.

After the initial installation of the brackets, the treatment works similarly to the traditional one. Arch wires that are pre-bent at the laboratory are used. The arch wires apply pressure to move the teeth slowly into the correct position. As with traditional braces, elastics can be used to apply additional pressure, usually to correct an overbite. If rubber bands are used, they are attached to the top and bottom brackets on the tongue side of the teeth and work the same way they to with traditional braces. This treatment is generally more costly than that of traditional braces because of the customization of the brackets and the education and experience of the orthodontist. There is also an option called Incognito Braces that includes customized arch wires that do not need any adjusting during treatment, saving the patient some pain and discomfort.

Since everything is on the tongue side of the teeth, this option is a good choice for athletes, especially those involved in contact and extreme sports, and musicians who play wind instruments, as well as for those who are image-conscious about braces. The treatment time line is the same as with traditional braces. Patients can expect to have their braces on for one and a half to three years depending on the particular issues of their case.

Orthodontic treatment is also available through Invisalign. Though this process does not include actual braces, it does address the same malocclusion issues and aims for similar results. The misaligned teeth are corrected through a series of transparent, computer-generated aligner trays made from thermoplastic material. The patient wears each set of aligners for about two weeks and then moves on to the next set. Each set of aligners is responsible for applying pressure to move some teeth towards the desired correct position. Unlike treatment with braces, which applies pressure all around the mouth to move the teeth, treatment with these aligners is focused on one or a few teeth at a time. Patients who are eligible for this treatment often choose it for its aesthetic value. The aligners are completely transparent and therefore practically invisible, and while it can cause some patients to speak with a lisp as they get used to the aligners, treatment is without major pain or discomfort.

The duration of this treatment is 12 months on average. However, for patients who have minor malocclusion issues, an Express version is available. This is a 6 month treatment option, limited to patients who can have their problems corrected by using 10 sets of aligners or less and who meet specific criteria. This criteria includes no true extrusions, no mesial or distal movement of the bicuspids or molars, and minor spacing, expansion and correction. This option is also used in conjunction with veneers and other cosmetic dentistry. This Express version is not an option for most patients who need orthodontic treatment, but for those who are eligible, it provides many benefits.

The cost of braces varies depending on the chosen treatment, the duration of the treatment, the orthodontist’s training and experience, the complexity of the case and the location of the dental office where treatment will be managed. So when patients wonder how much are braces going to cost them, they should first be informed about the benefits and the disadvantages of each type of treatment.

Traditional metal braces are usually the most economical option. The cost of these braces normally ranges from $5,500 to $8,000. However, the price can go as low as $3000 in rural areas and as high as $10,000 in bigger cities. If patients choose to decorate their braces with gold-plated or colored brackets or to cover the brackets with decorative metal or plastic shapes, they can expect the braces cost to increase by up to another $300.

Braces with ceramic or clear brackets are more expensive than the traditional ones, ranging from $6,500 to $8,500 on average. Many patients choose to only have clear brackets bonded to the six top front teeth and metal brackets on the rest of the teeth, since this helps to lower the cost of the total treatment. For patients who choose this option, the total cost of treatment can run about $200 more than for traditional braces in their area.

Lingual braces are more expensive than the other options due to their customization of the brackets and the expertise needed by the orthodontist to administer treatment. This orthodontic treatment costs about $2,000 more than traditional braces and can run as much as $5,000 more for the complete treatment.

Invisalign treatment costs about $3,500 to $8,000 in general. Though this treatment offers patients a way to correct their misaligned teeth without wearing actual braces, the cost for this aesthetically pleasing option is comparable to treatment with regular braces. If eligible and concerned about how much are braces going to cost them, patients can choose the Express version, which is substantially less expensive, ranging from $1,800 to $3,500.

Another consideration for patients when wondering how much do braces cost is their dental insurance coverage. If the dental insurance carried by a patient covers orthodontic treatment, it should cover the cost of braces that use the traditional metal brackets. Many insurance companies can also cover clear and ceramic braces up to an amount comparable with the coverage for traditional braces. Dental insurance will also usually cover lingual treatment as well as orthodontic treatment with aligners.

However, for patients who do have dental insurance or whose insurance does not cover orthodontic treatment, there are other options available to finance the braces cost. Most dental offices offer their patients financing through payment plans. Some plans include a large down payment with a few smaller payments. Other plans do not require a large down payment and the monthly payments are small and manageable.

Patients can buy into discount dental plans. These plans can help patients save up to 50 percent of the total cost of treatment. Another way for patients to manage orthodontic treatment expenses is through third-party Flexible Spending Accounts that are designed to cover the bills generated by medical treatment. Additionally, patients can research dentistry schools nearby that offer discounted dental services. These services are performed by student dentists who have completed all their coursework but need to acquire more experience. They are supervised by their professors and by licensed dentists. This can lower the total cost of treatment up to 30 percent.

While braces are usually installed in both upper and lower arches to help align the jaws and teeth correctly, some patients only have need of or desire for isolated treatment in the upper or lower teeth. Isolated treatment on one arch depends on the initial position of the teeth and the alignment of the jaws and bite. Aligning crowded teeth in the top arch, for example, will shift them slightly forward. For patients who initially have a crossbite, this is actually a beneficial thing, since their top teeth would have rested inside the bottom teeth and the isolated treatment would correct this. Patients without a crossbite, however, can expect the finished result to be a slight overbite. If the patient begins treatment with a small overbite, he can expect it to get more pronounced. Some patients can avoid the overbite by combining the treatment with a reduction in the size of the upper teeth.

Patients who have a large gap in their front teeth can also benefit from upper arch braces only. Since correcting the space in the front teeth will also move them slightly backwards, a patient’s overbite is also corrected. However, patients who are happy with their lower teeth and whose bite is perfect need a different type of treatment when using single arch braces. For these patients, to correct a large gap in their top teeth, the braces can be used to close the space between the front teeth, which are more visible, and move the spacing to the back teeth that do not show. They can also be used to straighten the teeth before enamel is applied to build up the teeth and eliminate the remaining spaces, providing cosmetically more appealing and stable teeth. Similarly, if the problems exist only on the lower arch, braces in the lower arch only are possible. Dentists determine the patient’s eligibility for this limited treatment after an examination, and most patients will need braces in both arches for proper treatment. The cost for single arch treatment is affected by the same conditions as regular treatment. However, average treatment can run from $3,000 to $4,000.

Other patients are looking for fast cosmetic treatment rather than medical. This is also possible with braces. Six-month braces, also known as Six Month Smile, are one treatment that quickly cosmetically corrects the problem of overcrowding in the teeth, without focusing on correcting bite issues. For this treatment, dentists will normally use lingual invisible braces, though ceramic invisible braces can also be used. The combined use of braces with sanding between the teeth and sometimes one or a few extractions makes it possible for patients to have cosmetically straightened teeth in just six months.

With six-month braces, the front teeth are straightened and bite change is limited. Since this treatment is offered to adults, there is also no movement of the jaw because the bones of adults do not grow. Any changes in the teeth with this treatment must fit in with the preexisting jaw shape and size. After treatment is done, a removable or fixed retainer, included in the cost of the treatment, is used to prevent teeth from shifting back into crooked position. This treatment is not possible if the patient needs many extractions or has severe bite issues. While cost for this treatment runs about the same as traditional metal braces, the treatment is normally compete in six months.

There is some pain and discomfort associated with all types of braces. Patients who choose treatment with aligners will actually not experience pain but instead will notice some discomfort, in the form of pressure around the teeth, particularly when they start using a new set of aligners. This pressure is proof that the treatment is actually working, since pressure is used to shift the teeth into the right position.

Patients who choose lingual or traditional braces will experience some pain. When the braces are first installed and each time the arch wire is adjusted, patients can expect to feel some pain and discomfort. Patients usually feel sore around the teeth whenever they chew or when their teeth come together. This pain and discomfort should disappear after a few days, but patients can use over-the-counter pain medications such as ibuprofen as well as cold and hot compresses applied to the area to alleviate the pain.

Additionally, eating a diet of soft foods such as purees will help manage the pain. Some foods such as sticky or overly sugary food should be avoided during treatment. For braces with arch wires and metal ties, patients can also sometimes feel pain if the arch wire sticks out of the back brackets and scratches the cheek or if the wire tie becomes loose and irritates the skin around it. For these cases, patients can cut of the extra arch wire with a sterilized nail clipper or bend it out of the way with a pencil eraser or some wax. Patients can also develop sores when the inside skin rubs against the harsher materials of the brackets and wires. Usually, these go away after a few days, but the patient can cover them with cotton to avoid additional pain. Patients can also visit their orthodontists to deal with the problems.

Patients who have brackets on the tongue side of the mouth can also experience discomfort if a bracket become unattached to the teeth. Lingual brackets are all attached to the wire, so if a bracket falls off the teeth, it will remain attached to wire until the patient visits the dentist to have it reattached.

All types of treatments to fix malocclusion issues have post-treatment care through the use of retainers. The retainers used can be removable or fixed. The purpose of the retainer is to give time for the teeth to become permanent in their new position to prevent any shifting and the return of the malocclusion issues. Removable retainers can be clear or the more common Hawley retainer. Fixed retainers are attached to the back of the teeth, and the patient does not need to worry about taking it out or misplacing it.

Clear retainers are quickly becoming a top choice for patients who need to wear a retainer full time for the first year or so after orthodontic treatment with braces is complete. Adolescents in particular usually need full-time retainers the first year or two and then wear it only at night for a few years after that. Clear retainers are made from transparent plastic and are practically invisible when worn since they mold to the teeth. They do not use any metal hooks or wires to attach to the teeth since they cover the teeth completely. Additionally, these retainers act as mouth guards to prevent patients with bruxism from grinding their teeth together when they sleep.

Hawley retainers have traditionally been the most popular type of retainer. Made from acrylic and wire, they use wire clasps to cover the molars and keep the retainer in place. A metal bow from canine to canine is also used. Some patients need the additional support and pressure provided by rubber bands attached to the retainer. The Hawley retainer is also used with temporary teeth to keep the spacing open while a patient waits for a more permanent solution. The acrylic used with this retainer is usually clear pink but can be personalized with different images, logos and colors. It is studier than a clear retainer and easier to fit to the patient’s teeth, but because it is bulkier and can cause interference with speech, there is higher possibility that a patient will quit using it before treatment is complete.

There are a few types of permanent retainers, but the most common type is a fixed retainer where a thin metal bar or wire is bonded to the back of the teeth. This type of retainer provides a lot of treatment flexibility since it can be bonded just to two incisors or it can cover all the teeth from canine to canine. Fixed retainers are normally used for the bottom front teeth, but they can also be used on the top front teeth to prevent a gap from reopening. This type of retainer is less bulky than the removable ones, but if worn on the top teeth, care needs to be taken that it does not interfere with the patient’s bite, since if it does, a particular hard bite can cause the bar or wire to fall off. For younger patients with a fixed retainer, the retainer must remain in place until the jaw bone stops growing, which can be as late as the age of 25. Some dentists leave the retainer in permanently, unless it begins to cause a problem. For patients who have a high probability of quitting their post-treatment with a removable retainer, a fixed retainer is the preferred choice.

Patients need to continue taking care of their teeth by brushing often and flossing daily. However, with a fixed retainer, flossing is impossible, so additional brushing must be practiced and scheduled dental cleanings cannot be skipped. Patients should also clean their removable retainers to prevent food debris from building up and causing harm to the retainer and tooth decay for the patient.

The cost of retainers is usually included in the total cost of orthodontic treatment with braces. Some plans also include one or two replacement retainers in case of loss or breakage. However, if the cost is not included or a retainer needs to be replaced out-of-pocket, patients can expect to pay $100 to $250 for each retainer.

Treatment with braces can also be used together with other cosmetic dentistry procedures such as dental implants. If a patient needs an implant and orthodontic treatment, it is best to complete the orthodontic treatment first and then have the implant placed. During the orthodontic treatment, the patient’s bones and jaw alignment will change and if the implant is placed before the position is correct, the patient can end up with an implant in the incorrect position. Sometimes, the implant can be placed halfway through the orthodontic treatment if the dentist is sure there will be no more movement to the area where the implant will be placed.

Braces can also be used in conjunction with temporary prosthetic teeth to create and hold the space for missing front laterals. The temporary teeth are attached to the braces during the orthodontic treatment and then become part of the retainers until the patient is ready for a more permanent solution, such as implants or a fixed bridge. For undersized, “peg-shaped” laterals, the treatment with braces can define the space needed around the teeth, and after treatment, the teeth can be capped, built up to regular size or veneers can be applied.

Patients are also usually concerned about the benefits and drawbacks of orthodontic treatment versus cosmetic treatment. Orthodontic treatment is generally a longer process that seeks to correct malocclusion issues that yield a healthy, straight-teeth smile. Cosmetic treatment is normally a shorter process that does not really address the misalignment of the teeth and instead focuses on creating an attractive smile quickly through the use of veneers, capping and other cosmetic procedures.

The costs for both types of treatments are comparable, so a patient would need to consider what they really want to decide on a course of treatment. Patients with severe malocclusion issues that interfere with their health can reap greater benefits from undergoing orthodontic treatment, even if it means that the ideal smile they aim for will take longer to achieve. However, patients with minor issues that are not interfering with their health can choose either type of treatment, as long as they understand that they will remain at risk for some of the long-term problems, such as gum disease, that can develop if malocclusion issues are not corrected.

Ceramic braces use tooth-colored or clear brackets bonded to the teeth. Since these brackets are less visible than the traditional metal brackets, patients feel less self-conscious when they wear braces. An archwire, which can be coated or frosted to blend in with the teeth, is threaded through and attached to each bracket with small elastics or thin wire ties. The archwire is adjusted about once a month during the duration of the treatment.

Adjustment of the archwire is necessary to apply pressure gradually to the teeth so they can move into the right position. Teeth move slowly and are given some time to settle into their new position before a new adjustment is made to continue the movement. If too much pressure is applied to quickly, the teeth can become looser and a patient can experience tooth loss.

Some patients also need rubber bands or inter-arch elastics to apply additional pressure in specific locations during the treatment. To maintain the aesthetic appeal of the ceramic braces, these rubber bands can be flesh-colored. These rubber bands are attached to the lower and upper brackets and pull in a certain direction. Rubber bands are worn all day but must be removed for meals.

The brackets used in ceramic braces, which are also sometimes called invisible ceramic braces or clear braces, are made from either polycrystalline or monocrystalline alumina. One material yields the clear, transparent brackets and the other material yields the tooth-colored brackets. These materials are chosen because they are strong and durable. They are also non-porous and resist odors, many stains and general wear.

However, these materials are also harder than tooth enamel, and overexposure of the teeth to the brackets can lead to extensive, damaging wear on the teeth. The orthodontist reviews each patient’s bite and studies the way the teeth overlap before deciding if this treatment is the best treatment for a patient. This is one reason why invisible ceramic braces are not an option for all patients. The brackets are also more brittle than metal brackets and must be handled with less pressure.

Another concern for patients is the ceramic braces cost. The cost of these braces is higher than that of traditional metal braces. On average, ceramic braces cost between $6,000 and $8,500, but the cost can be higher or slightly lower depending on the complexity of the patient’s case and on where the dental clinic is located.

If the ceramic braces cost is prohibitive for a patient, an orthodontist can recommend a compromise of treatment using both ceramic and traditional braces. One way is to use these braces only on the top teeth.

To lower the costs of the treatment even more, and to protect the teeth from overexposure to the brackets’ material and prevent enamel damage, many orthodontists recommend that patients have the invisible ceramic braces installed only on the top six front teeth, which are the most visible ones, and then use traditional metal braces on the rest of the teeth, which are less visible. This only adds about $200 to the cost of traditional treatment while allowing an aesthetically pleasing result for the patient.

Patients should be aware, however, that dental insurance normally covers ceramic braces for an amount similar to that available for traditional metal braces. If the patient is not covered under dental insurance, he can seek other methods of paying for the treatment. Most orthodontists and dental clinics offer payment plans for their patients, which include a larger down payment and monthly manageable payments to cover the balance.

Patients can also choose to buy discount dental plans that can help the patient save up to 50 percent of the total price of the braces. Another option that can help patients save money is to use the dental clinic of a dentistry school. These clinics can help patients save up to 30 percent of the cost of treatment. They normally offer basic and advanced dental treatment performed by students who have completed all their coursework and are gaining actual experience before graduation. The student dentists are supervised by professors and licensed dentists.

Another concern patients have when considering ceramic braces vs. metal braces is the maintenance involved with ceramic braces. The brackets used with ceramic treatment are larger than the metal ones. Their size makes cleaning the teeth harder so patients need to be particularly vigilant of their oral hygiene routine. They should brush their teeth often and floss daily. Decay can build up quickly and cause problems and the calcium in the teeth can also be affected. Visually, ceramic braces should hold their color or transparency well during the duration of the treatment since the materials are stain-resistant.

However, the small elastic bands used to attach the archwire to each individual bracket are not stain resistant. And the tooth-colored brackets can be stained if the patient consumes too much coffee, tea, red wine, curry or tobacco products. They do become stained and affect the overall look of the braces. The elastic bands cannot be cleaned, but they are replaced during the monthly adjustment.

During treatment, patients also should consume a diet of soft foods, particularly during the days after the monthly adjustments of the wire. Some foods need to be avoided completely during treatment since they can damage the brackets, breaking them or causing them to fall off. These foods include gum, nuts, hard candies and other hard foods.

Although the materials chosen for the brackets are chosen for their strength and durability, these brackets do tend to be more brittle than metal ones. Orthodontists will usually apply less force when adjusting the archwire during monthly visits, which causes slower progress, and this extends the total duration of the treatment. The lesser force is applied to protect the bracket from either breaking or falling off. Ceramic braces have a higher probability of bracket failure even with the more delicate handling, and this also affects how much do ceramic braces cost, since orthodontists can anticipate needing to replace or reattach a bracket during the treatment.

Average treatment for orthodontic traditional braces ranges from one and half years to three years. The actual complete time for treatment is based on each individual patient’s case. More complex cases result in longer total treatment duration. However, when ceramic braces are used, the duration of the treatment is somewhat longer than with metal braces anyway since the orthodontist needs to be more delicate when doing his adjustments. While the time is extended by a few months and results in additional visits to the orthodontist, the brackets are protected from unnecessary damages.

Minor pain and discomfort are experienced with orthodontic treatment with braces. This is true for ceramic braces as well as for traditional ones. A patient can expect to feel some pain and discomfort in his mouth when the braces are first installed and during the days after the subsequent monthly visits for adjustments of the archwire. The area will feel sore and some additional pain will also be present when the patient chews or when his teeth come together. Patients are advised to eat a diet of soft foods that do not further irritate the area. They can also use over-the-counter pain medication to treat the pain or hot and cold compresses in the sore area.

Patients can also develop sores in their mouth from the rubbing caused by the brackets. This is most common when the braces are first installed because the lips and the inside of the cheeks are not used to the rough surface of the brackets rubbing against the skin and need to adjust. Covering the sore with cotton or some wax will usually help with the pain. Sores normally disappear after a few days, but if a sore persists, the patient should visit his orthodontist to have it examined.

Discomfort during treatment can also be caused by archwire that either pokes out from the last brackets and scratches the inside of the cheeks or from loose wire ties that stick up and scratch and irritate the area around it. Patients can bend the wires with a pencil eraser, cut any extra wire with a sterilized nail cutter, or they can visit the orthodontist for adjustment.

Not all patients are good candidates for ceramic braces, though most patients will be able to use them if they so desire. Generally, though, ceramic braces are used by adolescent and adult patients who are concerned with the aesthetic impact of braces during the treatment. If the dental problems of these patients are not extreme, the orthodontist will usually agree with ceramic braces as the right choice.

Patients suffering from extreme dental problems that would require stronger than normal pressure applied to the teeth cannot use ceramic braces because of the risk of bracket failure. Ceramic braces are not recommended for patients with deep overbites or with abnormalities in their teeth, such as long cusps on the opposing teeth because these problems would cause more exposure to the bracket material, harming the tooth enamel. Patients involved in contact sports should not use ceramic braces since the risk for bracket failure is even higher with athletes. Additionally, patients with weakened tooth enamel cannot use ceramic braces.

Orthodontic treatment with braces is different for children and adults. This is true for all types of braces. Children’s bones are still growing, which makes them more pliable and easily guided into the correct position. If treatment is started early enough with children, more complicated dental problems related to crowding, crooked teeth and misaligned jaw issues can even be prevented. Treatment for children can begin as early as 7 years old and is usually designed to prepare the arches and teeth for any later treatment that might be needed. Children and teenagers can also use braces to open up the space in their mouth, or open their jaw, since the bones have not hardened into their permanent space and size.

Treatment for teenagers can vary in time, but it usually lasts between 18 and 24 months. The duration of treatment is affected by the rate of bone growth for each adolescent. Since every person is different and experiences bone growth at a different rate, patients with similar problems might experience different amounts of duration of the treatment. The estimates for the duration of the treatment can also be different from the actual duration since adolescents are in the middle of a transition into adulthood.

Because adult bones are no longer growing, the orthodontist approaches treatment differently. The duration time for treatment with ceramic braces for adults will last longer than that of children, since the bones are less pliant and the orthodontist will need to apply less pressure during the monthly adjustment visits. This will cause slower movement of the teeth, extending the duration of the treatment and increasing the cost. Treatment is also different because adults cannot really use orthodontic treatment to enlarge their mouth by stretching their jaw since the bones have already hardened. Adults who need to stretch their jaws will have to undergo surgery. Orthodontic treatment with braces for adults is only used to straighten teeth.

Only an orthodontist can decide what treatment is best for each patient. And patients must be willing to follow everything indicated by their dentist in order to have a successful experience with braces. The result, however, is a more beautiful smile and greater dental health.

Many reasons prevail in the issue of having straight teeth. A healthy smile is a good investment for career advancement and a higher self-esteem. Teeth that are uneven can affect a person’s ability to speak or chew properly. Additionally, healthy gums and teeth can have a positive effect on a person’s health.

Today, adults who choose to get braces are not limited to the metal instruments of the past. Advances in orthodontics have lead to inconspicuous braces that work just as well. There are invisible braces available customized for a person to wear. These braces are more comfortable than the traditional ones and not obvious to others. Another advantage to using the invisible braces is the ease of removing and cleaning. Invisible braces are more appropriate for people with minor problems.

Another type of braces for adults to consider are made of brackets and come in white or clear. These braces are fixed to a person’s teeth and cannot be removed. However, an advantage over the invisible braces is these can move teeth quicker because of consistent wearing. Fixed braces are more appropriate for people who need long-term treatment for straighter teeth.

The cost of braces will vary depending on the option a person chooses. However, caring for the braces and teeth require attentiveness. This will ensure that the orthodontic treatment accomplishes its goals. A person will need to continue brushing and flossing daily. If an adult has traditional braces, this also includes daily cleaning between the wires.

There are valid concerns that many adults have about braces. A person’s diet will have to change while wearing braces, eliminating hard, sticky foods. Whether the braces will fit into their daily lives, i.e. love life, social gatherings, career, are some of the common concerns. While each are legitimate, it is important to realize that these are temporary inconveniences. By comparison, braces are a long-term investment in a healthy, positive smile.

With time and effort, anyone can learn to deal with these concerns and have a positive experience. A spouse or romantic partner can adjust to the braces. Within a few months, both may no longer consider the braces a hindrance.

Meal options at a dinner party can also be dealt with positively. If an unfriendly option is on the menu, a person can take extra caution while eating. Drinking water or brushing after eating can help to dislodge food that might become stuck in the braces.

No one should be ashamed of wearing braces, considering the investment in improving one’s health and appearance.