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Smile Makeover

Smile makeovers are short series of procedures which improve your smile through one or more cosmetic dental procedures; serving as the cornerstone of restorative and advanced cosmetic dentistry.

Your smile is one of your defining characteristics and it is important for you to be happy with its appearance. While they are restorative in nature, smile makeovers are generally less extensive and more cosmetic in nature than a full mouth reconstruction.

While both procedure families overlap, smile makeovers generally have a more aesthetic than reconstructive end result in mind. However, the terms are frequently used interchangeably in the common vernacular, but there is a very important distinction. Smile makeovers generally do not include bone or gum grafts or extensive replacement of teeth.

Once grafts and major tooth replacements become a part of your treatment plan, your makeover becomes a full mouth restoration. When you come in for your initial consultation, Dr. Zadeh will take a whole mouth approach and looks at every aspect of your smile to determine the extent of treatment needed to give you the smile of your dreams.

During your treatment, Dr. Zadeh can fit you with Lumineers or porcelain veneers if your teeth are severely worn, misshapen, badly stained, or poorly spaced. Dental bonding can be used cover stains or worn enamel and restore your teeth to their natural luster. If you have oddly shaped teeth that can be corrected without the use of veneers, the Doctor may opt to do a minor tooth recontouring to level out your appearance. This is generally a mild sanding to smooth out jagged or rough teeth in a simple and short outpatient visit. Laser tooth whitening can remove years of stains from your teeth, leaving them much whiter.

Invisalign aligners can help move your crooked teeth into their proper positions. This is one of the longer-term steps in the procedure process, and will likely be applied after most of your other work is already done. Patients who do not want to wait or only have minor misalignment and crowding can opt for instant orthodontics. Porcelain crowns, inlays, or onlays can cover and protect damaged teeth. If a tooth or two are missing or broken beyond repair and you are otherwise healthy, dental implants or small bridges may also be used to fully restore your smile.

You will generally be able to have your smile makeover finished in as few as two or three visits, not counting consultation or followups.

How Does A Smile Makeover Work?

During your initial consultation, Dr. Zadeh can help determine which procedures you need and design a customized treatment plan made just for you. Dr. Zadeh will take your whole face into account as well and answer any questions about what procedures are right for your case. Often times, patients find out they need far less work than they originally believed. We’ve had patients come in convinced that they need a whole mouth full of veneers and crowns, when whitening and a veneer or two for irregularly shaped teeth was all they needed. We will tell you exactly what you need, no more, no less. If you want more, we are happy to do so, but will always give you the most conservative treatment necessary to save you time and money.

If you are concerned about cost, don’t be! Our office offers numerous and generous financing options. While most cases are no where nearly as expensive as a new car, if you can afford a payment on a new or late-model car, you can easily afford a smile makeover — and most likely will be able to pay it off in far less time! A perfect, beautiful smile is never out of reach and most patients are eligible for 0% financing for at least their first year of payments!

What Are The Benefits?

Many people come in for smile makeovers because they haven’t been to the dentist for awhile. Or, as is so common in this economy, are only recently able to go beyond the basic upkeep of their teeth. With improved insurance or cash flow, many patients are ready to get the medical and cosmetic procedures they have put off for several years.

A smile makeover will rejuvenate your appearance, improve your confidence, and restore functionality that may have been lost. Imagine living your life unhappy with your smile, and compare that to cost of having it fixed. If you are ashamed or feel there are extensive problems with your smile, a smile makeover can definitely improve your outlook on life. The social and emotional costs of having a smile you are not proud of, far outweigh those of getting the smile of your dreams.

No matter who you are, Dr. Zadeh would be honored to perform your smile makeover. Many of his patients have seen life-changing benefits from his work, because their refreshed, restored smiles give them back their confidence. Patients of all ages come in to our office for smile makeovers and leave with astounding results.

When you get your smile makeover, it will be custom tailored to your teeth and facial features. You will never leave with mismatched teeth or a smile that does not fit your face. Dr. Zadeh starts with your foundations to create a natural looking, beautiful smile that will be the envy of everyone. With advanced imaging software and extensive CT scans and X-rays, Dr. Zadeh will improve your smile in a way that not only takes advantage of your natural appearance and enhances it without looking like you had any work done at all.

Oral surgery is minimal with smile makeovers. It is only required with the placement of dental implants or gum contouring to even out the appearance of a gummy smile. Most makeover patients only require one or two of these procedures to get their Hollywood perfect smile. Other patients only require what is known as oral rejuvenation. This is a scaled down form of smile makeover used to restore and take years off your appearance. Sometimes oral rejuvenation is called anti-aging dentistry.

If you are interested in consulting with Dr. Zadeh about making over your smile, call us at (310) 273-2020 or email our appointment coordinator. Dr. Zadeh and his helpful staff will be glad to answer all of your questions.

Smile Makeovers cover a wide range of dental procedures that enhance the appearance of your smile and improve the function of the masticatory system. The following are the various processes that can achieve a smile makeover from the simplest treatments to the most involved.

A. Teeth Whitening

*In-Home Bleaching Trays from $250 – $450

*In-Office Bleaching from $400

As we go through life, it is natural that our teeth tend to yellow. There are two major factors that contribute to this: 1. Natural aging thickens the inner layer (dentine) while the outer layer (enamel) thins. 2. Staining from things we put in our mouth that have any color to them, especially drinking a lot of coffee and tea which create the most stains.

Whitening Techniques
Most whitening agents in the market are effective but only to various degrees. The most common chemical agent that is used to whiten the teeth is Carbamide Peroxide. Carbamide Peroxide is an oxidizer and acts by oxidizing the coloring agents within the dentine or those on the surface of the enamel.

O-T-C Measures

Whitening Toothpastes
Consistent use of a whitening toothpaste may lighten and manage whiteness of teeth to a certain degree.

Whitening Strips
Whitening Strips contain a higher percentage of Carbamide Peroxide and therefore are more effective in teeth whitening, however, the whitening solution in strips are not well insulated from the oral cavity and is easily diluted and washed out with saliva.

Professional Measures

In-Home Bleaching Trays
In-Home Bleaching Trays are fabricated by dentists from a mold of your teeth. The tray is well-adapted to the contour of the teeth and can hold the solution on the tooth surface with minimal dilution. Higher percentages of carbamide peroxide are used in in-home bleaching treatments anywhere from 10-30%.

In-Office Bleaching
When you want to whiten your teeth in a hurry, the most efficient method of whitening is an In-Office Treatment. In In-Office Treatments, your gums are isolated and protected from the teeth by a special compound and a very high concentration of carbamide peroxide is painted on the teeth. Occasionally, the whitening agent is activated by the dental assistant with a special light to speed up the process.

“Internal” Bleaching
When teeth have severe discoloration due to necrosis/damage to the tooth pulp, an “internal” bleaching technique is used to lighten up the discolored teeth. The prerequisite for this technique is that the tooth must have been treated by a root canal process.

Deep Whitening
|Deep Whitening is a process by which the enamel is made more permeable to the bleaching agent, and then followed by the sealing of the enamel to minimize the sensitivity. This treatment is subject to a combination of both in-office and in-home whitening treatments.

Not sure which treatment is best? Come in for a free consultation and let Dr. Zadeh discuss the best option for you!

Contra-Indication for Teeth Bleaching
If you have any veneers/bonding/crowns, you must realize that the bleaching agents do not affect the dental materials. Applying bleach to all teeth will allow the natural teeth to lighten while the restored teeth remain the same color. Use of bleaching during pregnancy has not been studied and therefore contra-indicated.

Sensitive Teeth?
The limiting factor that prevents people from whitening their teeth to their maximum potential is the development of sensitivity by the bleaching agent. However, there is good news! The sensitivity is caused by dehydration of the teeth and is completely reversible, when you stop the bleaching, the whiteness will remain, but the sensitivity will be alleviated.

There are also some remedies to minimize sensitivity that we can discuss during your consultation appointment

B. Orthodontic Treatment – Invisalign®, Clear Correct®, Braces

Orthodontic Treatment refers to the procedures by which the teeth and alveolar [jawbones] bones are either guided and/or moved through mild pressure exerted by various appliances.

  1. Removable Appliances
    Many minor teeth movements can be achieved by an appropriately fabricated active retainer. They are typically a plastic body with metal springs and clasps.
    Cost: $800 – $2000 per arch
  1. Functional Appliances
    A functional appliance is an instrument that guides and moves the teeth and alveolar bone by the energy created in the movement of the mouth. Functional appliances are a plastic body with securing metal clasps.
  1. Braces
    The best control over the teeth movement is possible through “fixed” braces, they include attachment of brackets to individual teeth and connecting the brackets through an arch wire. The shape and energy of the arch wire will bring the necessary pressure to cause tooth movement.
    Cost: $6,000-$8000 for complete upper and lower treatment
  1. Clear Aligners
    You may know clear aligners by popular brands such as Invisalign® and Clear Correct®. Clear aligners are prefabricated elastic trays that guide teeth a fraction of a mm at a time. Continuous wearing of these clear progressive trays allows the teeth to move to their desired position.
    Cost: From $3000 – $5000 for complete upper and lower treatment

    *Limitation of Clear Aligners
    Clear Aligners are very appealing to the adult population because as the name implies they are clear and can be removed for convenience. However, due to the limited anchorage of the aligner to the teeth, certain movement is achieved at a slower pace, is and movement at all.

C. Porcelain Veneers

Porcelain Veneers are thin layers of porcelain that are bonded on the teeth to improve their appearance. In the past, veneers were mostly used to enhance the color of severely discolored teeth, but with new innovations, materials, and methods available today, we are able to perform a wide-range of improvements to teeth including color, shape, size, and alignment.

There are various materials that are used for veneers. Feldspathic porcelain was one of the first materials that was used for this purpose. It had great aesthetic value however it was rather soft and proved brittle when making major changes to the teeth. Currently, Dr. Zadeh’s material of choice for porcelain veneers is IPS E.Max® Veneers due to its strength and sturdiness. Use of E. Max has almost eliminated the normal chipping and cracking that were common with the traditional veneers.

How do Porcelain Veneers attack to the teeth?
First, Porcelain Veneers are etched (roughened) by the dental laboratory. These roughened surfaces provide microscopic anchorages that a resin will adhere to. Teeth surfaces are roughened and etched by the dentist before the bonding process and through the use of various of chemicals, the resin is introduced between the roughened porcelain and roughened teeth that bonds the two together.

Do veneers come off?
Yes, they can however, with modern bonding techniques and by following exact protocols porcelain veneers can last decades without debonding from the teeth with normal usage. However, if you utilize veneer teeth as tools (cutting nails and opening up beer bottles), you are more likely to displace the veneer or break the tooth underneath. A more common problem occurs with individuals that heavily grind their teeth (bruxism) and clench their teeth. The excessive force of grinding and clenching can flex (bend) the teeth while the overlying porcelain is too rigid to be bent and therefore, the debonding the veneer. If you’re a bruxer or grind your teeth, you should be fitted with a nightguard to help protect your veneers at night.

Costs of Veneers
Veneers can cost anywhere from $800 – $2500 per tooth depending on the number of teeth involved. A single veneer on the front tooth is very difficult to match the adjacent tooth and therefore costs almost as much as getting two adjacent veneers done, so most patients opt for getting two. Typically, 8 veneers can be done between $6,000-$8,000. This fee includes the treatment planning for the new teeth, preparation of the teeth, the laboratory fee to manufacture the veneers and the bonding of the veneers on the teeth.

How many veneers do I need?
Depending on what you’re trying to correct! Typically, Dr. Zadeh’s rule is that if you’re correcting misalignment of the teeth, you will need to correct the misalignment in pairs (2, 4, 6 veneers) at a time. However, if you’re getting veneers to correct misalignment and substantially improve the color of your teeth, you should correct as many teeth as you show when you smile. A point to remember is that the color of porcelain veneers are very stable and they will not discolor over the years, however, the natural teeth next to them turn yellow with time and age. Although we can match the two front teeth to the surrounding teeth today, 2-3 years down the road the veneered teeth will look whiter than the adjacent, non-veneered teeth.

D. Cosmetic Dentistry

In 2018, every dentist is a “cosmetic dentist” as we are yet to come across who claims to do ugly dentistry! Up until the early 1990’s general dentists were not necessarily trained in providing porcelain veneers and tooth color fillings, so when the term “cosmetic dentistry” was introduced, it was to differentiate those dentists who had taken extra training in offering and providing these services to their patients.

E. General Dentistry

General Dentistry vs. Specialty Dentistry vs. “Super” Dentistry
In the traditional dental practice model, a general dentist was the one who performed preventive and restorative dentistry and referred out the more involved procedures to the “specialists”.

The only opportunity that existed for furthering a dentist knowledge in any particular field of dentistry was to go through 2-3 year residencies at a university to become a “specialist”. Up until the coming of the digital age, universities were the only source of specialty training since only they had the resources for research and advanced education.

The digital age also opened up the world of research and data to every dentist. Digital photography, YouTube, PowerPoints, etc., has made teaching and sharing advanced techniques readily available to any dentist at almost no cost. Many dentists who are interested in furthering their education and training have taken advantage of the tens of thousands of courses tutorials and continuing education courses that have mushroomed around the world, with many dentists that have concentrated 2-3 years of their practice and free time in enhancing their particular skill set to include in their practice. A dentist with 20+ year of experience has had the chance to master almost every specialty training that used to be available only through the residency programs. The term “super dentist” is unofficially applied to those dentist that practice multiple specialties in their offices.

F. Reconstructive Dentistry

Full Mouth Reconstruction/Full Mouth Rehabilitation
These terms refer to a series of processes that involve all the teeth in one arch or the teeth in both arches. In full mouth reconstruction, the bite (occlusion) is often improved/changed. Before dental implants became common, a full mouth reconstruction included replacing missing teeth, a removable dental bridge, a removable partial denture, fixed dental bridge, or a denture. In the age of implant dentistry, these modalities are considered obsolete and are offered as a provisional or in cases of limited finances. To change the occlusion, a separate set of instrumentation, training, and skill are required which are not part of General Dentistry training.

Full Mouth Rehabilitation is achieved improving the bite with crowns and bridges.

Dr. Zadeh has completed his training in this field at a two-year residency in 1991 at the prestigious Foundation for Advanced Continuing Education.

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