adjustments can make a perfect smile
By Dr. Bernal A. Soto*
Scientific advances have led into less invasive and more modern
techniques for resolving esthetic problems in front teeth, such as:
medication caused stains, enamel defects, imperfect tooth positioning,
abrasions, or shape and size abnormalities.
Special to Medical
Vacations in Costa Rica
These mentioned problems can severely impair oral functioning and
psychology in patients.
Composite veneers are used to close gap and
The development of new materials in resins offers good resistance to
weathering, hardness and fine polish, accomplishing functional and
satisfactory esthetic results which allow patients to obtain the smile
they have always desired, using minimal corrections only.
This is an example of how the gap is closed.
It is very important to perform a good diagnosis for these types of
treatments, as not all patients are good candidates for composite
restorations in front teeth.
The most important difference with this type of treatment is that it is
a direct process that does not involve major weathering of natural
teeth in order to be able to change their color and shape.
This is due to the fact that what is done is an actual adding of
material on top of the teeth which allows closing gaps, improving
color, and shape. There is no sending cases to a laboratory involved,
providing the patient with the opportunity of getting the treatment
done in just one visit.
One of the most attractive benefits of composite restorations is the
lower cost in comparison to regular porcelain restorations. At the same
time that if there was to be a fracture on one tooth, it can easily be
repaired, whereas on a regular crown it would have to be completely
remade and replaced.
Composite restorations do not achieve the polish that can be obtained
with porcelain veneers. However, the finish is very similar to a
Throughout time, composite restorations can suffer certain types of
pigmentations. However, with periodical visits and polishing the
discolorations can be eliminated.
Patients with bruxism, or grinding of teeth, are not ideal candidates
for composite restorations of the front teeth, but in case they were
performed, it is imperative that patients wear a night guard that will
prevent fractures and will guarantee the success of the treatment.
This patient chose porcelain veneers.
Composite restorations have become one of the most popular solutions
for small front tooth imperfections, which is why a correct diagnosis
and a good treatment can be the answer to being able to smile freely
with a healthy and esthetic looking smile.
For more information, please contact Prisma Dental in Rohrmoser, San
José, at 2291-5151 in Costa Rica and toll free from the United
states at +866 741-8194.
*Dr. Soto was graduated
from the University ULACIT in general dentistry in 2002. He earned a
fellowship in esthetic dentistry in 2004 at the Universidad de Costa
Rica. He spent 2005 to 2008 in Span where he received a master's degree
in esthetic dentistry at the UIC Barcelona. He is country
chairman for the European Society of Cosmetic Dentistry.
— Sept. 9, 2014