Cosmetic Dentistry

In the past decade there has been a dramatic interest in cosmetic dentistry. We all realize that having a healthy, bright, beautiful smile enhances our appearance and allows us to smile with confidence. At Bethany Family Dental, your choice for dentist in Portland, our cosmetic dental treatments can:

  • Change the size, shape, and alignment of certain teeth
  • Fill in unattractive spaces between teeth
  • Improve or correct bites
  • Lighten or brighten the color of teeth
  • Repair decayed, broken, cracked, or chipped teeth
  • Replace missing teeth
  • Replace old, unattractive dental treatments

Composite Dental Fillings and Restorations

A composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a composite filling.

There are many types of filling materials available, each with their own advantages and disadvantages. You and Dr. Austria can discuss the best options for restoring your teeth.

Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth. As with most dental restorations, composite fillings are not permanent and may someday have to be replaced. They are very durable, and will last many years, giving you a long lasting, beautiful smile.

Dental Crowns

A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations. Although there are several types of crowns, porcelain (tooth colored crown) are the most popular. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile. Reasons for crowns include:

  • Broken or fractured teeth
  • Cosmetic enhancement
  • Decayed teeth
  • Fractured fillings
  • Large fillings
  • Tooth has a root canal

Tooth Whitening

Tooth whitening (or bleaching) is a simple, noninvasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile. Because having whiter teeth has now become the number one aesthetic concern of most patients, there are a number of ways to whiten teeth. The most popular method is using a home tooth whitening system that will whiten teeth dramatically. Since tooth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth. Tooth whitening is not permanent. A touch-up may be needed every several years, and more often if you smoke, drink coffee, tea, or wine. Reasons for tooth whitening include:

  • Fluorosis (excessive fluoridation during tooth development)
  • Normal wear of outer tooth layer
  • Stained teeth due to medications (tetracycline, etc.)
  • Yellow, brown stained teeth

Porcelain Veneers

Veneers are very thin pieces of durable, tooth shaped porcelain that are custom-made for shape and color by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile. Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions. As with most dental restorations, veneers are not permanent and may someday need replacement. They are very durable and will last many years, giving you a beautiful long lasting smile. Reasons for porcelain veneers include:

  • To create a uniform, white, beautiful smile
  • Crooked teeth
  • Misshapen teeth
  • Severely discolored or stained teeth
  • Teeth that are too small or large
  • Unwanted or uneven spaces
  • Worn or chipped teeth

Porcelain Onlay Restorations

An onlay restoration is a custom-made filling made of composite material, gold, or tooth-colored porcelain. Porcelain onlays are popular because they resemble your natural tooth. An onlay is sometimes also referred to as a partial crown. Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays. Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration. As with most dental restorations, onlays are not always permanent and may someday require replacement. Reasons for onlay restorations include:

  • Broken or fractured teeth
  • Cosmetic enhancement
  • Decayed teeth
  • Fractured fillings
  • Large fillings

Tooth Bonding

Bonding is a resin that is used in the front or back teeth to restore decayed teeth, lighten stains, close minor gaps or correct crooked teeth. A tooth is prepared through light etching on its surface, and a bonding resin is placed on top. The tooth is bonded, sculpted, colored and shaped to improve your smile. Once cured with a high-intensity curing light, the surface is polished. Tooth bonding is convenient, often completed in one visit, and can significantly improve the appearance of a tooth. Bonding typically lasts three to five years, or even longer before need of repair.