Cosmetic Dentistry

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.

Reasons for porcelain veneers:

  • Cosmetically, 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

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What does getting porcelain veneers involve?

Getting veneers usually requires two visits to complete the process, with little or no anesthesia required during the procedure. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist.

On the second visit the teeth will be cleansed with special liquids to achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond.

cosmetic dentistry

Porcelain Inlays/Onlays

cosmetic dentistry san fransisco california

An inlay or onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. Porcelain inlays and onlays are popular because they resemble your natural tooth. A porcelain inlay or onlay is made by our professional dental laboratory and is permanently cemented into the tooth by Dr. Madderra.

Inlays and onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Inlays and onlays are an ideal alternative to conventional silver and composite fillings. Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays.

As with most dental restorations, inlays and onlays are not always permanent and may someday require replacement. They are highly durable and will last many years, giving you a beautiful long lasting smile.

Reasons for inlay/onlay restorations:

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

What does getting an inlay/onlay involve?

An inlay or onlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom inlay and a temporary restoration.

While the tooth is numb, Dr. Madderra will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an inlay restoration. A temporary filling will be applied to protect the tooth while your inlay is made by our dental laboratory.

Porcelain Fixed Bridges

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.

There are several types of bridges. Dr. Madderra will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. Porcelain fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

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What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to our dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally Dr. Madderra may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.

Reasons for a fixed bridge:

  • Fill space of missing teeth
  • Maintain facial shape
  • Prevent remaining teeth from drifting out of position
  • Restore chewing and speaking ability
  • Restore your smile
  • Upgrade from a removable partial denture to a permanent dental appliance

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