Sacramento Downtown

Bleaching

Bleaching is a relatively new and popular way to achieve a bright, white smile. There are two types of bleaching: "in office" and "at home" bleaching. In office bleaching, known also as power bleaching, is performed at the dental office. At home bleaching involves the fabrication of a customized plastic splint or mold that fits over the teeth and is filled with a solution of carbamide peroxide. Depending on the different manufacturers percentage of carbamide peroxide, the patient can wear the splint for 2-4 hours or even wear it while one sleeps. The process usually takes 2-3 weeks to achieve results. Both types of bleaching are not permanent and usually have to be repeated after two years.


Bonding

Bonding is a process whereby the dentist first etches the enamel layer of the tooth with mildly acidic solution and then a composite resin or plastic paste is molded onto the teeth. The composite resin is then hardened by a high-intensity light. The dentist then sculpts the composite. Bonding is often used for chipped or fractured teeth or to close the space between two teeth. It can also be used to completely cover the surface of each tooth to cosmetically mask discolored or malpositioned teeth. The advantages to bonding are: it is a painless procedure, where anesthesia is generally not required. The results are immediate and usually require little to no tooth reduction.


Porcelain Veneers and Laminates

Porcelain Veneers can correct a multitude of imperfections in a smile, including changing the color of teeth, changing the shape of the teeth, making crooked teeth look straight, correcting gaps or spaces between teeth, lengthening teeth, and making the arch wider to give greater support to the lips and cheeks and create a fuller smile. Porcelain Veneers or Porcelain Laminates are the extension of the bonding technique and consists of applying a thin veneer of preformed porcelain, custom made in the laboratory, directly to tooth structure. The inside of the porcelain laminate is etched to enhance its attachment to the etched enamel tooth surface. Composite resin cement binds tooth surface to the porcelain with the aid of a high intensity light, which activates the resin to bond the two surfaces. The main advantage of porcelain veneers is the strength and beauty of porcelain, which due to its translucent qualities, give a truly life-like appearance. Porcelain does not stain as does composite resin and porcelain has a much more beautiful luster than composite. During the second visit, the laminate veneers are fitted, inserted with the composite resin cement, and then shaped and polished.