We treat all kinds of problems, from crowded, misshapen or discoloured teeth, to loose or missing teeth.
Teeth with gaps
If you have gappy teeth, braces might be an option to move the teeth together or veneers may be an alternative without using braces. If the gaps are relatively small the gaps can be closed with composite.
Before treatment After treatment
Small teeth can be made larger by composite or porcelain veneers.
This patient liked the space between her front two teeth but wanted a greater fullness to her smile. Her teeth were small and short with small hypoplastic marks on the surface After whitening with the professional whitening treatment we improved the proportions of her teeth and made them slight longer and ‘fuller’with composite. The composite disguised the hypoplastic marks also. The patient did not like her small lateral incisors and the black spaces this resulted in her smile We whitened her teeth and used composite to make the lateral incisors the average size
When there is recession at the neck of a crown, then an unsightly “black line” can become visible. This can occur more commonly when crowns are bulky and difficult to clean. This can be addressed by new crowns that are an improved fit and colour at the neck of the tooth.
The upper teeth had old crowns that had recession of the gums The old crowns were replaced with new crowns The upper teeth had had old crowns with recession of the gums and the natural teeth had yellowed The natural teeth were whitened with a professional whitening treatment and the old crowns were replaced
I mentioned to my dentist that my seven year old grand daughter had asked me why the top of my front teeth were black (As an eleven year old I had broken my front teeth playing netball and had crowns ever since). After almost a year of dental work, x-rays, much encouragement along the way, teeth whitening and new crowns, I am delighted that I can now smile confidently and my grand daughter has been so complimentary. Although Denplan contributed to these treatments, I did pay extra as the work progressed and the end results speak for itself!
Missing teeth can be replaced by dental implants, bridges or dentures.
This elderly patient had missing lower teeth. He had a removable denture he disliked for the front four lower teeth and wanted an alternative. Considering he didn’t have the budget for implants and wasn’t concerned about the missing back teeth, a fixed bridge was made replacing the four lower front incisors. Missing premolar tooth and unsightly crown margin on the tooth behind the space This space from losing this premolar tooth was restored by bridging the space using the tooth behind. The dark root was covered by the new bridge
Failing teeth and loose dentures
Sometimes teeth are failing, and the teeth are at such a stage that the only solution is to replace them. They can be replaced with dentures or dental implants.
If you have some of your own natural teeth and they are healthy, the missing teeth can be replaced with a removable chromium based plate (metal based). The advantage of these dentures are that they are lighter and thinner, do not cover as much of the roof of mouth in the case of upper missing teeth and are often more secure as they are made to fit neatly and precisely around the natural teeth compared to the acrylic dentures (all pink).
I had a denture that was loose and kept breaking. I became very self conscious and it was very inconvenient having to get it repaired. My dentist advised me straight away that I’d be best crowning a couple of poorly shaped natural upper teeth and then make a denture to fit neatly around these. It was the best thing I ever spent money on. It feels so secure. I don’t even feel it in my mouth!
Sammy Smith, Randalstown
Simple staining can be polished by our dental hygienist and the “air abrasion stain removal” can remove stubborn staining.
Stains from tea/coffee on two central incisors Moments later after cleaning the air abrasion
Small fractures can be repaired by composite bonding, whereas large fractures may need a veneer or crown to repair them.
Silver fillings are shining through the upper and lower right side teeth After whitening with the professional whitening treatment, we replaced the fillings in the upper right side teeth with white filings and crowned the lower right side teeth. Composite was used to close the ‘black triangle’between the two upper centrals
Asymmetric gum heights
This lady has central incisors of differing lengths and correspondingly the gum heights are different in the two front teeth There are fracture lines in the porcelain of the front two crowns and an unsightly dark line on her front right lateral incisor A gum graft was placed on the left long central incisor (carried out by Tom Cassidy at Cassidy Dental) After a period wearing provisional crowns when the gum was healing, the permanent crowns were placed on three of her front teeth
I fell and broke my front teeth as a teenager and have required crowns since then. After my consultation we decided the re-crown these teeth as well as a little gum surgery. Throughout the whole process my dentist was informative and extremely thorough and was only satisfied when she felt the work was perfect. I can honestly say I am delighted with the end result. I’m not embarrassed to smile now!
Teeth can be discolour and yellow with age, old fillings can become stained or traumatised teeth can significantly discolour as the nerve dies.
This central incisor has darkened from trauma experienced a few years ago. The tooth died and required a root canal treatment The tooth was lightened using a technique called ‘non-vital tooth bleaching’and a subsequent crown was placed to ensure overall longevity The young woman has a hypoplastic mark on her central incisor. This can happen if trauma was suffered in the preceding baby incisor resulting in this irregularity in the enamel The teeth were whitened using our professional whitening treatment carried out over a 2-4 week period at home. The hypoplastic mark was removed and replaced with composite matching the new whiter shade of the tooth Before The patient had stained old composite fillings, hypoplastic marks and slightly worn, uneven incisal edges The old stained composites were replaced with better matching and well polished composites. The hypoplastic marks were removed and restored with composite and the worn edges were evened out with composite also.
Chipping / worn teeth
Chipping and slight wear of the front 4 teeth due to mainly grinding during sleep Composite was added to the front 6 teeth and a guard made to fit over the teeth and worn at night This patients’ teeth were yellowed and the front 6 teeth were worn short and flat The teeth were whitened using the professional whitening treatment and then composite was matched and added to restore the teeth to the proper length and shape. The patient wears a guard at night to protect the teeth from further grinding Worn sharp lower teeth due to a heavy bite, dietary acid and grinding Building up the lower teeth in the middle of treatment. This picture illustrates the amount of tooth substance lost over the years by highlighting the height difference in the teeth on the right and left of the midline The lower incisors after being restored to the correct size and shape. The result for the patient is that he now has an improved bite and chewing ability as well as improved aesthetics