Aesthetic Dentistry

WEBVTT 00:00:05.914 --> 00:00:07.900 I was trained back in the '90s 00:00:08.871 --> 00:00:12.829 at a school called Las Vegas Institute for Cosmetic Dentistry. 00:00:13.900 --> 00:00:18.358 It was a life-changing experience for me because I learned 00:00:18.875 --> 00:00:22.401 so many, really minor things that make a big difference 00:00:22.402 --> 00:00:24.000 in how a smile is created. 00:00:25.414 --> 00:00:31.429 A big part of cosmetic dentistry for me is designing. 00:00:31.786 --> 00:00:33.957 When I look at a smile, 00:00:35.286 --> 00:00:39.371 I identify what I can do to enhance that smile. 00:00:39.829 --> 00:00:44.014 I do what we call a diagnostic wax-up, where I'll take a stone model, 00:00:44.200 --> 00:00:47.500 now a resin model, of the patient, 00:00:47.557 --> 00:00:53.571 and we add wax to the teeth to create the smile. 00:00:55.771 --> 00:00:59.471 It's a sculpting technique that I do by hand. 00:00:59.643 --> 00:01:04.743 Before I ever do anything for the patient, I've done it on a stone model 00:01:05.114 --> 00:01:06.757 and presented it to the patient, 00:01:06.758 --> 00:01:08.943 so they can see what their smile will look like. 00:01:09.057 --> 00:01:14.385 A veneer is a type of crown that goes over the tooth, 00:01:14.386 --> 00:01:17.186 and Usually, especially in the front of the mouth, 00:01:17.400 --> 00:01:20.243 it will go over the face of the tooth 00:01:20.257 --> 00:01:23.686 and over the edge so that we can change the color of the tooth, 00:01:23.757 --> 00:01:26.786 we can change the shape of the tooth, the length of the tooth, 00:01:27.214 --> 00:01:29.500 and make it more correct. 00:01:30.157 --> 00:01:33.686 Lots of times people don't understand what their problems are. 00:01:34.271 --> 00:01:39.586 They may not understand how serious it is or may think it's more serious than it is. 00:01:41.314 --> 00:01:45.143 I think it's important that I educate them to what their options are. 00:01:45.600 --> 00:01:50.000 Do we need to go to a denture now because your teeth are badly infected? 00:01:50.157 --> 00:01:52.971 Or are your teeth in good enough shape 00:01:53.186 --> 00:01:56.943 that we can maybe do an implant or do some veneer work? 00:01:56.944 --> 00:02:00.443 Every patient is treated based upon how they present. 00:02:00.600 --> 00:02:03.214 We can always pull teeth and make a denture, 00:02:03.215 --> 00:02:05.129 but is that the best thing for the patient? 00:02:05.243 --> 00:02:06.243 May not be. 00:02:06.529 --> 00:02:08.171 If we have to do that, 00:02:08.900 --> 00:02:12.925 would it be better maybe to do a few implants associated with the dentures 00:02:12.926 --> 00:02:15.033 so the patient can enjoy 00:02:15.525 --> 00:02:18.017 the use of their dentures without them moving all around? 00:02:18.018 --> 00:02:23.192 Because the biggest change that implants have made for patients 00:02:23.330 --> 00:02:27.092 is stabilizing their dentures so that they can chew and smile and talk 00:02:27.093 --> 00:02:29.258 without the dentures flipping out of their mouth. 00:02:29.617 --> 00:02:31.368 Teeth whitening may last, 00:02:32.025 --> 00:02:35.483 about three years with an office whitening technique. 00:02:35.708 --> 00:02:38.467 But we do what we call a white-for-life program. 00:02:38.700 --> 00:02:42.692 The patient comes in every 6 months for their cleaning. 00:02:42.850 --> 00:02:44.683 We'll give them some bleach 00:02:45.160 --> 00:02:47.717 and home trays that they can use, 00:02:47.736 --> 00:02:51.617 and they can use those trays for a couple of days, 00:02:51.618 --> 00:02:54.358 an hour, a day or whatever, to brighten up their teeth. 00:02:54.640 --> 00:02:59.292 If they do that every few months, every six months or once a month, 00:02:59.642 --> 00:03:02.042 where wear the tray for an hour with some bleach, 00:03:02.500 --> 00:03:06.133 their teeth can stay white for the rest of their life.