I want that Gap in Between My Teeth Closed!

The very common procedure of Bonding is routinely utilized for closing a front tooth gap.  For some people their front tooth gap defines their individuality; their face and attitude with a mere smile. For others, the gap represents a disfigurement; a cruel trick played by Mother Nature.

I do believe that bonding technology originated from the NASA Space Program. NASA scientists engineered the process of securing(bonding) ceramic tiles to the hull of the space shuttle. Bonding was proven to be  a reliable, durable, easily repairable, and most effective approach of securing ceramic tiles to the hull of the space shuttle. The ceramic tiles were crucial in heat displacement and essential for the survivability of our returning astronauts. The process of Bonding is both Science and Art.

Bonding is technically a process of fusing two like or unlike surfaces. In dentistry, we are constantly bonding enamel to a host of dental materials such as composite resin, ceramic, ceramic /resin hybrid material and metal such as gold alloy.

The process of bonding first involves surface preparation of the surfaces planned to be bonded. Tooth enamel is etched with 37.5% Phosphoric Acid for 15-30 seconds then washed off with water. This etching process creates a microscopic roughness of the surface enamel. Once etched, the surface is air blown super dry. A clear colored bonding agent (unfilled resin), gets vigorously scrubbed and applied with a tiny micro brush by me, to the prepared surface. This unfilled resin supersaturates the previously micro-textured enamel surface. The resin seamlessly fills into the micro-roughen landscape of the enamel engaging unbelievably small undercuts of enamel rods which make up the enamel surface you and I can not see with our naked eyes. A specifically engineered Ultra-Viloet Blue light is then shown onto the applied resin by the dental assistant. The light initiates and activates a polymerization (hardening ) shrinking of the applied resin. This “curing” acts to fuse or “bond” the unfilled resin with incredible adhesion to the enamel of the tooth. Once the bonding agent is fully cured in about 20 seconds, multiple incremental layers of tooth colored  material is artistically  added and contoured to mimic a desired shape, by me.

The Principle of Bonding is Classic. It’s been around since the 70’s. What has improved are the materials of adhesion and options of bondable materials.  The choice of materials to be bonded to enamel all require slight nuances in their preparation prior to being bonded to the unfilled layer of the enamel.

Pictured Below:

In this case of gap closure performed today, the surface materials are the patient’s enamel and composite resin material. It took me twenty minutes. No shot indicated. No Pain. Everybody happy!

 

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Before

 

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After

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com

Is Bleaching Bad For My Teeth?

Everything in moderation is what I say. In general, teeth whitening, better known as teeth bleaching is safe. In moderation, it will not damage the enamel of your teeth.

Whitening gel varies in formulations with concentrations ranging  from 35%  to 10% carbamide peroxide with application times for around  30 minutes, once a day, for 7-10 days.

The process of bleaching will lead to increased sensitivity because it opens up the internal pores of the teeth. This allows the bleach to penetrate the tooth, lifting particulate debris  to the teeth’s surface resulting in a whiter overall smile.  TIP: To prevent this uncomfortable feeling of cold and air sensitivity during and after the process,  it is best to use a special toothpaste with potassium-nitrate in its formulation soon after the gel is brushed off and away.  Any over the counter “for sensitive teeth” brands works well to minimize the lingering after effects of tooth zingers after the process. It may take a couple of weeks to get back to normal; ie less hypersensitivity.

The best time to whiten your teeth is soon after your hygiene appointment. All surface stains and tartar will have been properly removed by my hygienist and your stain free polished enamel will be ready for maximum  whitening potential from the whitening gel.

Teeth whitening is temporary. Any restorative material that’s non enamel will not lighten in shade. After whitening, sometimes composite restorations will need to be changed over to match the existing previously placed bonding.  Remember, whitening does not last. Your tooth does fade back to the original shade within 6 months or so.

Whiten  may not be an option for you if you have anterior composite work existing. Another consideration for a permanent shade is ceramic veneers or ceramic crowns. This would be a more definitive long-term suitable result for you. Ceramic does not stain. Ask me next time you come in for your hygiene check if Ceramic Whitening is an option for you. Or if you can’t wait, make an appointment for a consultation to address your specific needs.

Some More Tips if  You do Bleach Your Teeth:

Continue the process at home using a whitening toothpaste

Utilize a straw to consume dark beverages. Not recommended with hot coffee,,,, LOL.

Cut out tobacco products.

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Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com