Cosmetic DentistryCosmetic and
Restorative Services

Your teeth do a lot of work for you. As you age, the daily
wear-and-tear on your teeth can cause them to weaken or become damaged or discoloured. Adam Dental Clinic’s experienced dental professionals use the latest
technology to give you a brighter, more youthful and healthy-looking smile.

Adam Dental Clinic’s services include a range of proven techniques that offers a range of carefully selected dental services that will bring your teeth back to their natural strength and beauty.

Treatment options for common problems

If you are considering any of these treatments, we invite you to meet with one of our dental professionals to discuss your individual circumstances and find a treatment that best meets your needs.

Problem

Treatment

  • Staining
  • Discolouration
  • Dullness

This may be due to aging, food stains, smoking, or genetic factors

Whitening Procedures 
We offer treatments that you can undergo at the clinic or at home.

  • Chipped or worn teeth
  • Gaps between teeth
  • Discoloration that does not respond to other whitening procedures
  • Missing one or more teeth
  • Repairing severely damaged teeth

Bonding or Porcelain Veneers 
Your teeth can be re-surfaced with compounds that are very like the natural enamel of the teeth themselves, restoring a healthy appearance.

  • Missing one or more teeth
  • Repairing severely damaged teeth

Crowns 
Crowns can be fitted to a damaged tooth, replacing the damaged portion and strengthening the remaining tooth. Crowns may be used to improve appearance or repair damage.

Bridges 
If you are missing one or several teeth, we might suggest building a ‘bridge’ of strong, natural looking replacement teeth to replace the missing ones.

Implants
If a bridge is not the most appropriate option for you, a more permanent replacement tooth may be implanted in the gap.

  • Crooked teeth
  • Crowded teeth
  • neven teeth
  • Over/undersized teeth

Recontouring or Polishing
These problems may be solved through non-orthodontic procedures that include recontouring the teeth to better fit with the others in your mouth. Recontouring may be used in combination with polishing, veneers, crowns and bonding to achieve the best possible balance and appearance for your smile.

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Porcelain Veneers 

Porcelain veneers are thin shells of ceramic that bond directly to the front surfaces of the teeth. They are a simple and versatile option that is becoming increasingly popular for improving the appearance of your smile.

Veneers are custom-made and fitted, requiring a high degree of technical skill as well as attention to cosmetic detail on the part of the dentist. Our cosmetic dentistry specialists are experienced in the application of veneers and take great care to ensure that the work is ideally tailored to your individual case.

They’re invisible:
Porcelain veneers are virtually undetectable when bonded to the teeth. Not only are they ultra-thin and matched to your other teeth, they are also highly resistant to coffee, tea, or even cigarette stains. No other restorative treatment provides a better match to healthy, bright tooth enamel in either strength or appearance.

They’re durable:
With proper care, porcelain veneers can brighten your smile well over a decade. Adam Dental Clinic uses the highest quality materials and techniques to provide the longest possible wear and the most dazzling results.

Veneers are very strong, but they still require some care. You should not use your restored teeth to open containers or cut materials – this will ensure that your veneers provide years of trouble-free service. If one is accidentally damaged, it is usually possible to replace it and still match it to the surrounding teeth.

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Inlays  and Onlays 

When a large portion of a tooth’s biting surface is damaged, an inlay or onlay are often recommended as a treatment. Inlays and onlays are pieces of material that are permanently bonded to a tooth to replace a damaged portion. Often made of porcelain, gold, or composite resin, inlays are similar to a filling, but are used inside the cusp tips of the tooth. An onlay similar to an inlay but is used to repair a larger area, covering one or more of the cusps of the tooth.

Gold is the traditional choice of material for inlays and onlays, although porcelain has become increasingly popular since it can closely match the natural colour of your teeth and is very strong.
To apply an inlays or onlays, you will have to visit us twice. First, the tooth is prepared for its repair by removing the existing filling or the damaged area and shaping the area where the inlay or onlay will be applied. An impression of the tooth will be made and a precise replacement piece will be prepared. On your second visit, the new inlay or onlay will be tested for fit, adjusted if necessary, then bonded to the tooth and polished to give it a bright, smooth finish.

Traditional fillings can reduce the strength of a natural tooth by up to 50%. As an alternative, inlays and onlays, being bonded directly onto the tooth using special high-strength resins, can actually increase the strength of a tooth by up to 75%. As a result, they can last from 10-30 years. In some cases, where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.

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Bleaching

Having a beautiful smile may be even easier than you think. Many people achieve the look they've been dreaming of with our simple "bleaching" procedure.

It's safe, quick, and inexpensive. Just let us know at any appointment if you would like to begin bleaching. You can lighten only your upper teeth or both the upper and lower, depending on how much you show when you talk and smile.

In only a day or two your custom bleach stents will be ready for you to pick up. We provide you with a special bleaching agent that you put into the clear, almost invisible stents. With only a few hours of wear per day, our special bleaching agent bubbles stains right out of your enamel in a very short amount of time without altering the structure of the teeth or existing dental work in any way. When your teeth reach the brightness you want, only occasional treatment is needed to maintain your new smile. We'll want to take "after" photos at your next appointment.

Dental bleaching can be used to correct many tooth discolorations. These discolorations may have been caused by staining, aging, or chemical damage to teeth. Using the latest in bleaching technology, we can offer a safe method for creating a beautiful "Brilliant" smile. In cases of extreme tooth discoloration, bleaching may not be the answer and crowns, or veneers may be the only choice, but because of the low cost of bleaching treatments, bleaching is nearly always worth a solid try.

Key Benefits

  • Corrects brown, yellow and mottled tooth staining.
  • Works on people of any age.
  • Is a near permanent solution for a "dull" smile, restoring brightness and brings a smile alive.

An impression is taken to make a specialized "mouthguard" or "stent" to hold the whitening gel against the teeth. The material is used ½ hour twice a day for a week or two, and at the end of this time, significant whitening will occur. In some cases, the change is nothing short of brilliant. For confidence in appearance, bleaching technology allows us to promise improvements in yellowing, aging or stained teeth. For very severely stained teeth, crowns or veneers may be more appropriate.

Considerations
Over the counter bleaching agents are available for purchase at drug stores and pharmacies. However these products are not prescription strength and typically take longer to use before changes are noticed. The over the counter stents are bulkier and less comfortable to wear than the custom stents our office provides.

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Bonding

Bonding can be used as a restorative procedure for teeth that are chipped, cracked, discolored or misarranged, and is an alternative to veneers.

How does it work?
The tooth is prepared for the procedure by lightly etching the surface and applying a bonding liquid. Once the liquid sets, a plastic resin is applied and sculpted into the desired shape by the dentist. Once set, the resin is trimmed, smoothed and polished to a natural appearance.

Considerations
The bonding procedure can often be completed in a single office visit, and can improve the appearance of a tooth significantly. However, since the plastic resin used is not as strong as your natural tooth enamel, it is more likely to stain, chip or break than natural teeth. Bonding typically lasts three to five years before need of repair.

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Dental Implants 

Dental implants are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved. The implants themselves are tiny titanium posts which are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, implants can help preserve facial structure, preventing the bone deterioration which occurs when teeth are missing.

Dental implants are changing the way people live! With them, people are rediscovering the comfort and confidence to eat, speak, laugh and enjoy life.

If, like many others, you feel implant dentistry is the choice for you, we ask that you undergo a dental/radiographic examination and health history. During these consultation visits, your specific needs and considerations will be addressed by either Dr. Gorrell or by an Oral and Maxillofacial Surgeon referred by our practice. Your questions and concerns are important to us and our team will work with you very closely to help make your procedure a success.

Procedure
Dental implants are metal anchors which act as tooth root substitutes. They are surgically placed into the jaw bone. Small posts are then attached to the implant which protrude through the gums. These posts provide stable anchors for artificial replacement teeth.

For most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first three to six months following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone. You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, Dr. Gorrell designs the final bridgework or denture, which will ultimately improve both function and aesthetics.

After the implant has bonded to the jawbone, the second phase begins. The surgeon will uncover the implants and attaches a small healing collar. After 4 - 6 weeks, Dr. Gorrell will be able to start making your new teeth. An impression must be taken. Then posts or attachments can be connected to the implants. The teeth replacements are then made over the posts or attachments. The entire procedure usually takes six to eight months. Most patients do not experience any disruption in their daily life.

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Bridges 

A bridge is a custom device anchored to neighboring teeth that replaces one or more missing teeth. When a lost tooth is replaced with bridgework, the teeth on either side of the missing tooth are prepared as crowns to serve as abutments to hold the prosthetic (replacement) tooth in place. Crowns and bridges are most often made from superior materials such as semiprecious or precious metals, porcelain, or a fused combination of the two. Aesthetics, function, and tissue compatibility are considered when selecting the material most suitable for you. Bridges are bonded to the teeth and are not removable.

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Repairing Damaged Teeth 

If you have missing or damaged teeth we can then restore and enhance the natural beauty of your smile. Our practice can treat:

  • Missing teeth, gaps between teeth, general bite problems
  • Chipped, cracked or worn teeth
  • Unsightly, stained, or washed-out fillings
  • Permanently stained or discolored teeth
  • Crooked or crowded teeth

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Crowns 

A crown ("cap") is a tooth-like covering placed over a carefully prepared preexisting tooth. Crowns serve many functions, such as to strengthen, restore or improve the appearance of your natural tooth. For example, a crown can support the tooth when there is no longer sufficient tooth structure left to place a filling. Crowns may also be used to protect the structure of a tooth that is fractured or broken, and can be attached to bridges or dentures.

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Sealants 

Highly effective in preventing decay on the biting surfaces of your chewing teeth, sealants are a simple procedure in which a tooth-colored acrylic "coating" is painted onto the surface of the tooth. This effectively "seals" the deep grooves where decay is most likely to start.

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TMJ Disorders

TMJ (temporomandibular joint) disorders are a family of problems related to your complex jaw joint. If you have had symptoms like pain or a "clicking" sound, you'll be glad to know that these problems are more easily diagnosed and treated than they were in the past. Since some types of TMJ problems can lead to more serious conditions, early detection and treatment are important.

No one treatment can resolve TMJ disorders completely and treatment takes time to be effective. Dr. Gorrell can help you have a healthier and more comfortable jaw.

Trouble with Your Jaw?
TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and stressing your TM joint. Or, you may have a damaged jaw joint due to injury or disease. Whatever the cause, the results may include a misaligned bite, pain, clicking or grating noises when you open your mouth, or trouble opening your mouth wide.

Do You Have a TMJ Disorder?

    Are you aware of grinding or clenching your teeth?
    Do you wake up with sore, stiff muscles around your jaws?
    Do you have frequent headaches or neck aches?
    Does the pain get worse when you clench your teeth?
    Does stress make your clenching and pain worse?
    Does your jaw click, pop, grate, catch, or lock when you open your mouth?
    Is it difficult or painful to open your mouth, eat or yawn?
    Have you ever injured your neck, head or jaws?
    Have you had problems (such as arthritis) with other joints?
    Do you have teeth that no longer touch when you bite?
    Do your teeth meet differently from time to time?
    Is it hard to use your front teeth to bite or tear food?
    Are your teeth sensitive, loose, broken or worn?

The more times you answered "yes," the more likely it is that you have a TMJ disorder. Understanding TMJ disorders will also help you understand how they're treated.

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Treatment

There are various treatment options that we can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, the dentist will determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care as well as professional care.

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Neuromuscular Occlusion

Dr. Adam using the new K7
on his assistant Caroline.

Rest position of the jaw is the position, which exists most of the time with the upper and lower teeth not in contact. At true rest, which is the position at which a person should ideally keep the jaw (mandible), except during eating and swallowing, the mandible is suspended in space, anchored at the two temporomandibular joints. The jaw is postured or positioned in place by a set of both opening and closing muscles on both sides of the head, all of which are at full resting length. This is like the strings, which attach a hammock to two trees. In this rest position of the jaw, the upper and lower teeth are usually apart with about one to two millimeters of space between them.

At true rest position, all the muscles, which support and move the jaw, are at rest. That should be the status most of the time. This is like the two sets of muscles attached to your arm, one set pulls the arm upward and the other set pulls it downward. When your are is truly at rest hanging at your side, both sets of muscles are rested and at their resting length. Returning to the description of the jaw muscles, only during function such as speaking or eating is the jaw moved from rest position. When eating or swallowing saliva the jaw moves upward and forward to bring the teeth together. That is called occlusion. Each time swallowing occurs, 2,000 times throughout the day and night, the jaw is normally braced against the skull through the teeth to permit the reflex of swallowing to occur.

However, If the distance between the upper arch of the upper and lower teeth when the mandibular muscles are completely at resting length is more than two millimeters, the distance and/or time necessary to travel into occlusion is too great. Because of the excessive space between the teeth, people develop an adaptive, accommodative, false resting (pseudo-resting) or partially resting accommodative position of the jaw, to maintain the one to two millimeter resting space between the teeth. This keeps the muscles in a constant state of work, not rest. If the muscles that posture (hold the jaw up) and move the jaw are not allowed to fully rest, tension, resulting in muscle fatigue, dysfunction and sometimes spasm can result. That is a key to understanding one of the ways in which Temporomandibular Disorders (TMD) can occur. It is one of the common hidden causes of TMD or a predisposition to developing TMD.

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PLEASE NOTE This information was compiled from a variety of sources and is not intended to substitute or replace the professional medical advice you receive from your child's dentist/physician. The content provided here is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician/dentist with any questions or concerns you may have regarding your condition.

November 4, 2011

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