Cosmetic Dentistry

Cosmetic Dentistry Services in New Hampshire

We provide a full range of cosmetic dentistry services – in a relaxed and welcoming environment. We use the latest in dental technology and procedures. It’s very important that you are comfortable during your visit. And, most important – you deserve great results. Below is a list of cosmetic dentistry services offered. Please call if you have any questions at all – we’re here to serve you, and give you the best possible experience – while creating your best possible smile.

  • Tooth Bonding/White Fillings

  • Dental Bridges

  • Dental Crowns

  • Tooth Whitening & Bleaching

  • Dental Inlays/Onlays/Partial Bridges

  • Crown Lengthening

  • Porcelain Veneers

 

Bonding/White Fillings

A bonding is a composite resin that is used as an alternative to amalgams and veneers.  This is an excellent cosmetic option for those patients who do not want the look of silver in their mouths and do not want the expense of veneers.  Bondings can be used on teeth that are decayed, cracked, or stained.

Procedure

The bonding procedure is usually completed in one visit.  The first step is to remove the decayed or unsightly portion of the tooth.  The tooth is then etched with a liquid or gel and a bonding agent is then applied.  This will allow the composite resin to be placed in the prepared tooth.  The resin is then trimmed and polished, leaving you with a beautifully sculpted, natural-looking restoration.

Bonding Durability

Although composite resins are cosmetically pleasing and easily placed, their durability is not as strong as other types of restorations.  These resins typically last from 4-7 years before they begin to chip and wear away.  When this happens, the restoration will need to be replaced.

Dental Bridges

A bridge is one of the few options that you have when deciding how to deal with a missing tooth or teeth.  The replacement of these missing teeth is necessary in order to maintain the proper mouth functions.  Tooth loss can affect the way you eat, speak, and the alignment of other teeth in your mouth.

A bridge is one of the few options that you have when deciding how to deal with a missing tooth or teeth.  The replacement of these missing teeth is necessary in order to maintain the proper mouth functions.  Tooth loss can affect the way you eat, speak, and the alignment of other teeth in your mouth.

Types of Bridges

A bridge, by definition, is a link or connection between two permanent structures.  A dental bridge is very similar in that it attaches the restorative teeth (bridge) to the natural teeth on either side of the gap.  This bridge acts as your new teeth, closing the gap and restoring your smile. Bridges are often constructed of gold or metal foundations with porcelain fused to the foundation.  This ensures that the bridge will support the normal functions of the mouth.

There Are Three Main Types of Bridges

  • Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics.

  • Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth.

  • Maryland bonded bridges (also called a resin-bonded bridge or a Maryland bridge) are made of porcelain teeth and gums supported by a metal framework. Metal wings on each side of the bridge are bonded to your existing teeth.

Procedure

The procedure begins with preparation of the natural teeth, or abutments.  We will shape the abutment teeth so that the ends of the bridge will fit comfortably on each one.  The next step is to take an impression of the area.  This impression will be sent to our lab where your new restoration will be crafted.  While this new tooth is created, we will provide you with a temporary restoration.  Our temporary restorations will resemble your natural teeth so that you can continue with your daily life without worrying about a missing or unattractive tooth. During your second visit to the office, we will proceed with the placement of your final restoration.  This bridge will be fitted comfortably into the mouth. We will make every effort to ensure that the new bridge feels exactly like your natural teeth.  The final step in the process is to cement the bridge into your mouth, leaving you with a beautifully restored smile.

Dental Crowns

As we get a little older, our teeth begin to change and are prone to decay.   There are many possible reasons for this change in your smile.  These reasons can include bruxism(teeth grinding), general decay, cracked fillings, root canals, and many others.  If your tooth is beyond repair with a filling material, we may recommend that the best viable option to save the tooth is a full crown.   The reasons for this type of restoration in a badly damaged tooth are durability, cosmetic appearance, and overall support of the chewing function.

Types of Crowns

If we decide that you are in need of a full crown, there are a few different options for the repair of your tooth.  These options include a full porcelain crown, a porcelain fused to metal or gold crown, or a full gold crown.  We will make the determination as to which of these options is the most appropriate for your situation. You can be comfortable in knowing that your new tooth will be virtually unnoticeable and will flawlessly complement the rest of your smile.

Procedure

When we have decided to go ahead with a full crown restoration, we will set aside 2-3 appointments for the entire process.  Although the majority of crowns are completed in two visits, there is sometimes a need for a third visit to ensure a proper fit. The procedure begins with the removal of all decay in the tooth.  Once we have removed the decay, we will take an impression of the tooth.  This impression will be sent to our lab where your new restoration will be crafted.  While this new tooth is created, we will provide you with a temporary restoration.  Our temporary restorations will resemble your natural teeth so that you can continue with your daily life without worrying about a missing or incompatible tooth. During your second visit to the office, we will proceed with the placement of your final restoration.  This crown will be fitted comfortably into the mouth. We will make every effort to ensure that the new tooth feels exactly like one of your natural teeth.  The final step in the process is to cement the crown into your mouth, leaving you with a beautifully restored smile.

 

Teeth Whitening/Bleaching

Over time, our teeth tend to become discolored or stained.  This is inevitable and can be caused by smoking, coffee, or any other foods. However, with the range of tooth restoration options available-a beautiful smile is a possibility for all.  NH Dental Design offers a safe, inexpensive solution to whiten your teeth.  There are a number of very simple whitening procedures that can be completed in a relatively short period of time. We offer many restoration options such as tooth bleaching, and the Zoom whitening system, a 1 hour whitening procedure, and have been affectionately referred to as the “extreme makeover” dentist.

Procedure

The first step in the whitening process is impressions.  We will take full impressions of your upper and lower teeth.  These impressions will be made into custom bleaching trays.  The trays will fit onto your teeth perfectly so there is a small possibility of gum damage from the bleaching solution. The second step is to place the bleaching solution in the trays and wear them for a few hours a day.  Within 7-10 days, you will see a significant improvement in the color of your teeth.  Your smile will look brighter and younger.  We will take before and after photos so that you will be able to compare the amazing transformation. Bleaching only works on natural teeth and may not be effective in all cases.  We will inform you as to the potential whitening for your specific situation.

 

Inlays/Onlays

Inlays and onlays are sometimes referred to as partial crowns.  These partial crowns are utilized when there is still a healthy enamel portion of the tooth. An inlay or onlay is a like a puzzle piece that will be fitted into the remaining portion of the tooth to help increase its strength.  This piece is usually crafted out of porcelain or gold, but can also be made of a composite material.  We will make the determination as to which restoration will work best in your specific situation. An inlay is used when there is not damage to any of the cusps of your tooth and is essentially place within these cusps.  An onlay is used when there is slightly more extensive damage to the tooth structure.  This type of restoration is placed over at least one of the cusps on the tooth.

Procedure

When we have decided to go ahead with an inlay or onlay, we will set aside 2-3 appointments for the entire process.  Although the majority of inlays and onlays are completed in two visits, there is sometimes a need for a third visit to ensure a proper fit. The procedure begins with the removal of all decay in the tooth.  Once we have removed the decay, we will take an impression of the tooth.  This impression will be sent to our lab where your new restoration will be crafted.  While this new tooth is created, we will provide you with a temporary restoration.  Our temporary restorations will resemble your natural teeth so that you can continue with your daily life without worrying about a missing or incompatible tooth. During your second visit to the office, we will proceed with the placement of your final restoration.  The inlay/onlay will be fitted comfortably into the mouth. We will make every effort to ensure that the new restoration feels exactly like one of your natural teeth.  The final step in the process is to cement the inlay/onlay into your mouth, leaving you with a beautifully restored smile.

 

Crown Lengthening

When decay occurs below the gumline, it may be necessary to remove a small amount of bone and gum tissue. Your dentist may ask for this procedure before he or she makes a new crown for your tooth. Crown Lengthening procedures are done for both restorative dentistry and/or to improve the esthetics of your gum line. General practitioners often refer for crown lengthening procedures prior to restoration of broken or severely decayed teeth. This procedure adjusts the gum and bone level to expose more of the tooth so it can be restored. Sometimes crown lengthening is done to improve a “gummy” smile because the teeth appear short. The teeth may actually be the proper length but excess gum tissue may be covering these teeth. During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth.

New Veneers

Porcelain veneers are extremely thin casings of ceramic that are bonded to the front of the patients’ tooth to create a new smile. Porcelain veneers are placed over the front of teeth that appear too small or large, slightly discolored, or simply are not cosmetically pleasing to the patient.  For many patients, teeth may have chipped, become discolored, or are slightly crooked. For the majority of these patients, porcelain veneers can prove to be the perfect solution. When placing porcelain veneers, we pay close attention to the patients surrounding teeth and design each veneer to complement the overall smile. The result is a beautiful, attractive new smile. If cared for properly, your veneers will last you a long time.  We ensure that your new veneers are constructed of the most durable porcelain materials available.

Procedure

The procedure begins with the preparation of the tooth. This entails removing the discolored or unsightly portion of the tooth and meticulously shaping the tooth in preparation for the new veneer. Once we have shaped the tooth, we will take an impression.  This impression will be sent to our lab where your new restoration will be crafted.  While the new veneers are created, we will provide you with a temporary restoration.  Our temporary restorations will resemble your natural teeth so that you can continue with your daily life without worrying about a missing or incompatible tooth. During your second visit to the office, we will proceed with the placement of your final restoration.  The veneers will be fitted comfortably into the mouth. We will make every effort to ensure that the new tooth feels exactly like one of your natural teeth.  The final step in the process will be to bond the new veneers into your mouth, leaving you with a beautifully restored smile