What Brand or Type of Porcelain Should We Use for the Best Cosmetic Result?

A recent new patient consultation this week has inspired me to write this blog entry... Sometimes I hear this question during my discussions with the patients.  In reality, as a patient you should not have to worry about the "name" or "type" of porcelain.  In fact, it is always the "technique" employed by the dentist that makes a difference in the outcome of a case.

In the photo below, three front teeth are marked with arrows. They look different from the rest of the restorations because our eyes can see dark areas on the teeth.  In particular, the patient was most bothered by the tooth on the far right of the screen.  This lateral incisor had an extremely dark tooth structure build-up underneath.  When the same "type" of porcelain is used in a series of teeth, color differences of the underlying tooth structure will affect how the final restorations look.

In this case, proper technique can be used to mask out the dark underlying tooth structure in order to allow better color blend.  This "technique" is a coordination between the dentist and the ceramist, and it is not a choice that the patient would have to make.

In order for your restorations to look natural, a number of factors must come into play.  Those factors are not limited to just ... the porcelain.

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Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.

So You Think You Can Crown? Don't Be Afraid to Smile Just Because You Have a Crown on Your Front Tooth ! ! !

Three years after delivery, I saw this patient again yesterday for his periodic check-up.  The patient had forgotten which tooth he fractured.  I had to take a second look to refresh my memory on which tooth I had worked on.  This is a crown success story. When science, art, and, care is coordinated between a dentist and a dental ceramist, nature is replicated in the form of teeth.  To crown a tooth is one thing, but to give my patient back a tooth in the form of a crown is something else.

This photograph is a tribute to anyone who has crowns on his/her front tooth.  It is also my way to say "Thank You !"  to all the talented dental ceramists with whom I have had the opportunity to collaborate in the quest for perfection in our work.  Thanks for supporting me in delivering nothing but the best result for our patients.

Smile on !

Before Treatment:  Tooth # 8 was fractured, and it was the only tooth restored in this case.

Images of actual patients of Alex Nguyen, DDS are Copyrighted and Digitally Embedded to track Unauthorized Use.

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Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.

What is the Difference Between a Crown and a Veneer?

At a new patient consultation this week I was asked this question.  In fact, this question comes up quite often. Technically ... The difference between a crown and a veneer is how much tooth structure is removed. A crown covers the entire tooth, and is done when the original tooth has been compromised with decay and/or fractures.  A veneer is like a new facing on the tooth.

In a smile ... a crown or a veneer should look exactly like a real tooth.

In this case below you will find a combination of real teeth, crowns, and veneers.  From an esthetic stand point, there should be no difference between a crown and a veneer.  They both should blend in with the rest of the teeth in your smile.

Images of actual patients of Alex Nguyen, DDS are Copyrighted and Digitally Embedded to track Unauthorized Use.

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Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.

Smiles of Regret. Who Do You Choose to Restore Your Teeth?

Over the years I have had the opportunity to see cases of patients who came to me for initial consultation but ended up elsewhere for the completion of their dental work.  Here are some cases where the patients returned to me a few years later to express their discontent and to complain about problems with their teeth.  These are smiles of regret. Who do you choose to restore your teeth?  Sometimes people will make their choices based on beautiful advertisements that they see.  Sometimes the choice may be based on a price tag that may fit their budget at that particular moment.   The key to remember is that an unsuccessful restorative case may eventually cost you more time and money to have the work redone.

CASE I:  Excess cement materials left under the gum line and around every single restoration.  This caused chronic inflammation of the gum and bone loss over time.  The patient was also unhappy with the esthetic result.

CASE II:  Restorations done without regards to the foundation of this patient's bite.  After 3 years, there are gaps between teeth, crowns with open margins, crowns that are breaking away, and discomfort on chewing. There are even teeth left unrestored.  The patient was also unhappy with the esthetic result.

Images of actual patients of Alex Nguyen, DDS are Copyrighted and Digitally Embedded to track Unauthorized Use

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Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.

Cosmetic or Form Follows Function? Follow Up of a Full Mouth Bite Rehabilitation Case

Ta da ! ! ! This full mouth rehabilitation case restored this patient's smile with a combination of crowns, bridges, and veneers.

The important principles include:

1.  The patient's personal preferences

2.  The scientific foundation of the human dentition

3.  The art of modern porcelain materials and technique

Before:

After:

Images of actual patients of Alex Nguyen, DDS are Copyrighted and Digitally Embedded to track Unauthorized Use.

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Alex Nguyen, DDS is a Saratoga Dentist who practices General Dentistry, Cosmetic, and Implant Dentistry. For over 20 years the practice has been serving the residents of Santa Clara County and San Francisco Bay Area.