Smile Makeovers can take many shapes and forms, and it is so important IMO for a dentist to be fully informed and trained on DIAGNOSING all kinds of smile problems and knowing the APPROPRIATE recommendations to make, because if an improper diagnosis is made, then the wrong treatment can easily be chosen, which will only result in a less-than-satisfactory result and an unhappy patient. Here’s a perfect example:
Mia first came to my office in March of 2007 to ask if Porcelain Veneers could give her the smile she’d always wanted. Her complaint was that her teeth were too short and square, and she hoped that veneers could make them longer. However, the problem was NOT that her teeth were too short; the problem was that she had too much gum COVERING her teeth, making them appear shorter than they really were.
Mia’s Smile Before
As it turns out, Mia also had old dental crowns and bridges that were in need of replacement. Unfortunately, the dentist who had placed them 20 years ago did not recognize the excess gum problem (turns out there was also excess bone covering the teeth, but you probably don’t want to see the surgical photos, right? 😉 ), and so he placed the edges of the crowns and bridges too far under the gum, resulting in chronic gum irritation. The human body simply does not like it if you put dental materials (gold, amalgam, porcelain, composite resin, doesn’t matter) too close to the bone and too far under the gum, so the gums get irritated and will always bleed when brushing and flossing, sometimes even just to the touch. We’re replacing the existing dental work over time, but we were able to do the right side work at the same time as the “Cosmetic Gum Lift,” which really made a big improvement. (When looking at the photos, it’s on the left side of the pictures.)
So after plenty of consultation, Mia decided to go with the corrective gum surgery. The technical name for this is “Esthetic Crown Lengthening,” which simply means that we are making the teeth look prettier (esthetic) by making them look longer. She told us beforehand that she felt very nervous, but afterwards said that it was much easier and less uncomfortable than she’d expected, and her healing was much easier than she’d thought. Usually the only discomfort is some gum soreness, really.
Mia’s Smile After
Mia tells us she is simply THRILLED with her smile now, and it’s easy to see why!
And for Mia, one of the best parts of the whole treatment was that we were able to do everything right here at Smiles by Payet Dentistry, with no need to refer her to a specialist. I really loved giving Mia the smile that she’d always wanted, with no unnecessary drilling for porcelain veneers that would not have solved her problem in the first place. We did also replace her old crowns and bridge on the upper right, and with the excess gum tissue removed there, too, now she has no problems keeping the area clean, and her gums don’t bleed when she brushes or flossing. Next will be the upper left side.
July 13, 2009 Posted by Dr. Charles Payet | Dental bridges, Esthetic crown lengthening, General dentistry, Gum lift, Gummy smile, Porcelain Veneers, Porcelain-and-metal crowns, Smile Makeover | Beautiful Smile, Before and After Pictures of Teeth, Charlotte cosmetic dentist, cosmetic dentist Charlotte, Cosmetic dentistry, Dr. Charles Payet, Esthetic crown lengthening, Gum Lift, Gummy smile, Smile Makeover, Smiles by Payet Dentistry | Leave a comment
There are many reasons patients come to see me for cosmetic dentistry. One of the most common reasons is because their teeth are badly worn down from grinding, often in combination with acid erosion that has eaten away at the enamel. Treating these cases can be complex, because if we don’t properly diagnose and solve the problem that caused the worn, eroded teeth in the first place, then any cosmetic dentistry is sure to fail very fast.
When Jenni (not her real name, as she prefers to stay anonymous) first came to see me through a referral back in 2005 for a Smile Makeover consultation, she admitted that she had suffered from bulimia as a teen, about 20 years prior. She had recovered from this debilitating disease and had been leading a healthy, normal life for many years, but her teeth had been so eroded that she was extremely self-conscious and embarrassed by her smile.
Since Jenni’s original issue had been addressed medically, we were safe moving forward with a greatly decreased risk of acid erosion causing problems again, although bulimics are at a much higher risk of GERD/acid reflux, so she is monitored regularly by her physician, and she uses a prescription strength fluoride rinse daily to help protect the teeth under the porcelain.
Due to complicating factors, Jenni’s case was just completed this year; however, I think you’ll see why Jenni is now happy with her smile again, although she doesn’t want everyone to know what she had done, so she has asked me to not use her portrait.
May 25, 2009 Posted by Dr. Charles Payet | Bulimia, Cavities, Cosmetic dentistry, GERD/Acid Reflux, Porcelain Crowns, Porcelain Veneers, Porcelain-and-metal crowns, Smile Makeover | Acid erosion, Acid reflux and tooth wear, Bulemia, Bulimia, Cavities, Charlotte cosmetic dentist, Charlotte dentist, cosmetic dentist Charlotte, Cosmetic dentistry, Dentist Charlotte, Dr. Charles Payet, Porcelain crowns and bridges, Porcelain crowns Charlotte, Porcelain Veneers | 1 Comment
I’ve talked about our Smiles by Payet Dental Discount Plan several times, but something that may be overlooked is that this even covers Cosmetic Dentistry!
Imagine you’re looking for a Smile Makeover and want to get Porcelain Veneers, like Craig’s in the below picture, and you’re concerned about the total fees:
Depending on the complexity of the case and your cosmetic desires, a Smile Makeover can run from $1200-2000/tooth in Charlotte, so 10 Porcelain Veneers will cost you $12,000 – $20,000. But imagine that now……simply by enrolling in our Smiles by Payet Dental Discount Plan with the $295 enrollment fee, you would automatically receive a TWENTY PERCENT (20%) DISCOUNT!!!!! That would save you $2400-4,000 on your Smile Reconstruction by me – a highly skilled and experienced cosmetic dentist, right here in Charlotte, NC in the South Park area.
All you have to do is either:
Call 704-364-7069 and make an appointment with Liz for a Free Consultation, or
May 19, 2009 Posted by Dr. Charles Payet | Cosmetic dentistry, Deep Bleaching, Dental Insurance, In-House Dental Discount Plan, Porcelain Crowns, Porcelain Veneers, Porcelain-and-metal crowns, Smile Makeover, Teeth Whitening, Tetracycline stains and teeth | Charlotte cosmetic dentist, cosmetic dentist Charlote, cosmetic dentistry Charlotte, Dental discount plan, Dental Insurance, Discount Dental Plan, Dr. Charles Payet, Porcelain crowns and bridges, Porcelain Veneers, Porcelain Veneers Charlotte, Smile Makeover, Smiles by Payet Dentistry, Southpark Charlotte Dentist | Leave a comment
While many cosmetic dentists claim to be “metal-free” dentists, too, I do not make any such claim. Why not? For a few simple reasons…..
- Gold onlays and gold crowns are still the strongest and longest-lasting ways to fix broken teeth or teeth with cavities currently available, and if that’s what you want, then you want gold.
- Teeth stained by the antibiotic tetracycline can be so dark that is extremely difficult to bleach (whiten) them, except with Deep Bleaching (TM), and even porcelain veneers may have difficulty covering such dark tooth stains, so Porcelain-to-Metal (also known as Porcelain-to-Gold) crowns are sometimes the best choice.
- Bonding (tooth-colored fillings) usually does not hold up very well if you grind or clench your teeth intensely, as they aren’t hard enough to take that much force, so silver (amalgam) fillings are often a better choice.
Here’s a case from a few years ago where the patient was really unhappy with his old, yellowed, kind of ugly old Porcelain-to-Metal crowns, partially because of the dark grey line at the end of the crowns where the black metal underneath the porcelain was showing as his gums receded. He only had crowns on the top 6 front teeth (a bad idea), and he wanted all of his teeth bright white, and he’d gotten the crowns initially because of severe Tetracycline staining of his teeth. They were the darkest teeth I’ve EVER had to treat. I’ll post something soon about how to create a beautiful smile despite tetracycline-stained teeth, but for this I simply want to show that dental crowns that are used to create a Smile Makeover can be just as beautiful and natural-looking as all-porcelain crowns.
May 8, 2009 Posted by Dr. Charles Payet | Cosmetic dentistry, Porcelain-and-metal crowns, Smile Makeover, Tetracycline stains and teeth | Beautiful Smile, Before and After Pictures of Porcelain and Metal Crowns, Before and After Pictures of Teeth, Charles Payet Dentist Charlotte, Charlotte cosmetic dentist, Charlotte dentist, cosmetic dentist Charlotte, Cosmetic dentistry, Covering teeth with tetracycline stains, dentist Southpark Charlotte NC, Dr. Charles Payet, Esthetic Dentistry, metal-free dentist, Porcelain crowns Charlotte, Smile Makeover, Smiles by Payet Dentistry, Tetracycline stained teeth, Whitening or bleaching teeth with tetracycline stains | 1 Comment
Dr. Charles D. Payet and Our Team
Smiles by Payet Dentistry has been caring for patients since December 27th, 1999 in South Charlotte, and we recently moved to a new and improved location on Park Rd. I opened the practice 18 months after graduating from the University of North Carolina School of Dentistry in June 1998. While Smiles by Payet Dentistry is a General Dentistry practice, we offer an extremely wide range of services so our patients don’t need to see multiple specialists except in very complex cases. I am absolutely committed to constant learning and improvement, and have attended lectures and seminars by many of the nation’s premier post-graduate teaching institutions and lecturers in order to stay as current with the most modern techniques and materials possible. 50-75 hours per year in Continuing Education is not unusual for me, and in 2009 my goal is 75-100 hours.
Our Smiles by Payet Dentistry Team is currently comprised of the following people, whom you will truly enjoy meeting and choosing as your primary dental healthcare providers:
Rosemary B. is one of our Certified Dental Assistants and has been with us since back in 2007. A mother of 3 grown boys and a proud grandma to 2 grandchildren, she’s one of those people who just loves to help take care of people. With over 20 years of experience in dentistry, she is very knowledgeable and can answer most any of your questions. Along with Marie, she is there with me during your treatment to make it go as smoothly as possible.
Samantha H. is our new (as of Summer 2010) full-time Orthodontic Dental Assistant. We are excited to have her on board to help take care of our growing family of patients with either 6MonthSmiles Cosmetic Adult Braces or Tip-Edge Comprehensive Orthodontics. With 13 years of experience in a full-time orthodontic office, she brings a lot of knowledge on how to make your braces appointments fast and smooth.
Katrina B. (Insurance/Financial Coordinator) is our newest team member, and one we are really excited to have found. She says she is excited about finding us to work with, too. 🙂 She has been in dentistry for 22 years, having started as a dental assistant. Since her Dad was in the Navy, she was actually born in Morocco, Africa (!) and grew up in cool places like Guam and Hawaii, but she considers Fort Mill her home and moved back there in 2009. She is happily married with 2 children who keep her busy, but in her spare time she enjoys reading, gardening, crafts, and singing in her church choir.
Adrianne M. (Registered Dental Hygienist) joined us early in 2010 and has been helping us keep our patients healthy and educated on taking good care of their teeth. With 11 years experience and a passion for particularly helping patients with periodontal disease, she is very excited about being part of an office that offers Laser Periodontal TherapyTM. She really enjoys going to local health fairs to educate the public on the importance of good dental health, especially in Hispanic communities, as she speaks Spanish. She has a 4yo daughter who is an incredible bundle of energy, so the rest of her free time is spent taking care of her daughter.
We are blessed to have a Team that really enjoys working together, and their combined 100+ years of dental knowledge and experience are melded to provide you some of the finest dental care available.
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