2.9 Month Braces by Charlotte dentist Dr. Payet

As much as people are often amazed at the idea that we can give them a straight smile with Six-Month Braces, there really are times when it doesn’t even take THAT long.  Take a look at Karim’s before and after pictures — literally, we put her brackets on back on September 9th, and we took them off today, November 24th.  That’s NOT EVEN 3 months with braces on, but look what a difference!  As she put it….”I love the results!”

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Cosmetic Dentistry in Charlotte: Correcting a Gummy Smile with a “Gum Lift”

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

Smile Makeover to Correct a Gummy Smile - BEFORE picture

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!

Smile Makeover to Correct a Gummy Smile - AFTER picture

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.

Not all dental crowns are metal-free, even for cosmetic dentists doing Smile Makeovers

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…..

1. 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.
2. 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.
3. 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.

Replacing ugly old porcelain-and-metal crowns with a dark grey line at the gums with porcelain-to-gold crowns that look beautiful, natural, and white - to cover tetracycline-stained teeth.

A short video on Six-Month Braces

As I mentioned in a previous post on dental photography, I’ve been working to create Before/After videos of the different procedures we offer, and while they do take some time to put together, I am getting more of them completed.  Here’s one that describes a little more about the process of Six-Month Braces and what we can do for you to create a more beautiful smile.

Yes – single-visit crowns can be beautiful!

Obviously, the single biggest advantage for patients with our CEREC machine is the ability to have beautiful, all-porcelain restorations completed in a single visit.  Here’s an example of how nice that can be.  This patient had 10 porcelain veneers done about 2 years ago; due to her grinding habit, she had knocked off and broken one of the veneers.  Rather than make a yucky impression and send it to the lab, while she had to wait several weeks with a temporary veneer, we made it right in the office.  One visit porcelain veneer, no temporary, no second visit, and her smile was back to beautiful!  See if you can guess which one was done by us on CEREC and which were done by the lab?

A Beautiful 1-Visit Porcelain Veneer by Dr. Payet in Charlotte, NC

If need your any tooth fixed, not just if it’s a porcelain veneer, CEREC CAD/CAM can do it for you.  Call our office 704-364-7069 or Request an Appointment Online.

A Smile Makeover with Porcelain Veneers and Short-Term Braces

This will be the last cosmetic dentistry/Smile Makeover video that I will post for a little while, as I next want to devote some time to showing how destructive “Grinding” of the teeth can be and why it is NOT something that you should take lightly.  Bruxism/Parafunction (the general term for both grinding and clenching, which are 2 separate things) can cause major problems for patients, and often in ways not easily visible because it takes time to develop or they’re under the surface.  I believe this is an area of dentistry that is often neglected, and it only makes things worse for patients.

With that said, I do hope you enjoy the way we combined different kinds of treatments to achieve a dramatic Smile Makeover for Daniel, as visible in this video.

Don’t forget – if you want to see all of the videos for our practice, check out our YouTube channel: SmilesbyPayet.

Combination Porcelain Veneers and Short-Term Braces

Porcelain Veneers to Dramatically Makeover Smiles

Smiles by Payet Cosmetic Dentistry: Porcelain Veneers

Here’s another video to enjoy of patients for whom we’ve done Porcelain Veneers to achieve some remarkable smile transformations.

Smiles by Payet Cosmetic Dentistry Video on YouTube

As a professional photographer on the side (I don’t plan on quitting my day job any time soon), I have a passion for both the taking of pictures and the digital developing/use of those pictures, and software today is so remarkable in how it can be used.  With increasing levels of integration among Photoshop programs and others, it is becoming increasingly easy to take the pictures, edit them as desired, and then quickly convert them into a usable format.  I will be adding more videos to both our Blog and to SmilesbyPayet.com in coming weeks, so stay tuned for more!

Smiles by Payet Cosmetic Dentistry

New Patient Education videos now in the office!

Oh, it feels so good to finally be able to announce this, as I’ve been working on it so hard for so many nights after my family has gone to bed, but FINALLY I have begun producing some new Patient Education videos to help explain a number of options that we offer by using pictures of many similar cases.

Over the last 4 years, I have amassed a catalog of about 38,000 digital photographs of the work that we do.  You can see my Photography Blog post on the subject of Patient Communication with Digital Photography for more info on how/why we take pictures of our work, but now I’m finally able to turn a lot of those photos into various video formats to highlight problems that many patients have, often without even realizing it, and to let our patients actually see what they can expect once the treatment is completed.  It’s really quite exciting!  We’re not talking about “stock” photography here, of work that someone else did.  EVERY SINGLE ONE of the pictures that you’ll see were taken by Dr. Payet (me), and every completed procedure was performed by Dr. Payet (me) and my Team.  (Hope you don’t mind me talking about myself in the 3rd person for a moment there; I was having a Bob Dole flashback after reading some political articles.  🙂

We’ll look forward to showing you these new videos when you come in!

Don’t have any of those videos in Web format quite yet, but keep an eye on our website, Smiles by Payet Dentistry, for them to begin appearing there within the next few weeks.  You’ll be able to see and understand so much more easily, I promise!

Valentine’s Day Whitening Specials!!

Quick Announcement! Check out our website, http://www.SmilesbyPayet.com, to see our new Whitening Specials for Valentine’s Day.  Don’t forget that special day is coming up, and you want to look your best.

$100 off our regular Custom Whitening Trays (Normally $350, now $250)

OR

$250 off our amazing Deep Bleaching™ process! (Normally $1195, now $945)