Cosmetic Dental Treatments

At Milltown Dental Clinic we provide a variety of aesthetic treatments and we are proud of the well-respected reputation in this area of the industry. Dr Thomas Munroe is a renowned cosmetic dentist with many years of experience.

He currently runs two clinics in Dublin. We offer an extensive range of restorative dentistry procedures and services to meet patients’ needs and to ensure that every patient that leaves us, is a happy one.

What are Dental Veneers

Dental veneers, also known as dental laminates, are custom-made shells of tooth-coloured materials attached to the front surface of a tooth to improve appearance by changing size, colour, shape, or length. There are two types of dental veneers: a composite/resin veneers and a porcelain veneers.

Resin veneers are made up of dental composite material (tooth filling material) that can be placed and moulded directly to the tooth in one visit. It is cheaper than porcelain veneer but discolours after some time. If resin veneers chipped off, it could be repaired easily.

Porcelain veneers, or ceramic veneers, are the most widely used type of veneer. This type of veneer is fabricated in dental laboratories and require two dental visits to be accomplished.

WHY ARE DENTAL VENEERS REQUIRED

Dental veneers are often referred to as “instant orthodontics” because it can instantly conceal dental problems that involve teeth in the “smile zone”.

  • Closing of spaces or gaps between the teeth.
  • Improve the appearance of an irregular-shaped tooth.
  • Aesthetically improve teeth discolourations such as tea/coffee stains, fluorosis, greyish root canal treated tooth, and teeth that darkened due to age.
  • Repair fractured or chipped off teeth.
  • Alter the tooth’s size, shape, length and colour to enhance one’s appearance.

ADVANTAGES OF DENTAL VENEERS

There are many reasons to get a Dental Veneer, including:

  • Dental veneers offer a more conservative approach in changing tooth’s colour and shape.
  • There is minimal tooth structure removal compared to dental crowns.
  • Dental veneers mimic the appearance of a natural tooth.
  • Porcelain veneers are stain resistant.

DISADVANTAGES OF DENTAL VENEERS

Dental veneers are a great way to improve your smile, but remember that it is not for everyone.

  • Placement of dental veneers on a weakened tooth is contraindicated. A tooth with large decay or large restoration is recommended to have a dental crown instead.
  • Dental veneers are not recommended for someone with severely misaligned teeth. Instead, orthodontic appliance is a better choice.
  • It cannot be placed in a tooth of someone who habitually clenches or grinds teeth to have dental veneers because it will break the veneers, use dental night guards instead.

ALTERNATIVE TREATMENTS

There are various types of dental treatments available depending on whether you are restoring teeth, or aiming to make them more aesthetically pleasing, or aiming to straighten them, or all of the above. Come see the dentist at Milltown dental clinic and we will thoroughly analyse your situation, and suggest the best type of treatment to suit you.

  • Tooth filling / Dental restoration
  • Dental Crown
  • Orthodontic treatment (braces)

CARING FOR DENTAL VENEERS

Dental veneers are very delicate and can easily be chipped if not cared properly. To increase the longevity of dental veneers, avoid using teeth with veneers to bite or crack hard objects. Also, keep up with proper oral hygiene by brushing at least twice a day and flossing at least once a day. Consider using a less abrasive toothbrush too.

Process of Placing Veneers

Placement of dental veneers can be accomplished in three appointments – one for consultation and two for tooth preparation and bonding of dental veneers. It takes two appointments since the dentist will need to have it made at a dental laboratory. In some cases, dental veneers can be placed in one day using prefabricated veneers.

  • Diagnosis and Treatment Planning - The first appointment involves examining your teeth, discussing the procedure and taking of radio-graphs. It’s important that you tell your desires/expectations and ask questions regarding your case.
  • First Appointment - Local anaesthesia is not usually necessary. However, depending on patient’s sensitivity, it can be given. The dentist will clean the tooth and use a shade guide tool to determine what shade of veneer to be used. Then, the tooth will be prepared by removing little amount of tooth’s front surface. Around 0.5mm of tooth structure will be removed which is the usual thickness of veneers. Next, the dentist will get an impression or mould of your tooth using a gum tray that will fit your upper and lower jaw. This mould will be sent to the laboratory for the fabrication of your dental veneer. Before the first appointment ends, the dentist will bond a temporary veneer on your tooth.
  • Second Appointment - Once the dental veneer is delivered to the clinic, your second visit will be scheduled. The dentist will remove the temporary veneer upon your arrival. Before bonding the dental veneer permanently, the dentist will temporarily place it to examine its colour and fit. The dentist might do some changes by trimming the veneer before permanently bonding it to the tooth. Then, the tooth will be cleaned and polished. It will also be etched prior to bonding. Etching is a process wherein the tooth is chemically roughened to allow better bond of a material. A special light-activated cement will be used to attach the dental veneer to the tooth. As a final step, the dentist will remove excess cement, check your bite, and access appearance of dental veneer.
What are Fixed Dental Bridges

A fixed bridge is the placement of an artificial tooth in a gap between remaining teeth. The artificial replacement is called a pontic while the adjacent teeth on both sides are called abutments. A pontic is anchored to the abutments. It is fixed and can only be removed by a dentist.

WHY IS A FIXED BRIDGE REQUIRED

If for any reason a tooth is removed, you will be left with toothless gums or space. It is essential to fill this space as soon as possible to avoid complications. Restoration of a missing tooth with a fixed bridge is needed to restore function and aesthetics.

If this space is not immediately treated, the teeth surrounding the gap begins to drift or tilt, creating a whole chain reaction of problems like difficulty in biting and jaw joint problems. Also, a tilted tooth hinders future placement of tooth restoration.

If a lower tooth is removed, the opposing tooth (upper, in this case) starts to move down until it is lost as well.

ALTERNATIVE TREATMENTS

There are various types of dental treatments available depending on whether you are restoring teeth, or aiming to make them more aesthetically pleasing, or aiming to straighten them, or all of the above. Come see the dentist at Milltown dental clinic and we will thoroughly analyse your situation, and suggest the best type of treatment to suit you.

  • Removable partial denture.
  • Dental implants which are the best solution for missing teeth.

ADVANTAGES OF FIXED DENTAL BRIDGES

If you are thinking about getting a fixed dental bridge, why not come into our clinic and speak with us today! We offer a free consultation, whereby you can ask us any questions that you may have. Some of the Advantages of getting a fixed dental bridge are listed below

  • A dental bridge can enhance your appearance so that there aren’t any gaps in between teeth.
  • Fixed bridges appear like natural teeth.
  • It prevents adjacent teeth from tilting or drifting.
  • It can improve the aesthetic appearance of the adjacent teeth used as abutments.
  • It is fixed, unlike removable partial dentures.

DISADVANTAGES OF FIXED DENTAL BRIDGES

Some of the disadvantages of getting a fixed dental bridge are listed below. As mentioned, the best long term solution for missing teeth is Dental Implants, this is for numerous reasons.

  • Unlike dental implant, it involves removal of healthy tooth structures to adjacent teeth which increases the risk of decay and endodontic problems to abutments.
  • It doesn’t replace the tooth root; thus stimulation to bone is lost which causes bone regression.
  • It requires meticulous maintenance.
  • Dental bridge eventually needs replacement.

TYPES OF FIXED DENTAL BRIDGES

Its advised to come and speak with our dental team to ensure you get the best treatment for you. Each treatment has its pros and cons, and we can help you make the right decision.

  • Traditional Bridge: It involves replacing a missing tooth in between two natural teeth. A traditional bridge is made of either porcelain fused to metal or all porcelain. Porcelain fused to metal dental bridge is used to replace a back tooth wherein strength support from metal is needed to resist chewing forces. All porcelain is necessary in replacing a front tooth wherein aesthetics is important. It doesn’t have a metal that could appear as black line near the gums.
  • Cantilever Bridge: It is used to replace a missing tooth when there is adjacent tooth on only one side. This type of dental bridge is not recommended to replace a back tooth because it cannot resist chewing forces and is prone to breakage.
  • Maryland Bonded Bridge: Is commonly used to replace a front tooth. It doesn’t require removal of tooth structures to adjacent teeth. A porcelain tooth is used to fill the gap and is attached using a metal or resin wing bonded to the back of adjacent teeth. The drawback is it cannot be placed as a replacement of the back tooth because it is prone to breakage.
Procedure of getting a Dental Bridge

Fabrication of dental bridge requires two dental visits.

FIRST APPOINTMENT

During the first appointment, the dentist will numb the gums and the adjacent teeth by administering local anaesthesia. Using dental hand-piece, tooth structures will be removed to reduce the teeth to a certain shape. Removal of tooth structures is needed for placement of crown bridge.

After preparation of adjacent teeth, a mould or impression will be taken and will be sent to the laboratory for fabrication of dental bridge. Then, the dentist will attach a temporary restoration on your teeth until the final bridge is delivered.

Avoid chewing anything very hard or sticky while on temporary bridge.

SECOND APPOINTMENT

Once the permanent bridge is fabricated and delivered to our clinic, you will be scheduled for the application procedure. The dentist will remove the temporary bridge and will clean the teeth.

The permanent bridge will be placed briefly prior to attachment to check the fit, bite and shade. After the dentist confirms proper fit of dental bridge, it will be attached to your teeth using a special dental adhesive.

AFTERCARE OF DENTAL BRIDGES

Some people have a misconception that a tooth with crown or bridge doesn’t require to be maintained. The dental bridge requires meticulous oral hygiene care to prevent causing problems to adjacent teeth and gums underneath. Proper toothbrushing and flossing should be done regularly. Special floss for dental bridges is used to clean the gap between the pontic and the gums. A water flosser can also be used for easy cleaning of dental bridges.

The dental bridge is made up of very strong material; however, it is still prone to breakage. As a rule, don’t do anything with that could damage a natural tooth. Avoid using your dental bridge in biting or chewing very hard objects or food. Avoid chewing ice –an extreme temperature change greatly increases the risk of porcelain to fracture.

It is also very important to visit the dentist frequently for routine dental checkups and cleanings to diagnose problems at an early stage.

What are Dentures

Dentures are removable appliance used to replace one or more missing teeth. Artificial teeth are attached to an acrylic material that resembles the gums which are positioned on top of the toothless gums.

WHY ARE DENTURES REQUIRED

A missing tooth needs to be replaced to restore aesthetics and function. It doesn’t look good to have a gap in your teeth whenever you smile or talk. A gap can also cause the remaining teeth to tilt or drift making it hard for future placement of denture, dental bridge or implants. Also, due to loss of contact when biting or chewing, the opposing teeth can move out of the socket affecting one’s bite and can further cause jaw joint problems.

Teeth are used not just for chewing, but also for speech. Together with the lips and tongue, the teeth are used to create sounds like “TH”, “F”, “V” and “S”. The absence of teeth makes it difficult to say certain words.

ALTERNATIVE TREATMENTS

If you are thinking about getting dentures, why not come into our clinic and speak with us today! We offer a free consultation, whereby you can ask us any questions that you may have. We can discuss the alternative treatments other than dentures to replace your missing teeth.

  • Dental Bridges.
  • Dental Implants.

ADVANTAGES TO DENTURES

Some of the disadvantages of getting denturese are listed below. As mentioned, the best long term solution for missing teeth is Dental Implants, this is for numerous reasons.

  • Dentures are the most affordable option to replace missing teeth.
  • It prevents remaining teeth from tilting or drifting.
  • There are no surgical procedures needed prior to placement of dentures.
  • No damage is done to prepare an adjacent tooth.

DISADVANTAGES TO DENTURES

Some of the disadvantages of choosing dentures as a treatment for missing teeth are listed below:

  • It gets loose and requires to be replaced over time.
  • Unlike dental implants, dentures cause bone regression due to the absence of artificial tooth root that stimulates bone growth.
  • Since it’s removable, it is prone to getting lost and breakage.
  • It may affect speech and chewing ability.
  • Decreased sense of taste due to part of denture covering the roof of the mouth (palate).
  • Most people don’t feel confident due to fear of having the denture dislodged out of the mouth.
  • Fabrication of dentures requires several appointments.

TYPES OF DENTURES

  • Partial Dentures are used to replace one or missing teeth of an arch where there are still teeth remaining. It can be made with metal or non-metal. The advantage of a partial denture with metal is increased strength of the denture. The metal can also be made very thin which can connect one side of the mouth to another side using a less bulky amount of metal. While a non-metal partial denture is more aesthetic and prevents possible irritation to metal.
  • Full or Complete Dentures used to replace all missing teeth of an arch (upper, lower or both).
Procedure of getting Dentures

It takes a few weeks and several appointments for the construction of dentures. The initial appointment is a consultation with the dentist or a prosthodontist, one who specialises in making dental prostheses. The treatment options and treatment procedures will be discussed, as well as discussing your expectations.

Once the dentist has determined a suitable treatment plan for you, your next appointment will be to take a mould or impression of your upper and lower teeth. Measurements of your upper and lower jaw relationship will also be taken.

Teeth models will be made from these moulds. The dentist will construct wax forms and plastic patterns in the exact shape and position of the denture to be made using your teeth models. You will have to try these provisional dentures several times until the dentist has made a precise bite, shade and shape.

Once everything is finalised, the provisional dentures will be sent to the laboratory for processing and will be sent back to our dental clinic.

Upon delivery of processed dentures, the dentist will let you try it and make certain adjustments to have the dentures fit properly.

AFTERCARE OF DENTURES

Eating with new dentures may be uncomfortable for the first few weeks. Start with soft diet then slowly increase intake of hard food to get used with dentures. Avoid food that are extremely sticky or hard.

During the first few days, you might need to wear your dentures even while sleeping to determine areas to be adjusted. After adjustments were made, you should remove your denture before going to bed as it will allow the gums to rest and the saliva to cleanse the mouth naturally.

To clean your dentures, place it in a denture cleansing solution then brushed off to remove food particles and plaque attached to your dentures. An ultrasonic cleaner is also a handy equipment that may be used to clean your dentures.

If you have partial dentures, do not forget to brush and floss your remaining teeth to prevent the development of decay and gum problem.

Visit our dental clinic if your dentures break, chip off or became loose already. Do not attempt to repair a broken denture by yourself, as it can further damage the denture or impose risk to the structures in your mouth like your gums.

If you have any queries in relation to cosmetic dentistry then do not hesitate to contact Dr Tom Munroe at ( SMILE@milltowndentalclinic.ie).

MILLTOWN DENTAL CLINIC

Milltown Centre,
Bóthar Bhaile an Mhuilinn,
Dublin 6

Eircode: D06 E8W2
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Office Hours: 01 260 3741
Emergency: 086 801 2940

E-mail: SMILE@milltowndentalclinic.ie

Opening Hours:
Monday 08:30 - 17:30
Tuesday 08:30 - 13:00
Wednesday 08:30 - 17:30
Thursday 08:30 - 17:30
Friday 08:30 - 13:00

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