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Discover Our Vancouver Cosmetic Dentistry Solutions - Oakview Dental

Oakview Dental combines a number of modern, effective and proven Vancouver cosmetic dentistry procedures to give you that perfect, beautiful smile!

Crowns and Onlay tooth restorations

videos: 3/4 crown | crown | crown no buildup

Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of teeth. Dental crowns cover the entire visible surface of the affected tooth and add strength, durability and tooth stability. In other instances, crowns are used to replace a missing tooth. They are anchored to the teeth on either side, with a bridge section connecting the two crowns. In lieu of bridges, single tooth dental implants may be used, which eliminates the need for supporting the crowns.   The dental implant is the treatment of choice for restoring the single missing tooth.

Most dentists take an impression of the tooth and a dental laboratory creates the crown. Typically, the patient leaves the office with a temporary crown while the permanent crown is being constructed. This takes about two weeks. The permanent crown is then cemented to the tooth. In our office, we use CAD-CAM technolgy to create almost all crowns in one apointment, eliminating the need for temporary crowns and the 2 week wait, and the second appointment.  Tooth crowns typically last between 10-12 years when properly maintained by the patient.

The dental onlay restoration is increasing used when compared to crowns as it maintains the healthy tooth structure while restoring the strength and function to the tooth.  The Cerec system is used for these restorations in all cases; the tooth is restored in one appointment.

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Composite and Porcelain Tooth Veneers

videos: veneer color correction

Often an alternative to crowns, veneers are very thin pieces of specially-shaped porcelain or plastic that are glued over the front of your teeth. Little or no anaesthesia is needed. They are the solution for the correction of unwanted or uneven spaces between teeth, or for teeth that have small holes or pits, are severely discoloured, chipped, misshapen or crooked. Veneers are ideal for teeth that are too small, too big, or have uneven surfaces. In most cases, little of the tooth itself needs to be removed.

Veneers are created from an impression (mold) taken in the dentist's office. The custom veneer is then glued directly to the tooth. Veneers are a popular solution for many people seeking that perfect smile, as they typically cost less than crowns and don't stain. Strong and very durable, they generally last 10 to 15 years.

Composite (direct) plastic veneers are usually performed in a single visit. A bonding agent and composite filling material is applied directly to the tooth's surface.

Porcelain (indirect) veneers are composed of a very thin porcelain material. Two visits are usually required. A dental laboratory creates the final tooth restoration piece.


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Dental Bridges

videos: bridge | cantilever bridge | maryland bridge

A dental bridge is a false tooth, known as a pontic, which is fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place are attached to the teeth on each side of the false tooth. This is known as a fixed bridge, and is used to replace one or more missing teeth. Unlike removable partial dentures, fixed bridges cannot be removed from your mouth.

In areas of the mouth that are under less stress, such as the front teeth, a cantilever bridge may be used. These are used when there are teeth on only one side of the open space.

Bridges can reduce the risk of gum disease, help correct some bite issues and even improve speech. They can last as long as 10 years or more, when properly maintained. If spaces are left unfilled, they may cause the surrounding teeth to drift out of position and collapse of the bite.   It can also cause your other teeth and your gums to be more susceptible to tooth decay and gum disease.

The dental bridge is being used less often because it requires the use of the neighbouring teeth for anchorage, which can result in unnecessary destruction of a healthy tooth.  Additionally, the dental bridge required more meticulous maintenance by the patient.  The dental implant is now the treatment of choice in the replacement of missing teeth.


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Dental Implants

videos: cemented crown | fixed crown

Dental implants are the treatment of choice when restoring missing teeth.  They are a very effective, highly successful solution for replacing missing teeth. These are fixtures, made of titanium, which are surgically screwed into the jaw bone. The implant is an anchor for a natural-looking false tooth or set of false teeth. Implants are typically best placed in the front portion of the lower jaw. It is essential that there be enough bone in the area of the missing teeth to which the implant(s) can be attached. If there is insufficient bone for this purpose, a bone graft may be necessary. People missing most, if not all, of their teeth benefit greatly from this procedure. Implants are also being used, increasingly, to replace certain types of bridges and removable partial dentures.

There are three types of dental implants: root form implants, plate form implants and subperiosteal implants. The Root Form, screw-type implant is shaped like the root of a tooth. It is the most commonly used implant, and is used where there is plenty of width and depth to the jawbone. Bone grafting may be needed if the jawbone is too narrow or short for implant placement.

The Plate Form implant is used when the jawbone is too narrow for bone grafting. It has a flat and long shape for a better fit into a narrow jawbone.

If there's not enough bone width or height for the root form or plate form implants, the Subperiosteal implant is recommended. It is custom-made to rest on top of the jawbone and under the gums, similar to the plate form implant. There are two methods of placement, the first of which involves taking an impression of the jawbone and having a dental laboratory make a custom-fit implant for the jaw. The second requires a CAT scan of the jawbone. Through computer modeling techniques, a model of the jawbone is made from the CAT information. A custom-fit subperiosteal implant is then created by a dental laboratory. This type of restoration would be performed by a surgical specialist. 

In all types of dental implants, the healing process takes 3-6 months. Dental implants have a 95-98% success rate, depending on the location in the dental arch.


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