Honolulu dentist Dr. Dino Dee and his team offer the best in restorative and cosmetic dental services. Dr. Dee aims to serve the communities of Honolulu and Oahu with the utmost care, skill and attention to detail.
Dental veneers are wafer-thin, custom made shells of tooth-colored materials designed to cover the front surface of teeth to conceal cracks, chips, overlay gaps and create a whiter appearance. These shells are bonded to the front of teeth to change color, shape, size or length. Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resists stains better and mimic the light reflecting properties of natural teeth.
What are veneers?
To prepare a tooth for a veneer, Dr. Dino Dee will remove about 1/2 millimeter of enamel from the tooth surface — equal to the thickness of the veneer that will be added to the tooth surface. Dr. Dee will make a model or impression of your tooth and send it out to a dental laboratory, which will customize and construct your veneer. After you return for the bonding portion, your tooth will be cleaned, polished, and etched — this roughens the tooth to ensure a strong bond. A special cement is applied to the veneer, which will then be attached to your tooth.
A dental implant is an artificial tooth root that is placed into your jawbone to support a tooth replacement or a bridge. Implants permit patients to replace missing teeth with ones that appear, feel, and perform like their own.
Implants are very conservative in nature, since they replace missing teeth without damaging adjacent tooth structure. In fact, dental implants preserve your natural anatomy. If a tooth is lost, in time so will be the jawbone associated with that tooth. Teeth in effect hold the jawbone in place- so does an implant if teeth are lost.
Dental implants have such a natural look and feel that you may forget you ever lost a tooth. Under proper conditions, such as placement by a specialist and routine maintenance, implants may last a lifetime. Long-term studies continue to show improving success rates for implants.
How dental implants work
A series of drills (or osteotomies) are used to prepare the site for the implants. The tooth root implant, which is a small post made of titanium, is placed into the bone socket of the missing tooth. As the jawbone heals, it grows around the implanted metal post, anchoring it securely in the jaw. The healing process can take from six to twelve weeks.
Once the implant has bonded to the jawbone, a small connector post — called an abutment — is attached to the post to securely hold the new tooth. To make the new tooth or teeth, impressions are created, and the new tooth or teeth is based on this model. A crown is then attached to the abutment.
When a tooth has a large cavity or has been treated by a root canal, the structural integrity of that tooth is compromised. A crown may be necessary to save that tooth with the least amount of problems long-term. When discussing the type of crowns available to be placed, there are options to be considered.
Types of dental crowns
Gold crowns are a great option due to longevity and prognosis. The margins that seal the tooth are very thin and protect the crown from leakage and resulting decay. With gold, there is very little chance of fracture, and the biting surface wears extremely well over time. For areas that are not visible, this is the treatment option of choice.
On back teeth where aesthetics are an issue, porcelain crowns with a gold substructure are the treatment of choice. The gold structure underneath the porcelain adds strength and yet provides a great seal around the edges of the crown thereby preventing leakage and thus cavities underneath. These restorations are very natural looking and are proven to be long lasting.
These crowns are the best aesthetic option. A white zirconium substructure supports the porcelain, and helps to prevent porcelain fracture. The only caveat for these restorations is the marginal gap which is much larger than their gold or ceramo-metal counterpart.
Dental bridges are a strong structure composed of two crowns and a prosthetic tooth, dental bridges are used to “bridge” the gaps where teeth are missing. Healthy teeth on either side of the tooth that is missing are prepared in order for the fixed prosthetic to be glued in place. Bridges historically have a lifespan of about ten years before they need replacement.
An alternative to a bridge is an implant. This treatment avoids the shaving down of the adjacent teeth, and once successfully completed, a single-unit implant may last considerably longer than a bridge with minimal replacement.
Cosmetic dental bonding, also known as composite or tooth bonding, is an excellent way to fix cosmetic and structural imperfections in the teeth. Dental bonding can repair cracked, chipped, and discolored teeth as well as replace silver amalgam fillings. Cosmetic dental bonding can also repair misaligned teeth, providing a straighter, more uniform smile.
How dental bonding works?
To begin the teeth bonding procedure, Honolulu cosmetic dentist Dr. Dino Dee selects a composite resin (dental bonding material) that matches the natural shade of your teeth. Dr. Dee then roughens the existing tooth so the resin can adhere properly. Next, the composite resin is carefully applied to the tooth, shaped and smoothed. It’s quickly hardened with a high intensity light. Dr. Dee buffs and polishes the bonded tooth so it has the same appearance as the surrounding teeth.
Invisalign is the modern alternative to braces that employs a series of clear aligners made specifically for you. The aligner trays are made of smooth, comfortable and virtually invisible plastic that fit over your teeth and gradually shift them into place, using the precise procedure we plan out for you. There’s no metal brackets and nothing to tighten. Every two weeks, you just pop in a new set of clear aligners until your treatment is complete.
Learn more about Dr. Dino Dee’s Invisalign service
Candidates for Invisalign® typically have mild to moderate conditions such as:
- Crowded teeth
- Teeth separated by unattractive gaps
Invisalign can help patients suffering from a wide range of issues including crooked teeth, gum defects, excessive plaque accumulation and more. When teeth are properly aligned, it helps the gums fit more securely, allowing for the strongest defense against periodontal problems. Invisalign aligners gradually move your teeth into this proper position with clear and comfortable trays that won’t irritate your cheeks or gums.
Porcelain Inlays and onlays are durable, attractive restorations used to fix cracked or otherwise damaged teeth. Inlays and onlays require less tooth reduction than fillings or crowns and can often be used in place of traditional dental fillings to treat tooth decay or similar structural damage. Whereas dental fillings are molded into place within the mouth during a dental visit, inlays and onlays are fabricated indirectly in a dental lab before being fitted and bonded to the damaged tooth by your dentist.
The restoration is dubbed an “inlay” when the material is bonded within the center of a tooth. The restoration is dubbed an “onlay” when the extent of the damage requires inclusion of one or more cusps (points) of the tooth or full coverage of the biting surface.
Inlays and onlays can be made from gold, porcelain or resin materials. They’re extremely stable restorations that seldom fail. Dr. Dino Dee will check all margins to ensure a smooth fit with tight adjacent contacts. He will also check your bite to ensure that there are no occlusion-related problems affecting the margins of the restoration. Once fitted, the inlay or onlay is bonded onto the tooth and the margins are polished.
A whiter, brighter, healthy smile will give you the self-confidence you need to make a great impression. Those minor daily vices — coffee, tea, red wine or smoking — will stain and darken your teeth over time. Unlike over-the-counter products, which can be ineffective and often leads to unsatisfactory results, an in-office whitening procedure will reverse these stains and get your smile looking its best.
Silver amalgam used to be the norm when it came to materials for restorations, such as fillings. However, silver fillings do not have much aesthetic appeal to the patient and can even cause damage to your tooth years down the road. The amalgam can break down the tooth, causing a fracture and the need for a crown to salvage the tooth.
Tooth-colored fillings are stronger, longer lasting and more aesthetically pleasing to our patients. They’re composed of porcelain and composite resin and bond directly to the tooth, strengthening it by restoring most of its original shape. The restorations can even be custom-colored to match your teeth to help give you the most natural-looking smile possible.
Tooth-colored fillings require less removal of your healthy tooth structure to place than those with amalgams and especially with new cavities. Dramatically smaller holes are needed with a tooth-colored restoration. They are also healthier since, unlike silver amalgams, no traces of mercury are used.
Braces are a set of wires and brackets cemented onto teeth.Over the span of about 24 to 36 months, the wires are regularly tightened and adjusted, progressively applying adequate force to gently move the teeth.
Retainers are the removable appliances made of molded plastic and wire that is used after the braces are removed. They preserve the position of the teeth. If the teeth start moving out of position, Dr. Dino Dee may bond a short wire to the back of some teeth in order to hold them in place.