Tooth bleaching is the most commonly prescribed cosmetic dental procedure.Enamel shaping removes parts of the contouring enamel to improve the appearance of the tooth. It is also known as enameloplasty, odontoplasty, recontouring, reshaping, slenderizing, and stripping.

Bonding is an option for chipped or cracked teeth. It is a process in which dental composite material is applied to a tooth's surface, sculpted into shape, hardened, and then polished.

Veneers, ultra-thin, custom-made laminates that are bonded directly to the teeth. They are an option for closing gaps or disguising discolored teeth .

Periodontal surgical procedures.
Orthodontic correction for malaligned teeth.
Crowns and bridges
Veneers, ultra-thin, custom-made laminates that are bonded directly to the teeth.They are an option for closing gaps or disguising discolored teeth .
Periodontal surgical procedures.
Orthodontic correction for malaligned teeth.
Crowns and bridges

Dental Bleaching

Lightening of the color of a tooth through application of a chemical agent to oxidize organic pigments of tooth is referred to as bleaching.

Bleaching can be

Non-Vital bleaching       

Thermocatalytic technique- 35%hydrogen peroxide is placed in debrided pulp chamber and acceleration of oxidation by placement of heated instrument into the chamber.

Walking bleach- removes gutta percha to approx. 2mm apical of clinical arown and enlarges endodontic access. Place cement liner to seal gutta percha. Place sodium perborate mixed with saline into the chamber.

Vital bleaching                              

Power bleach- place a 35%hydrogen peroxide soaked gauze or a gel or paste form on the teeth. Oxidation can be accelerated by heated instrument or CO2 laser.

Dentist prescribed home applied technique- a properly fitted nightguard is made. 10-15%carbamide peroxide bleaching material is used. A thin layer of material is placed in nightguard and placed inside. Excess is wiped off.


Teeth Bleachiing

MacroabrasionConservative technique for removal of localized superficial white spots. It uses a 12-fluted composite finishing bur to remove the defect.

Microabrasion - 18%Hydrochloric acid is swabbed on teeth along with abrasiveness of pumice for removal of superficial stains.

Alterations in Shape

Cosmetic Contouring -Minor modifications in existing tooth contours. Reshaping enamel by rounding incisal angles, opening incisal embrasures and reducing prominent line angles can produce a more feminine youthful appearance. When treating all the teeth visible in patients smile VENEERS are the choice.


Before the contouring                          After the contouring


Illusions of Shape

 Prominent areas of tooth are highlighted with direct illumination, making them more noticeable, whereas areas of depression or diminishing contour are shadowed.

A tooth can be made to look shorter by emphasizing horizontal elements and by positioning gingival height of contour incisally.

Lengthening is achieved by moving gingival height of contour gingivally and by emphasizing vertical elements.

A tooth can be made to appear narrower by positioning the mesiofacial and distofacial line angles close together.

Greater width can be achieved by positioning the line angles and developmental depressions further apart.



A dental veneer is simply a thin covering for the teeth designed to enhance appearance by masking colour, shape or positional defects. This cosmetic dentistry technique is performed by “gluing” the covering, usually porcelain, ceramic or composite onto the existing tooth surface.

This procedure is typically done over two visits. It is often chosen as the treatment of choice by acting professionals and other celebrities exposed to media attention.

The veneering procedure involves removing a tiny amount of the tooth surface. An “impression” is then taken to make sure that the veneers match as closely as possible to the rest of the teeth – these first two steps are done on first visit. Typically on second visit, the teeth are polished and cleaned and the veneers applied
Veneers can be partial or full and direct or indirect.





In bonding Composites are the materials of choice

Bonding is recommended for following cases

  1. For carious teeth - When caries is on labial surface, composite is used as it ensures adequate translucency in the final restoration
  2. For fractured teeth.
  3. For malaligned teeth - minor malalignment can be corrected with minimal reduction of tooth structure and using composite to recreate desired form.
  4. For discolored teeth.
  5. For closing spaces.
  6. For cervical defects.

 Bonding for spacing between teeth.

Tooth Bonding Before and After


A dental bridge, otherwise known as a fixed partial denture, is a prosthesis used to replace missing teeth. A dental bridge is fabricated by reducing the teeth on either side of the missing tooth or teeth by a preparation pattern determined by the location of the teeth and by the material from which the bridge is fabricated. The dimensions of the bridge are defined by Ante's Law: "The root surface area of the abutment teeth has to equal or surpass that of the teeth being replaced with pontics"


BridgesBridges design




A dental crown is a tooth-shaped "cap" that is placed over a tooth, covering the tooth to restore its shape and size, strength, and/or to improve its appearance.

The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line.

A dental crown may be needed in the following situations

  1. To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
  2. To restore an already broken tooth or a tooth that has been severely worn down.
  3. To cover and support a tooth with a large filling when there isn't a lot of tooth left.
  4. To hold a dental bridge in place.
  5. To cover misshaped or severely discolored teeth.
  6. To cover a dental implant.

Various Materials for Crowns

Metals used in crowns include gold alloy, other alloys (for example, palladium) or a base-metal alloy (for example, nickel or chromium). Compared with other crown types, less tooth structure needs to be removed with metal crowns, and tooth wear to opposing teeth is kept to a minimum. Metal crowns withstand biting and chewing forces well and probably last the longest in terms of wear down. Also, they rarely chip or break. The metallic color is the main drawback. Metal crowns are a good choice for out-of-sight molars.

1.   Porcelain-fused-to-metal dental crowns can be color matched to adjacent teeth (unlike the metallic crowns). However, more wearing to the opposing teeth occurs with this crown type compared with metal or resin crowns. The crown's porcelain portion can also chip or break off. Next to all-ceramic crowns, porcelain-fused-to-metal crowns look most like normal teeth. However, sometimes the metal underlying the crown's porcelain can show through as a dark line, especially at the gum line. These crowns can be a good choice for front or back teeth. 

2.   All-resin dental crowns are less expensive than other crown types. However, they wear down over time and are more prone to fractures than porcelain-fused-to-metal crowns. 

3.   All-ceramic or all-porcelain dental crowns provide the best natural color match than any other crown type and may be more suitable for people with metal allergies. However, they are not as strong as porcelain-fused-to-metal crowns and they wear down opposing teeth a little more than metal or resin crowns. All-ceramic crowns are a good choice for front teeth.

Tooth Crowns


A dental implant is an artificial tooth root replacement and is used in prosthetic dentistry to support restorations that resemble a tooth or group of teeth. The most widely accepted and successful is the osseointegrated implant, based on the discovery by Swedish Professor Per-Ingvar Brånemark that titanium can be successfully fused into bone when osteoblasts grow on and into the rough surface of the implanted titanium. This forms a structural and functional connection between the living bone and the implant.

Implant Placement This is generally a simple procedure that is performed using local anesthesia. Some of the bone saved from the drilling procedure is used and some artificial bone and a gore-tex type membrane to augment the contour of the ridge and gum around the implant.

Integration Period Although some implants can be loaded into function immediately or soon after surgery, it is often suggested that a period of three to six months be allowed for the implant to fully integrate and fuse with the supporting bone. The patients own denture or in some cases a simple adhesive bridge can be worn during the healing phase.

The Restorative PhaseOnce the implant has integrated a small post (healing abutment) to protrude through the gum, the gum will then be closed around the post and allowed to mature. Impressions are made to bring the implant into function with a variety of restorations, ranging from a single crown, bridgework or a removable denture clipped onto the implants. The replacement teeth are constructed by a specialist dental laboratory working closely with the dentist.

MaintenanceFollowing the completion of the restorative phase, patients will be advised on cleaning thoroughly around the implants


The gingival tissues are visible during smile and even speech. Any abnormality can be easily appreciated.

  1. Gingival asymmetries
  2. gingivectomy in case of gingival hyperplasia
  3. Crown lengthening procedures in cases of gummy smile, tooth malposition
  4. Root coverage procedures- for gingival recession.
  5. rotational flaps
  6. free gingival grafts
  7. autogenous connective grafts
  8. Abnormal frenal attachments
  9. frenectomy- resection of frenum
  10. Frenotomy- repositioning of frenum
  11. Excessive gingival pigmentation- in cases of major disparity of skin and gingival shade, a depigmentation procedure is recommended. Surgery is performed under anaesthesia with the following technique
  12. gingivoabrasion technique
  13. split thickness epithelial excision

If the teeth are periodontally involved, loss of bone support leads to movement of teeth. In this case, splinting is done to aid in occlusal adjustment


Ortho- Esthetics

Achievement of optimum smile aesthetics during orthodontic treatment has recently been the focus. Various investigations are carried out in all the dimensions.


Smile makeover before and after


Waterlase MD dental laser is a versatile device performs a host of both tooth and soft tissue procedures, often with no need for local anesthesia. The laser lacks the heat and vibration of the dental drill, so the procedure is quite comfortable for most patients. For soft tissue procedures it often eliminates the need for suturing and healing is much faster due to wound sterilization and the atraumatic effect of the laser on surrounding tissues. A number of procedures can be performed  including.

All classes of dental fillings. It's only limitation is that it can not remove old silver amalgam.

Laser assisted periodontal therapy

Smile improvements i.e. gum sculpting  that lengthens teeth due to oversized gingiva ("gummy smile" improvement)

Gingivectomy, gingivoplasty, crown lengthening, and other gum corrections


Leave Comment


  • Jasmine VanDorn

    Jasmine VanDorn 21 - May - 2015, at 17:56 PM

  • Please help my smile

  • Dr.Ritz

    Dr.Ritz 15 - October - 2012, at 23:08 PM

  • Hi JACKIE,Fortunately,in today’s modern times,cosmetic dentistry has many teeth altering procedures to offer patients who want to change the appearance of their teeth. Dentists have various ways of changing the way a patient’s teeth look,with the use of modern technology.Here are some of the various techniques that the doctors usually employ to create the perfect smile.You can easily inquire about these with your local dentist. The first process you can consider when undergoing teeth make over procedures is the tooth reshaping.It is the process of sculpting the enamel to fit the size of the remaining teeth.You can also go in for dental veneers.A dental veneer is simply a thin covering for the teeth designed to enhance appearance by masking colour,shape or positional defects.With all these available procedures, you will have the picture perfect smile as fast as the speed of light.Hope this helps.Good luck!

  • Jackie

    Jackie 15 - October - 2012, at 11:44 AM

  • i have two teeth that are triangle shaped at the top can you guys fix it to be squared if yes how can you guys fix it

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