Bonding
is useful for improving small irregularities but is less successful
than veneers in the treatment of some problems.
The tooth
is prepared by etching its surface with gel. The surface is
then painted with a bonding liquid that sets firmly when a
special light is shone on it. Putty like resin is moulded
onto the tooth and shaped. The light is again used to harden
it.
Finally, the set resin is trimmed and polished.
Bonding is similar to veneers, but not as strong, but is a
low-cost way to improve your smile.
Bonding is also great
for children who have chipped front teeth and for adults who
need an alternative for veneers and understand the limitations.
Bleaching
is an effective way to lighten discoloured teeth that have
not responded sufficiently to professional cleaning. It
is a safe procedure when done by a qualified dentist.
Your
dentist will take an impression of your teeth so that a
custom made mouth tray can be made. This holds the bleaching
gel close to your teeth. The gums do not normally come in
contact with the bleach. Wearing the tray for 30 min to
two hours every day will gradually lighten the teeth. Some
bleaching agents can be used all night, although this may
cause irritation of gums and mouth in some people.
Most
mouth trays are light enough to permit talking and working
with them in place. Good results usually occur within two
weeks. The daily bleaching process can be continued until
you are happy with the appearance of your teeth.
However
it is not always possible to achieve white teeth. Your dentist
will advise you on how long you should use the mouth tray
each day and the duration of overall treatment.
Inlays are fillings that were traditionally made of gold but now
are often made of porcelain, ceramic or composite material.
They are used to repair moderately damaged back teeth and
need to be extremely strong to withstand the grinding pressures
of these teeth.
Inlays are glued into place and are contained
within the cusp tips of the tooth. Special glue is used to
increase the strength of the bond.
Onlays are made of the same material as inlays, an onlay is a more
extensive repair that covers tooth cusps.
An onlay is much stronger than any other type of filling and actually increases
the strength of the tooth.

Before
After
The outside of each tooth is made of enamel, which is extremely
hard. Although teeth are strong and difficult to break, trauma
(such as a fall) may chip or break them.
Tooth decay may also severely weaken a tooth, with a high
risk that the tooth may fall apart. Root canal treatment,
where the pulp of the tooth containing nerves and blood vessels
is removed, can also weaken a tooth, especially if it has
large fillings.
Teeth may also wear down over time. In these
cases, a crown fits over the existing natural tooth and replaces
the natural crown, the part of the tooth seen above the gums.
Before
After
Bridges replace one or more missing teeth.
They consist of an artificial tooth anchored to the natural teeth on each side
of the gap. If a tooth is lost through an accident, or is too badly decayed
to save with a crown, a bridge may be the treatment of choice.
You can also ask your dentist or prosthodontist about implants,
which are another way of replacing missing teeth.
Crowns and bridges are usually made of porcelain and gold alloy. Porcelain
is strong and can be made to match the colour of the natural
teeth. It is resistant to staining and can be cleaned if it
becomes stained.
Gold alloy is used for its strength, hardness and durability.
It is especially useful for molars which must withstand the
forces of grinding and crushing. Gold alloy and porcelain
are well tolerated by the gum and cheek.

Before
After