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Laser use in cosmetic dentistry

Cosmetic laser dentist Nashville TNDental lasers are finding their way into everyday clinical use even at Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Cosmetic dentists have known their advantages for years. They provide numerous advantages including the ability to shape, contour, and reestablish healthy gingiva with less bleeding; make final impressions the same time as treatment; decrease postoperative discomfort, and make healing predictable. Lasers will become the standard of care in cosmetic dentistry because of their advantages for the patient and clinician over steel blades and electrosurgery.

With the addition of erbium lasers, procedures can be performed on the hard tooth structures that enhance bond strengths and virtually eliminate the need for anesthesia, because they are less invasive and traumatic than high-speed drills. All of these advantages will add up to patient and clinician satisfaction, but time must be spent researching the right laser for the practice and training the doctor and team. Only then will these advantages add up to delivering the best dentistry has to offer.

One use of cosmetic and aesthetic laser dentistry is the treatment of gingiva. Gingival tissues frequently need to be changed due to inflammation, irregular contours, and other reasons. Dental crowns, veneers, or bonded restorations may be placed close to the gingiva, which can cause bleeding. Bleeding in the gingiva can make impression-making and bonding procedures impossible and healing unpredictable. In these cases, laser gingivoplasty can be used to develop a new gingival sulcus, control hemorrhaging, and provide esthetic gingival contours.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Make an appointment to discuss laser cosmetic dentistry and a treatment plan that is right for you.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

 

Posted in Cosmetic Dentistry, Laser Dentistry, Restorative Dentistry

Do you Need Dental Bonding?

dental bonding in nashville tnWhat is bonding?

Tooth bonding is more straight forward than many other dental procedures at Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. It doesn’t even usually require anesthesia, unless filling a cavity, and you shouldn’t need multiple visits. To begin with, your dentist will reference a shade guide to pick the composite resin color that most closely your natural teeth. After roughening the surface of the tooth, a liquid is applied that allows the bonding agent to stick to the tooth. Your dentist then puts the composite resin over the liquid, molds and shapes it to match the tooth, and then hardens the material with ultraviolet light. If necessary, the tooth can be further shaped after the resin hardens.

Why get bonding? Tooth bonding can fix an imperfection within a tooth. Some people use bonding to repair a chipped or decayed tooth. This procedure can also close small gaps between teeth and correct discoloration. Tooth bonding can also change the size of a tooth, as when you have a tooth that’s shorter, and you want them all to be the same length. Bonding is a fast procedure that doesn’t require any downtime. If you don’t need anesthesia, you can continue with your normal daily routine after the procedure. Typically, tooth bonding takes between 30 to 60 minutes. Some appointments may run longer depending on the complexity of the procedure.

Are there any risks? Dental bonding doesn’t have any major risks. But remember the composite resin used in bonding isn’t as strong as your natural teeth. It’s possible for the material to chip or separate from your real tooth. Chipping or breaking, however, doesn’t occur as often with a crown, veneer, or filling. A bonded tooth might chip if you eat ice, chew on hard items, or bite your fingernails. The resin also isn’t as stain-resistant as other dental materials. You may develop some discoloration if you smoke or drink a lot of coffee.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Make an appointment to discuss dental bonding and a treatment plan that is right for you.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

 

Posted in Cosmetic Dentistry, Customized smiles, Dental Bonding

Porcelain Tooth Crown Advantages

Porcelain tooth crowns are commonly used in cosmetic dentistry, and Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells can provide you with the answers you need. Dentists use them to put a final “crown” on a tooth or dental implant, and they bond them with dental cement for a secure, and long-lasting fit. Dental crowns are an excellent choice to treat broken teeth or those with large cavities. They can also be helpful to fix issues such as uneven teeth and discoloration. Older materials used to make tooth crowns have included silver, gold, platinum, and tin, but today porcelain is the top choice for its durability and appearance.

Porcelain advantages

Although metal crowns are still an option in many dental offices, porcelain crowns have advantages over metal. Some of these include:

  • Appearance – Porcelain crowns are tooth-colored and blend in almost invisibly with natural teeth. Their more natural appearance is extremely helpful for patients who require dental work in the front of their mouths.
  • Natural – Along with appearance, porcelain dental crowns also feel more natural than other options. A dentist can custom-design crowns to fit the shape and appearance of a patient’s natural teeth.
  • Durability –Porcelain crowns are nearly as strong as natural tooth enamel, which is one of the hardest materials on the human body and they can withstand years of wear.

Porcelain crowns have many more advantages over the metal versions, in feel, form, and function and are one of the best choices for repairing certain dental issues. Patients will no longer need to feel embarrassed by their smile due to metal crowns, decay, or missing teeth when a dental professional uses porcelain crowns as a dental treatment. If you have minor cosmetic dental issues, it’s time to consult a dentist about restoring your smile with porcelain crowns.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Make an appointment to discuss the porcelain tooth crowns and a treatment plan that is right for you.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

 

Posted in Aesthetic dentistry, Cosmetic Dentistry, Dental Crowns

Porcelain Veneers vs Prepless Veneers

Dental veneers in Nashville

 

Background on tooth veneers

As you look into tooth veneers, there are some things you should know, and Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells can provide you with the answers you need.The total cost of veneers is varies depending on your chosen dentist and how many of your teeth you’d like to veneer.Pose any questions you have to your dentist. It might be good to know how many veneers they have placed. Discuss your proposed goals with dental veneers. Information like this will help your dentist create the best treatment plan for you. If you have TMJ or clench and grind your teeth, ask your dentist whether a nightguard will protect super-thin veneers from chips or breaks.

Porcelain dental veneers

A porcelain veneer is a tiny white shell., and each one is “made to order” for each tooth.You may choose porcelain veneers over resin because they are:
  • Stronger than resin
  • Less likely to stain
  • Look more natural
If you choose porcelain, here’s what to expect during the process:
  1. You will get a shot to numb your mouth to numb the pain.
  2. Your dentist will remove a small amount of enamel from the front and sides of your tooth before placing the veneers.
  3. The dentist will make a mold of your teeth requiring veneers.
  4. They may place a temporary veneer that you wear while you wait a few days for a lab to custom make your veneers.
  5. Once your veneers are ready, the dentist will place them on your teeth and check their fit and shape.
  6. She will remove each veneer, clean your tooth, and bond it to the tooth.

Composite resin prepless veneers 

Your dentist will make this type of veneer from the dental filling type of material and color-match it to your other teeth.You may want resin over porcelain because:
  • There is less enamel removed to place this type of veneer.
  • You can get them in one quick visit.
  • They cost less than porcelain veneers.
  • Repairs of damaged veneers are cheaper easier.
If you choose resin, here’s what to expect during the procedure:
  1. You will get a shot to numb your mouth, so you won’t feel pain.
  2. Your dentist will remove a small amount of enamel from the front and sides of your tooth.
  3. Your dentist will sculpt the resin onto your directly.
  4. A special light is pointed onto the teeth to harden and bond it to your tooth.
  5. Finally, the veneers are smoothed and polished.
Let your dentist know if your bite feels funny at all since it be will correct before you leave.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Make an appointment to discuss the various tooth veneer options and which is right for you.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

Posted in Cosmetic Dentistry, Porcelain Veneers, Prepless Veneers

Laser Dentistry in Nashville

laser dentistry NashvilleNashville Center for Aesthetic Dentistry – Dr. Dennis Wells currently offers laser dentistry for some cosmetic procedures. Lasers have been used by dentists for decades to treat a number of issues. Although FDA approved, laser systems have not received the American Dental Association’s Seal of Acceptance as an alternative treatment. The ADA seal ensures to dentists that a laser device meets their standards of safety efficiency. The ADA, however, states that it is cautiously optimistic.Still, many dentists are using lasers to treat:
  • Can be used to remove decay within a tooth and prep surrounding enamel for placing of a filling.
  • They are used to reshape gums and remove bacteria during root canal procedures.
  • They can be used to extract a biopsy for testing, and to remove lesions in the mouth.
  • Lasers are obviously great for in-office teeth whitening procedures. Peroxide bleaching solution can be activated and enhanced by laser energy, speeding up the process.
How Do Lasers Work in Dentistry?All dental lasers deliver energy via light waves. They can act as a cutting instrument or vaporize tissue. And when used for teeth-whitening they act as a heat source to enhance the effect of bleaching agents.What Are the Pros and Cons?Pros Dental lasers:
  • May cause less pain so less need for anesthesia
  • Can reduce anxiety in patients who do not like drills
  • They can help minimize bleeding in soft tissue operations
  • They can help preserve healthy teeth during cavity removal
Cons Disadvantages are:
  • Cannot be used on teeth with existing fillings.
  • Cannot be used in many commonly performed dental procedures including some cavities, old fillings, or preparation for a crown.
  • Standard drills may still be needed to shape fillings, adjust, and polish teeth.
  • Lasers do not completely eliminate the need for anesthesia.
  • Laser treatment tends to be more expensive, and the cost of the laser can be much higher than a dental drill.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Make an appointment to determine if laser dentistry is right for you.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

Posted in Cosmetic Dentistry, Laser Dentistry, Teeth Whitening

Zirconia vs Titanium Tooth Implants

zirconia or titanium tooth implants in NashvillePositives and Negatives of Zirconia Implants At Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells we can help guide you to the best decision on tooth implants. According to an article in Periodontology 2000, zirconia dental implants have several advantages:

  • Zirconia bonds better with gum tissue and is more biocompatible.
  • Zirconia implants have a much lower bacterial attraction.
  • Zirconia has good strength and fracture resistance.
  • Zirconia holds up against wear and corrosion very well.
  • Zirconia is more desirable cosmetically because it matches closer to tooth color.

However, there are some drawbacks to zirconia dental implants, as the same article notes:

  • Sometimes the material can deteriorate over time and develop tiny cracks.
  • Zirconia is usually only available as a one-piece implant. If a patient requires an angled abutment to correct alignment, they may need to choose a metal option.
  • Any grinding on the surface of the implant can weaken the structure.
  • Failure rates of zirconia implants have yet to be discovered.

Pluses and Minuses of Titanium Implants There are several advantages in choosing to use a titanium implant, the article continues:

  • Titanium implants are readily available in a two-piece version, which helps to angle the crown for correct implant positioning.
  • The failure rate of titanium implants is estimated to be significantly lower than that of zirconia implants.
  • Titanium has a high resistance to corrosion and excellent biocompatibility with the bone and gum tissues.

However, there are also several disadvantages associated with titanium implants:

  • A titanium implant may fail if there is an allergic reaction to the metal.
  • Metal ions released from titanium can cause local inflammation and irritation in some patients.
  • If the tissue around the implant is thin, the dark metal may show through.

With proper maintenance, titanium or zirconia dental implants can last for many years, typically for at least five years, but most are likely to have a much longer life. To increase the lifespan of your implant, keep up with a regular oral hygiene routine, avoid smoking, and get regular dental checkups. Choosing the right implant material for you is an important decision. Discuss your options with your dental professional, and make sure you speak to your insurance provider as well in order to find the best solution.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Make an appointment to determine which tooth implant type is right for you.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

Posted in Cosmetic Dentistry, Dental Implants, Implant Dentures

Ceramic and Porcelain Tooth Crowns

Dental tooth crowns Brentwood TNTypes of ceramic or full-porcelain crowns

Tooth crowns are not all the same, and different types are mentioned here. Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells at 105 Powell Ct Ste 101 Nashville, TN 37027. Make an appointment to determine which type of crown is right for you.
  • Feldspathic porcelain is the most common type used and is thought to be the most beautiful.
  • Empress tooth crown looks almost like glass although it’s ceramic.
  • Procera crown is a bit of a hybrid. It is made with a ceramic inside along with traditional porcelain on the outside and is very strong.
  • Lava crown is made with translucent Zirconia on the inside and looks beautiful due to a baked outside layer.
  • Zirconia crowns look very natural and do not reveal a black line that other crowns at the gum line.
  • Emax crowns are a popular current type.
These crowns are suitable for people who are allergic to metals.

Advantages of these crowns

  • They are transparent and natural with an aesthetic appeal
  • There are no allergic reactions with a reduced sensitivity
  • Great alignment inside your mouth
  • Any final form correction is possible
  • Best for patients who have reduced space but want a natural look

Disadvantages

  • The overall procedure can be complicated and expensive
  • They can be less durable than other types and vulnerable to cracking

The Procedure

The procedure for fitting these crowns is similar to that of any other crown:
  • The tooth needs to be cleaned, reshaped, and prepared for treatment.
  • The tooth is also a little tapered so that the crown can snugly fit on top.
  • Using dental putty, an impression of the tooth is taken.
  • This mold is then sent to the lab to fabricate a new crown.
  • In the meantime, the patient gets a temporary.
  • A period of 2-3 weeks is required before the crown is ready.
  • Then the patient’s tooth is fitted with the new crown.
  • Your dentist roughs up the surface to make a solid fit.
  • After the desired fitting is obtained, the crown is firmly fixed with the help of dental cement.
  • Care must be taken to avoid grinding, biting into hard foodstuffs, and clenching.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Make an appointment to determine which tooth crown is right for you.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

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Posted in Cosmetic Dentistry, Dental Crowns, Restorative Dentistry

Is Teeth Whitening for You?

  Teeth Whitening Brentwood and Nashville TNProfessional teeth whitening seems to be the most popular solution for stained teeth, but is it your best option? Teeth are either bleached in your dentist’s office or at home with provided tools. Determining factors such as poor gum health and existing dental work may make other methods better solutions. Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells can help you get the information you need to make an informed decision.

Who Is a Good Candidate for Professional Whitening? Professional bleaching is a good answer for most people with permanent teeth and good oral health. Additionally, if you do not have tender or receding gums, bleaching should be fine. It works well to eradicate stubborn, yellowish stains, however, the American Dental Association states that brown and gray stains do not always whiten well. Patients with previous work to front teeth, tooth-colored fillings, and crowns are also not good candidates. Your dentist can tell you if you are a good candidate or what other options might be available for you.

What Are Other Options? Overall if your teeth and gums are healthy, you will probably get a green light for professional whitening. As mentioned, people who have gum disease may be told to avoid bleaching treatments, as the chemicals used can irritate gums and sensitive teeth. Even if you don’t qualify for professional whitening, you can always start with a professional cleaning. Patients with porcelain crowns, caps, and other restorative work to the front teeth do not qualify, but there are excellent alternatives. Fortunately, your dentist will still likely be able to improve the appearance of your teeth. Porcelain veneers or bonding can help you to get a nice-looking smile that you can be proud of. The higher cost of professional bleaching can also be a limiting factor and there may be easier and less expensive ways to remove your stains. For minor discoloration, professional cleaning and the use of whitening toothpaste in between office visits may be all that you need to keep your sparkling smile. You can also talk to your dentist about over-the-counter whitening kits like strips and gels. These products are not as harsh as professional treatments and they are a less expensive option.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells. Make an appointment to determine if professional teeth whitening is right for you.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

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Posted in Smile services, Teeth Whitening, Tooth Whitening

Why Full Arch Implants?

tooth colored fillings Nashville TNWhy Full Arch Implants? Full-arch dental implants are a solution for patients who are missing most or all of their teeth and want to rebuild their entire set of teeth for better function and appearance, and as an option besides traditional dentures, which can cause problems slipping and getting cleaned properly. Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells can help you get the information you need to make an informed decision on full arch implants as opposed to dentures.

The Procedure Implants are placed through a series of visits over a few months. The first goal is to install several titanium “screw” implants into the jawbone to act as anchors for the replacement “teeth.” This initial task may be performed on the upper, lower arch, or both. Your dentist will ultimately determine the ideal placement and number of implants for each individual patient.

Over the next months, these anchors will fuse to the jawbone, heal, and strengthen. After this healing period, small posts called abutments are attached to the implants as a platform for the new tooth crowns. The patient is then fitted for replacement crowns that look and feel exactly like real teeth and are installed during the next appointment. Implant surgery is typically performed as an outpatient procedure under local or general anesthesia. An entire full-arch restoration process needs multiple office visits and can take as long as a year to complete, depending on each patient’s unique case.

Recovery Most people find that full arch implants look and feel just like their regular teeth. They are strong, durable, long-lasting, and allow patients to enjoy restored function, ongoing dental health, and the feeling of a beautiful smile. You should be able to eat, drink, and speak normally after treatment. Implants, including the dentures, crowns, or bridges used, should be taken care of in the same way as regular teeth, with regular brushing, flossing, and checkups. Patients should always practice good oral hygiene and see their dentist on a regular basis.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells to help you decide.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

 

Posted in Dental Bridges, Dental Implants, Implant Dentures

Implant-Supported Restorations

Implant-supported restorationsHow Do Implant-supported Restorations Work? Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells at 105 Powell Ct Ste 101 Nashville, TN 37027, is happy to spend time with you to discuss how these restorations work, and if you are a good candidate for them.

The primary function of implant-supported dentures or bridges is much the same as traditional implants. First, a titanium implant is surgically screwed in the jawbone and allowed to fuse with the surrounding bone, to serve as an artificial tooth root. What makes the implant-supported full-arch special is the fact that a relatively small number of implants are required to support the replacement of all 16 teeth in the arch.

Therefore, you can get the same sort of aesthetic and strength as in traditional implants for a fraction of the cost on a too-by-tooth basis. A big difference is a manner in which full arch implants are placed. In the case of All-on-4 variety, two anterior implants are placed near the front of the mouth, and two posterior implants are placed farther behind. The anterior is inserted in a traditional, straight manner, whereas the posteriors are tilted at a 45-degree angle. The reason for this is to avoid the need for a bone graft. Such grafts are relatively common if the patient does not have enough bone density to support an implant. The angled posterior placement of All-on-4 and other implant-supported full arch restorations, therefore, helps simplify the procedure and reduce costs by taking bone grafts out of the equation.

Am I a Candidate? If you’re in need of mouth reconstruction, then an implant-supported dental solution like All-in-4 or Teeth Tomorrow could be the perfect solution. In order to determine whether you are a candidate, you need to schedule a consultation with a dentist that has experience performing implant-supported procedures. If you already wear removable dentures, you may have experienced bone or gum loss that must first be addressed before a transition to a fixed implant-supported solution. Your dentist will conduct a thorough evaluation to determine whether an implant-supported solution is right for you, or whether you may benefit from another restorative solution.

Contact Nashville Center for Aesthetic Dentistry – Dr. Dennis Wells to help you decide.

615-371-8878

Location: (Tap to open in Google Maps)

105 Powell Ct Ste 101 Nashville, TN 37027

 

Posted in Cosmetic Dentistry, Dental Bridges, Dental Implants, Uncategorized
cosmetic dentistry with a cosmetic dentist Nashville TN and Brentwood

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    AACD Accredited

    Dr. Wells has been an accredited member of the American Academy of Cosmetic Dentistry since 1994, and serves on the review board as an examiner for other dentists seeking their cosmetic dentistry accreditation.

    aesthetic dentistry with a Nashville dentist in Brentwood TN

    Award Winning Dentistry award for cosmetic dentistry in Nashville Tennessee and Brentwood
    • Nashville Top Dentist 2017 in Cosmetic Dentistry
    • 2008 AACD Outstanding Scientific Advancement in Cosmetic Dentistry Award
    • Selected as one of the Top Dentists in America - 2005 and 2010
    • 2001 AACD Award for Outstanding Contribution to the Art and Science of Cosmetic Dentistry
    • 2005 Entrepreneur Award
    • Crown Council Best Dentist to Work For - 2008
    Nashville Center for Aesthetic Dentistry
    Dennis J. Wells, DDS
    Daniel K. Weese, DMD

    105 Powell Ct Ste 101
    Brentwood, TN 37027
    Call: 615-371-8878
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