Having dark stains, streaked or notched and discolored teeth can be an burden to some and these aesthetic imperfections may need to be helped by a dentist with teeth bonding procedures such as porcelain bonding, veneers or full crowns to provide a more beautiful look. Even though its not as simple as common whitening, the bonding may assist in achieving a more wholesome facial image.
Basically, dental bonding is actually a chemical process where a material is bound onto the tooth surface.It is commonly used as the layman term for veneers. Veneers are shell-like facings, usually composed of composite resins or porcelain that is connected to the expanse of your teeth.
When will you require dental bonding?
Reasons
1. Intrinsic staining or tooth expanse mis-formation that comes from:
· Getting older
· Trauma
· Medications (tetracycline)
· Fluorosis
· Genetic tooth malformations
· Erosion and chip
2. Extrinsic permanent staining not amendable by bleaching techniques
3. Discolored non-vital teeth that otherwise may require post crowns can also be veneered
4. To fix peg-shaped lateral teeth
5. To close proximal spacing and diastemas
6. To repair (some) fractured teeth edges
7. Particularly useful in children where more complete tooth preparation may have an increased risk exposure of the tooth pulp
When would you be unfit for dental bonding?
Contraindications for dental bonding
· Poorly motivated persons with a high tooth decay rate and significant amount of gum attachment destruction
· Gum recession, exposure of the root of teeth, high lip line
· Teeth that is located too near the lips of the person, severely twisted or overlapped teeth
· When lower front teeth meet in close approximation to the inner expanse of opposite higher front teeth
· Teeth are severely discolored
· Large existing restorations
What are the types of cosmetic dental bonding?
· Direct Bonding – With direct bonding, the veneers use bound composites. Direct veneers may not involve the removal of significant tooth structure. If tooth structure is not abolished, such veneers are considered to be a reversible procedure.
· Indirect bonding (Traditional veneers) – Indirect veneers use a ceramic ingredient, such as porcelain. The primary expanse of the tooth is prepared to provide space for the veneering material. Therefore, indirect veneers are not a reversible solution.
Composite veneers
Composite veneers can be made directly or more commonly indirectly. Indirect composite resin veneers are created in a dental laboratory from an impression of your teeth. A meager amount of enamel structure must be abolished for this indirect composite restoration.
A direct technique for composite bonding does not resort to as much extraction of enamel structure. Teeth acquiesced for composite bonding are confined, finished with pumice and acid-etched. A dental bonding agent and an optional murky can be added before the composite resin is fashioned onto the enamel expanse. This procedure can adjust the guise and symmetry of the teeth.
This procedure is immediate and requires only one visit. It is quite dirt-cheap and is great for adolescent teeth with large pulps. However it can look bulky and has the capability to condense, chip and stain over time.
Traditional Porcelain veneers
A porcelain veneer is great for older teeth. Assembling of a porcelain veneer uses an indirect technique and require development of the tooth by abolishing a thin layer of teeth structure, making a mold and delivering the a mold to the laboratory for casting of the porcelain veneer. A temporary veneer is made and worn until the next visit. On the second visit, the temporary veneer is abolished and the permanent veneer is placed and bound to the teeth expanse with composite.
Porcelain veneer can be bulky and if they are not done properly, can stain the margins and can chip. They are costly but have good beautiful properties and are more sturdy than composite veneers.
Lumineers
LUMINEERS are very thin (approximately 0.2 mm) and highly translucent dental bonding veneers made out of porcelain, letting them to seem like the natural look of enamel. Although traditional veneers are much thicker, needing the grinding down of the original tooth structure, little to no tooth elimination is necessary for the bonding of LUMINEERS because of its thin state. The LUMINEERS are bound to natural teeth in a similar way like composite veneers therefore doesn’t need anesthesia which is different from traditional porcelain veneers.
Pricing of Bonding
Dental bonding procedure prices vary according to the kind of veneers used.
· Porcelain veneers are more costly than their composite resin cousins. Traditional porcelain veneers are about 0.5 millimeters in thickness, and can possibly cost anywhere from $500 to $2,500 per dental bonding. In terms of time, porcelain veneers can last 10 to 15 years.
· Composite veneers are typically priced at approximately $250 to $1500 per tooth and are expected to last 5 to 7 years.
· The Lumineers brand may cost around $700-$1,300 per bound tooth. Lumineers claims to last for over 20 years.
There may be a fee for the primary consultation ($65-$102) and X-rays ($13-$135). Dental bonding are very rarely paid for by dental insurance.
