Cosmetic Dentistry
Richard Shanaman, Reading PA Cosmetic Dentist
View By: Correcting Baby Teeth : Correcting Eye Teeth : Crown Lengthening : Regeneration w/ Implant
Cosmetic dentistry, is comprehensive oral care that combines art and science to optimally improve dental health, aesthetics and function. Today's common cosmetic dental treatment options include bonding, contouring, dental bridges, enamel shaping, gum lift and veneers. In addition, many times cosmetic dentistry includes implant dentistry too.
Dr. Shanaman is one of the top cosmetic dentists in the US, pioneering many modern techinques used around the world.
Below are actual cases of cosmetic dentistry performed by Dr. Shanaman, including after and before images, to help you understand the processes involved in restoring your beautiful smile! |
Sometimes as we go from our deciduous dentition (baby teeth) to our permanent teeth, a tooth may not develop. Prior to implants, attempts were made to solve this problem by orthodontically moving the canine (eye tooth) forward. This fills the space in front of the mouth; but the tooth is often too large to be esthetically pleasing.
In an approach to solve this problem without cutting down adjacent teeth for a fixed bridge, a Maryland bridge can be constructed. The major drawback of this attempt is that often the bond to adjacent teeth breaks and the replacement tooth is lost. Implants and our ability to regenerate new bone solve this dilemma.
| Cosmetic Dentistry correcting Deciduous Tooth (Baby Tooth) Before & After |
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t is not uncommon when permanent teeth begin to erupt that one or more of them do not do so. This most commonly happens with the canines (eye teeth). The treatment is usually uncomplicated - just extract the deciduous tooth (baby tooth), and surgically expose the crown of the impacted tooth so an orthodontic chain can be bonded to it. The tooth can then be moved into proper position orthodontically.
In this case, the canine (eye tooth) was impacted, and then brought into position with orthodontics. Unfortunately, there was periodontal disease present, which was not recognized or treated. As a result, bone did not come down with the tooth as it was moved into position. This resulted in a severe bony defect (see X-ray).
The two involved teeth were extracted and a bone graft placed. After healing, the ridge appeared very irregular and required a soft tissue graft. Note the gum now appears smooth.
In the final photo, the implants are restored. Note the healthy pink color of the gums.
| Cosmetic Dentistry correcting Deciduous Tooth (Eye Tooth) Before |
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| Cosmetic Dentistry correcting Deciduous Tooth (Eye Tooth) After |
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Crown lengthening surgery and veneers helped close the spaces between this young man's teeth. He now readily smiles as a result of improved self-esteem and confidence.
| Cosmetic Dentistry using Crown Lengthening Before & After |
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This patient had bilateral congenitally missing lateral incisors. Bone regeneration was required to establish normal contours and sufficient bone for implant placement. Fortunately, it was possible to implant and regenerate at the same time.
In the "before" pictures, note the concavity because of the two missing teeth. Note that after regeneration, the normal contour of the bone has returned.
| Cosmetic Dentistry with Regeneration & Implant Before |
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| Cosmetic Dentistry with Regeneration & Implant After |
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Cosmetic Dentistry using Permanent Implants
This patient had not been to the dentist in many years because of his intense fear of them. As a result, his upper teeth were decayed beyond repair. He suffered from low self-esteem and did not like to smile because of the condition of his teeth.
One day, he found Dr. Shanaman's website and contacted us. After discussing all of his options with him, we decided to replace his upper teeth with permanent implants. On the day of his appointment all of the work was done that very same day.
He left our office with more confidence and higher self-esteem, and his natural personality could show through again. His natural smile returned. Click here to read his testimonial.
| Cosmetic Dentistry using Permanent Implants Before & After |
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Cosmetic Dentistry using Extract Implant & Provisional Crown
This patient had decay under the porcelain fused to metal crown on the upper left front tooth. It was not possible to be saved and he wanted Teeth Right Now®.
This patient had a defective restoration and gingival recession on the left central incisor which was not esthetically acceptable (photos on left side).
The tooth was replaced by an implant and a temporary crown was placed at the same appointment (photo on right side).
| Cosmetic Dentistry using Extract Implant and Provisional Crown Before & After |
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Cosmetic Dentistry using Immediate Implants & Temporary Bridge
This patient had a lower implant supported clip bar denture and was unhappy with her traditional full upper denture.
She wanted Teeth Right Now®. Implants were placed in the upper jaw and she walked out with a temporary implant supported bridge. A few months later a permanent bridge was placed.
| Cosmetic Dentistry using Immediate Implants & Temporary Bridge Before |
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| Cosmetic Dentistry using Immediate Implants & Temporary Bridge After |
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Cosmetic Dentistry using Immediate Implants
This lady was very unhappy with the condition and appearance of her upper teeth. She chose to have Teeth Right Now®.
On that day, her upper teeth were extracted, and she left the office with an implant-supported upper bridge.
| Cosmetic Dentistry using Immediate Implants Before & After |
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Cosmetic Dentistry using Incisor Implant & Veneer
The congenitally missing right lateral incisor was replaced with an implant, and a crown was placed on it. The implant crown appears to emerge naturally from the gum. The space around the left lateral incisor was closed with a veneer.
| Cosmetic Dentistry using Incisor Implant & Veneer Before & After |
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Dr. Shanaman is rated 4.63 stars out of 5 on Google Places. Read all the verified dentist reviews submitted by some of Dr. Shanaman's patients. |
