Before & After
|Linda presented to Dr. Connelly with multiple cosmetic complaints: severe wear that had shortened her teeth, discoloration, and missing molars that showed in her smile.||Dr.Connelly used a combination of feldspathic porcelain veneers, porcelain to gold crowns, and porcelain to gold bridgework to reconstruct Linda's entire mouth.
||Howard presented to Dr.Connelly with multiple cosmetic complaints: old mismatched crown work, an uneven gum-line, and many dark areas framing his smile.||Dr.Connelly treated Howard's gum line discrepancy with laser gum surgery. He then used a combination of porcelain to gold crowns and all porcelain crowns to reconstruct Howard's entire mouth.
|Sarah presented to Dr.Connelly with six old, discolored, and poorly made veneers. In addition, the teeth that surrounded Sarah's existing veneers were discolored and were not previously treated.||Dr.Connelly prepared Sarah's teeth and placed twenty feldspathic porcelain veneers to correct the cosmetic issues.
||Pam presented to Dr.Connelly with discolored natural teeth that were non-responsive to dental whitening.||Dr.Connelly prepared Pam's teeth and placed twenty feldspathic porcelain veneers to correct the cosmetic issues.
|Dottie presented with a large space between her front teeth that she had always disliked. The teeth were also resistant to bleaching.||Dottie received ten porcelain veneers to close her space and bring balance to her smile.
||Todd presented to Dr. Connelly with multiple cosmetic complaints: severe wear, which had shortened his teeth, discoloration, and spacing between some of his teeth.||Dr.Connelly prepared Todd's teeth and placed twenty feldspathic porcelain veneers to correct the cosmetic issues.
|Kevin presented with a large space between his front teeth that he had always disliked. The teeth were also resistant to bleaching.||Kevin received ten porcelain veneers to close his space and bring balance to his smile.
||Fary presented to Dr.Connelly with severely discolored natural teeth that were non-responsive to dental whitening, along with a severe open bite.||Dr.Connelly prepared Fary's teeth and placed twenty feldspathic porcelain veneers to correct the cosmetic issues.
|James presented to Dr. Connelly with multiple cosmetic complaints: severe wear, which had shortened his teeth, discoloration, and spacing between some of his teeth.||Dr.Connelly prepared James's teeth and placed twenty feldspathic porcelain veneers to correct the cosmetic issues.
||Brit presented to Dr. Connelly with small teeth and a gummy.||Dr.Connelly performed a laser gum reduction and 10 porcelain veneers to correct Brit's smile
|The laboratory and technical aspects of Cosmetic Dentistry
We know that all dentists are not created equally; we have seen the bad veneer makeovers glowing in the dark (chicklet teeth), and the dental crown smiles with black lines showing thru the gums. Did you know that a big part of these dental nightmares is determined by the ceramist that your dentist chooses to work with? Dentists can use small "boutique" style ceramists that create each tooth like a sculpture - or they can opt for a veneer from a national chain type laboratory that spits veneers out of a machine for sometimes 90% less cost!
In 2002 I founded Oral Design Boston, a ceramics laboratory, on Newbury street in Boston, MA with world- renowned ceramist Yasu Kawabe from Japan. From importing rare porcelain vacuumed furnaces from Germany and Hawaii, to testing microscopes and elaborate porcelain combinations - I was involved extensively in developing the technical and laboratory portion of high end porcelain veneer fabrication. Understanding and managing every step in the process is vital to ensure superb porcelain aesthetics when dealing with high-level cosmetic dentistry. Some of the most published Cosmetic Dentists do not understand the technical aspect of veneer fabrication and proper material specifications. Critical information is frequently skipped or omitted in the dental veneering process, simply because dentists have been able to "get by" without truly understanding each and every step. This is just one of the many aspects of cosmetic dentistry that people need to investigate when choosing their cosmetic dentist - who is their dentist's ceramist, and how involved is your dentist going to be in the laboratory process."
Truly beautiful veneers are interpreted as beautiful teeth. These veneers are stealth to everyone's eyes and subconscious. The optical properties of the porcelain are the key. When I write "optical properties" what I am saying is - the way human eyes perceive light reflecting and passing through the veneers.
Here are facts I must elaborate and simplify before I continue:
White is actually the absence of color
Something that is white is reflecting light back at the person looking at it
Conversely, black is absorbing all light and reflecting none
All colors in between white and black absorb, and reflect light in different amounts, giving that object a "color"
A ceramic toilet, a piece of Chicklet gum. a white piece of paper, and a white sock all reflect, scatter, and absorb light completely differently - yet they are all white
So when we are creating porcelain veneers, we want to use a porcelain that reflects light, in the same manner and degree as human enamel reflects light. We also want the structure of the material (the lattice work, framing, building blocks) of the veneer to be assembled similarly to human enamel. Otherwise, even thought a material may be white, as we see above; it doesn't necessarily mean it will look like a tooth.
Dentists have choices when they decide which technician will make your porcelain veneers. Dentists can choose veneers milled by a machine from a block of engineered solid glass Lucite. Or your dentist can choose veneers made by hand, layer after layer, by a trained artists out of feldspathic porcelain. There are many laboratories, material and technicians. It is very important for you to understand this process so you can be a part of the decision making when your dentist sends your work to be fabricated.
We use hand stacked, feldspathic porcelain by Vincent Devaud from Swizerland, and Gerald Ubassy from France. The type of porcelain that we use for each patient is customized to match skin tone, personality, and bone structure.
2013 All Right Reserved, Thomas P. Connelly, DDS