Fifty Shades of Teeth

Have you ever looked at someone’s smile and immediately thought to yourself “Ouch, that tooth sticks out like a sore thumb!”

Front tooth crown with a bad color and shade match

This tooth was very noticeable. Photo by Dr. Nicholas Calcaterra – dentistry by someone else!

This patient was very uncomfortable with her smile. And she had every right to be uncomfortable (if you want to see how we fixed her smile you can go here).

When we analyze the shades of front teeth, we use what is called the 3-D shade guide. The guide is used by cosmetic dentists and has close to 30 shades. Then, when you factor in other variables such as translucency and light reflection, you get close to fifty shades of teeth!

So how do we achieve dramatic results?

A Match Made in Heaven

Let’s answer the question by looking at some dramatic results with before and after photos:

high quality before and after front teeth photo showing shade matching

We bent over backwards to match the shade. Without the pre-op photo, you would not be able to tell which teeth have crowns! Photo and dentistry Dr. Nicholas Calcaterra.

The above patient lives in Orange and is a student at Amity Regional High School. He suffered trauma to his two front teeth with both requiring root canals. One of his teeth was repaired by another office using bonding. The repair – somewhat sloppy – is very noticeable because the shade and contour do not match.

Because of the history of trauma, we did cosmetic all ceramic crowns on both teeth. We worked extremely hard, going through multiple steps (as outlined below), and were able to achieve a remarkable success. We believe the photos speak for themselves.

Shade Matching – A Team Approach

Many of you are probably asking – how do you achieve this?

Process to match a front tooth crown by color and best dental shade.

He began with a very dark crown due to trauma, as seen in the upper left. In the upper right, we hold one of many different shade tabs as part of our analysis. Note that he did NOT want the “tilt” or “midline slant” corrected – only the shade – because he felt that was his signature look! Dentistry and photos Dr. Nicholas Calcaterra.

We take a very rigorous and systematic approach. Some of the steps include:

  • We analyze your smile and the teeth/tooth bothering you. We first understand what your concerns are. We then recommend the most appropriate solution.
  • Based on your specific needs, we then select one of many Connecticut based labs that we use. We don’t ship our labwork overseas.
  • We take multiple photos and sometimes have you meet with a lab technician for a custom shade match.
  • We then let you try it in for a test drive – if you don’t like it – we tweak the shade until you are 100% satisfied.

Throughout the process, it is a team approach: our team, the lab, and you.

If you are unhappy with the shade of your crowns and would like to meet with us, call us at (203) 799 – 2929 or visit this page. We’d love to have you experience fifty shades of teeth.

Bye Bye Peg Lateral!

Every so often, we see peg laterals in our office in Orange. A peg lateral is an upper lateral incisor (the teeth directly next to your two front teeth) that has a peg shape. Since these teeth are very visible when you smile, our patients frequently want us to fix the appearance. Let’s look at a recent case we did using bonding:

Before and after photo fixing peg laterail incisor with bonding

Before and after photo showing how we fixed a right peg lateral incisor with bonding. Dentistry and photos by Dr. Nicholas Calcaterra

The above patient is a 17 year old Amity High School junior who just completed orthodontics. We coordinated the efforts with his orthodontist (Dr. Phil Caporusso) so that when the braces came off, we got to work. We used bonding and gave him a new look in a little less than an hour!

How Peg Laterals can be Fixed

The appearance of a peg lateral can be addressed in two basic ways.

  1. Porcelain Veneers – with veneers, a thin piece of cosmetic porcelain is placed over the front surface of the tooth. Veneers last longer than bonding and will always look better. The downside is that they are much more expensive and require 2 visits to complete.
  2. Bonding – in bonding, white filling material is placed over the tooth and then polished. Bonding is done in one visit and is less expensive than veeners. The downside is that bonding will not last as long and typically does not look quite as good (although with expertise you can get a very natural result as seen above).

We always discuss your particular case with you prior to making a recommendation for which option (veneers vs. bonding).

Peg Lateral Trivia

Some interesting tidbits we’ve learned from fixing dozens of these teeth over the years:

  • The overall prevalence in the general population is 1.8%. That may seem high. But then again, most patients have these repaired so you can’t tell. If the above patient smiled at you do you think you could tell? We didn’t think so.
  • In cases of single peg laterals, the left side is twice as common as the right. So our patient was a unique one!
  • Women are 1.35 times more likely than men to have one or both teeth affected.

The above data were compiled from this research study.

Do you have a peg lateral that you would like us to evaluate? If so call us at (203) 799 – 2929 or visit this page. And remember, don’t try fit these pegs into a round hole!

 

Use Apple Pay at our Office

We know that coming to the dentist is not everyone’s favorite activity. We also know that teeth and a great smile are a worthwhile investment, but paying for dentistry is not everyone’s favorite activity either.

That’s why we’ve made it even easier for our existing and future patients.

Use Apple Pay at our Orange, CT dentist office

We’re the first dental office in Orange to publicly announce we accept Apple Pay!

For our patients who have an iPhone 6, or who are thinking about an upgrade to an iPhone 6, you can use Apple Pay at our office. While Apple Pay is still relatively new, for our patients who do utilize it, we’ve found it to be very convenient.

Why do we mention this? We do it to emphasize our commitment to adopting and using modern technology in all aspects of our dental practice. Since being one of the first offices to implement digital x-rays, to allowing our patients to receive appointment reminders via text, we are constantly evaluating ways to make your experiences as pleasant as possible.

Have an idea for us? Want to make an appointment? Call us (203) 799 – 2929 or visit this page.

 

Break a Leg – Just Don’t Break a Tooth!

As the opening performance of Tarzan the Musical approaches, we are pleased to announce that we are AmityBill Advertising Partners for this exciting show! We are one of only a few dental offices making such a significant financial commitment to this production. Tarzan is scheduled to kick off on Friday March 20, 2015, at Amity High School in Woodbridge.

Our Orange, CT dentist office are Advertising partners for Tarzan

Many of our patients make up the Cast, Crew, and Orchestra!

In addition to being Advertising Partners for the show, we have another connection. Several of our dental patients are involved with Tarzan as either Cast or Crew members or playing in the Orchestra. As a result, our entire office has a special connection with this Amity High Production.

In addition, Ryan Rappaport, son of our Office Assistant Cathy Rappaport, has a major role in the show. This past week, he has been rehearsing from 5:30 to 10 PM. Go Ryan!

We’d like to wish all of our dental patients – either audience members or those involved with the show – the very best. And remember – break a leg – just not a tooth!