Cosmetic dentistry
Encyclopedia
Cosmetic dentistry is generally used to refer to any dental work that improves the appearance (though not necessarily the function) of a person's teeth, gums and/or bite. Many dentists refer to themselves as "cosmetic dentists" regardless of their specific education, specialty, training, and experience in this field. This has been considered unethical with a predominant objective of marketing to patients. The American Dental Association
American Dental Association
The American Dental Association is an American professional association established in 1859 which has more than 155,000 members. Based in Chicago, the ADA is the world's largest and oldest national dental association and promotes good oral health to the public while representing the dental...

 does not recognize cosmetic dentistry as a formal specialty area of dentistry.

Fields

There are only 2 dental specialties that predominantly focus on dental esthetics/cosmetics. They are : Prosthodontics
Prosthodontics
Prosthodontics, also known as dental prosthetics or prosthetic dentistry, is one of nine dental specialties recognized by the American Dental Association, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons...

 and Orthodontics
Orthodontics
Orthodontics, orthodontia, or orthodonture is the first specialty of dentistry that is concerned with the study and treatment of malocclusions , which may be a result of tooth irregularity, disproportionate jaw relationships, or both...

 and such specialists are called Prosthodontists and Orthodontists respectively.

Common Cosmetic Dentistry options

Cosmetic dentistry may involve:
1. the addition of a dental material to teeth or gums - examples: bonding, porcelain veneers (laminates), crowns (caps), gum grafts
2. the removal of tooth structure or gums - examples: enameloplasty etc., gingivectomy
3. neither adding nor removing dental materials, tooth structure or gums - examples: teeth whitening (bleaching).
4. straightening of teeth accompanied by improvement in appearance of face Orthodontics
Orthodontics
Orthodontics, orthodontia, or orthodonture is the first specialty of dentistry that is concerned with the study and treatment of malocclusions , which may be a result of tooth irregularity, disproportionate jaw relationships, or both...


  • Whitening
    Tooth bleaching
    Dental bleaching, also known as tooth whitening, is a common procedure in general dentistry but most especially in the field of cosmetic dentistry. A child's deciduous teeth are generally whiter than the adult teeth that follow. As a person ages the adult teeth often become darker due to changes in...

    , or "tooth bleaching", is the most common cosmetic dental procedure. While many whitening options are now available, including over the counter products, dentist-supervised treatments remain the recommended procedures for lightening discolored teeth.

  • Tooth reshaping removes parts of the enamel
    Tooth enamel
    Tooth enamel, along with dentin, cementum, and dental pulp is one of the four major tissues that make up the tooth in vertebrates. It is the hardest and most highly mineralized substance in the human body. Tooth enamel is also found in the dermal denticles of sharks...

     to improve the appearance of the tooth. It may be used to correct a small chip, or to alter the length, shape or position of teeth; it can be used to correct crooked or excessively long teeth. The removed enamel is irreplaceable, and may sometimes expose dentin
    Dentin
    Dentine is a calcified tissue of the body, and along with enamel, cementum, and pulp is one of the four major components of teeth. Usually, it is covered by enamel on the crown and cementum on the root and surrounds the entire pulp...

    . It is also known as enameloplasty, odontoplasty, contouring, recontouring, slenderizing, stripping or sculpting. This procedure offers fast results and can even be a substitute for braces under certain circumstances.
  • Bonding
    Adhesive Dentistry
    Adhesive dentistry is a branch of dentistry which mainly deals with adhesion or bonding of the adhesive material or cements to the natural substance of teeth, enamel and dentin....

     is a process in which an enamel
    Tooth enamel
    Tooth enamel, along with dentin, cementum, and dental pulp is one of the four major tissues that make up the tooth in vertebrates. It is the hardest and most highly mineralized substance in the human body. Tooth enamel is also found in the dermal denticles of sharks...

    -like dental composite
    Dental composite
    Dental composite resins are types of synthetic resins which are used in dentistry as restorative material or adhesives. Synthetic resins evolved as restorative materials since they were insoluble, aesthetic, insensitive to dehydration, easy to manipulate and reasonably inexpensive...

     material is applied to a tooth's surface, sculpted into shape, hardened and then polished.
  • Dental bridges are false teeth, known as a pontics, which are fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place that are attached onto your teeth on each side of the false tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures. In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many as ten years or more.
  • Veneers
    Veneer (dentistry)
    In dentistry, a veneer is a thin layer of restorative material placed over a tooth surface, either to improve the aesthetics of a tooth, or to protect a damaged tooth surface. There are two main types of material used to fabricate a veneer, composite and dental porcelain...

     are ultra-thin, custom-made porcelain laminates that are bonded directly to the teeth. They are an option for closing gaps or disguising discolored teeth that do not respond well to whitening procedures. Depending on the procedure, tooth reduction may be necessary.
  • Gum lift
    Gum lift
    A gum lift is a cosmetic dental procedure that raises and sculpts the gum line. This procedure involves reshaping the tissue and/or underlying bones to create the appearance of longer or symmetrical teeth, thereby making the smile more aesthetically pleasing. This procedure is typically done to...

     is a cosmetic dental procedure that raises and sculpts the gum line. The procedure involves reshaping the tissue and/or underlying bones to create the appearance of longer or more symmetrical teeth.
  • Bite Reclamation Patients who have had years of excessive wear to their teeth due to grinding or acid reflux can alter their vertical dimension. This gives them a closed or shorter look to their face and smile. By opening up their bite, a qualified professional can reclaim their vertical dimension and sometimes even remove unwanted wrinkles as well.

Materials

In the past, dental fillings
Dental fillings
This page is about types of dental restorative materials. For dental fillings see dental restorationsDental restorative materials are specially fabricated materials, designed for use as dental restorations , which are used to restore tooth structure loss, usually resulting from but not limited to...

 and other tooth restorations were made of gold
Gold
Gold is a chemical element with the symbol Au and an atomic number of 79. Gold is a dense, soft, shiny, malleable and ductile metal. Pure gold has a bright yellow color and luster traditionally considered attractive, which it maintains without oxidizing in air or water. Chemically, gold is a...

, amalgam
Amalgam (dentistry)
Amalgam is an alloy containing mercury. The term is commonly used for the amalgam employed as material for dental fillings, which consists of mercury , silver , tin , copper , and other trace metals...

 and other metals—some of which were veneered with porcelain
Porcelain
Porcelain is a ceramic material made by heating raw materials, generally including clay in the form of kaolin, in a kiln to temperatures between and...

. Now, dental work can be made entirely of porcelain or composite materials that more closely mimic the appearance of natural tooth structure. These tooth colored materials are bonded to the underlying tooth structure with resin adhesives. Unlike silver fillings (amalgams) they are entirely free of mercury. Many dentists offer procedures to be cosmetic and because their patients prefer natural looking teeth.

Credentialing

Formally trained specialists recognized by the American Dental Association
American Dental Association
The American Dental Association is an American professional association established in 1859 which has more than 155,000 members. Based in Chicago, the ADA is the world's largest and oldest national dental association and promotes good oral health to the public while representing the dental...

 undergo a minimum of 2–3 years full time rigorous education program after dental school graduation. These specialties also lead to board certification approved by the American Dental Association.
  • Prosthodontics
    Prosthodontics
    Prosthodontics, also known as dental prosthetics or prosthetic dentistry, is one of nine dental specialties recognized by the American Dental Association, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons...

  • Orthodontics
    Orthodontics
    Orthodontics, orthodontia, or orthodonture is the first specialty of dentistry that is concerned with the study and treatment of malocclusions , which may be a result of tooth irregularity, disproportionate jaw relationships, or both...



Non-specialists with supplemental education related to specific interests. The certifications by these groups will not lead to approval by the American Dental Association.

American Academy of Cosmetic Dentistry:
The American Academy of Cosmetic Dentistry (AACD) is the largest international dental organization in the world, composed of general dentists, specialists, and lab technicians focused on the art and science of cosmetic dentistry. Founded in 1984, the AACD has over 7,000 members in the United States and more than 70 countries around the globe. Members of the Academy include dentists, dental laboratory technicians, educators, researchers, students, hygienists, corporations and dental auxiliaries. AACD members seek out continuing education through lectures, workshops, and publications in order to keep up-to-date with all of the advancements in cosmetic dental techniques and technology. In 1984, the AACD was formed and has filled the dire need for credentialing in cosmetic dentistry. The purpose of the American Board of Cosmetic Dentistry (ABCD) is the testing, analyzing, and evaluation of the services of dentists and laboratory technicians for the purpose of awarding AACD Accreditation in cosmetic dentistry. However, this certification is not approved or recognized by the American Dental Association
American Dental Association
The American Dental Association is an American professional association established in 1859 which has more than 155,000 members. Based in Chicago, the ADA is the world's largest and oldest national dental association and promotes good oral health to the public while representing the dental...

.

American Society For Dental Aesthetics:
Conceived in 1976, the American Society for Dental Aesthetics
American Society for Dental Aesthetics
The American Society for Dental Aesthetics was founded in 1977 by current President, Dr. Irwin Smigel. The ASDA is an international non-profit organization which provides a forum for increasing the awareness of dental aesthetics and treatment options to enhance the quality of patient care in...

was developed with a single purpose in mind: continuing dental education to teach dental health professionals the most advanced aesthetic and restorative techniques available. To become a member of the ASDA, a dentist must show a minimum of five years in dental practice, or postgraduate training of two years in an approved program; attendance to at least two ASDA sponsored continuing dental education seminars; nomination by a member accompanied by two letters of recommendation by Society members; presentation of five (5) cases illustrating the concepts of aesthetic dentistry.
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