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Taylor's teeth after Braces and Gum surgery directed by Dr. Ceyhan
Taylor loved her new smile after Dr. Ceyhan Bonded her 12 front teeth.

Taylor: Bonding and Braces

When I first met Taylor she was a shy, 15 year old who did not talk very much and her mother, Sandra, explained that they were here because Taylor was very self conscious about her teeth and never smiled. Taylor said she hated her smile because her teeth were too small with the gaps to large in between them, and the kids at school said she smiled like a halloween pumpkin. Sandra explained (as she teared up), “a dentist already told us Taylor would need 4 dental implants put in the gaps and $40,000.00 of crowns and veneers that my insurance won’t cover. I can’t afford that and I’m wondering if there are any other options”?

When I examined Taylor I could see she had 3 issues we could correct.

1. She had a condition called microdontia where the teeth develop much smaller than normal resulting in irregular spaces between them.

2. Taylor had wide dental arches (jaws) which made these spaces look even bigger.

3. Her teeth looked very short because she also had “altered active eruption”, a condition where extra gum tissues cover part of the teeth.

I told Taylor I thought she had beautiful teeth and that most of the patients I saw would give anything to have teeth like hers (this made her smile). I said that I thought we could make her teeth look bigger and close up the spaces without resorting to implants, crowns and porcelain veneers (this made her mom smile) but it would take a bit of time and a lot of trust on their part. Their trust was particularly important because I knew Taylor’s treatment would take several years to complete and during that time, the spaces and teeth were going to look worse before they looked better.  In detail, I explained how I would refer Taylor to an orthodontist to realign her teeth but that she would still have spaces after this treatment. Then I would refer her to a periodontist to realign her gums according to a guide that I would provide which would make the spaces seem a little larger after the braces came off. Finally, once the gums and teeth were in the position that I planned for, I promised I would then close the spaces with some tooth coloured material to make her great smile, “beautiful”. 

With the orthodontic treatment being covered by Sandra’s insurance, and the rest of the treatment being significantly less than $40,000 they had been quoted, both mother and daughter were eager to start treatment.

It took 4 years of total treatment time with the Orthodontist and Periodontist to get Taylor to the point where I could start the tooth bonding procedure (Before picture). In one appointment, using 6 different coloured composites and 4 tints I was able to close the spaces and invisibly blend the bonding with Taylors front 12 teeth. Four years of treatment, with three dental specialist finally gave Taylor the space free smile she always wanted and at a cost her mother could afford. 

Shhhhhhh🤫 ……….Prosthodontists are dentistry’s best kept secret

See what Dr. Jeff Ceyhan can do for you!

Frequently Asked Questions

What is tooth bonding?

Tooth bonding commonly refers to a procedure when a prosthodontist (or a dentist) applies a tooth coloured material, called composite resin, to the surface of a tooth to repair it. It can be a simple, cost-effective way to cosmetically repair teeth in a single visit. It can take anywhere from 30 minutes to over an hour for the procedure, depending on how complex the procedure is. The basic steps are, the tooth is primed/cleaned with some chemicals (an acid, a primer, an adhesive), the composite resin is then added in bits and shaped. Then a special light is used to cure/harden the material. More composite resin filling can be added and shaped if needed and cured again. Then special burs (drill bits) are used to shape the filling and polish it.  If you want a more technical answer, bonding is the process by which dentists prepare the tooth surface so that we can glue (bond) different materials to it.

What is the difference between a periodontist and a prosthodontist?

I like to tell patients that basically a periodontist is a specialist that is responsible for all the stuff that goes on below the gums and a prosthodontist is the specialist that’s responsible for everything above the gumline. A periodontist is a dental specialist that treats problems and diseases of the gums, the attachment part to bone and the bone housing the roots of teeth. They will also place titanium implants in the jawbone as part of their specialty. Prosthodontists are dental specialists in restorative and “reconstructive” dentistry, that treat missing teeth with crowns, bridges, implants and dentures. They are also specialists in appearance related dentistry to improve the look of teeth with bonding, veneers and tooth bleaching. Prosthodontists often work with periodontists in a collaborative nature to provide a beautiful smile where healthy gums frame the customized aesthetic tooth restorations.