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What a Smile!
Newest advances in dentistry can make your grin a dazzler

Marvin A. Fier, DDS
American Society for Dental Aesthetics

Special from Bottom Line/Women's Health
December 1, 2009

E ver wonder how you would look with a perfect smile? Now you can find out -- before spending a penny. A cosmetic dentist can show you a computerized simulation of your smile with teeth repaired, realigned and/or whitened... and the real-life results are better than ever. Options...

Crowns. Severe decay or damage is repaired with a permanent covering that fits over the original tooth. In the past, a crown had a metal core for strength, but the metal created a visible dark line at the gum.

Now: The core can be made of tooth-colored zirconia or the entire crown can be made of porcelain -- so there’s no dark line.

Cost: $800 to $2,000.

Veneers. A thin shell of porcelain permanently fixes a chipped or broken tooth... reshapes a short or misshapen tooth... whitens a discolored tooth... and/or closes a gap between teeth.

Advancement: A computerized spectrophotometer shines a special light on your teeth... the reflected wavelength is translated into a color prescription used to create veneers that are an exact color match to your natural teeth.

Cost: $800 to $2,000 per tooth.

Less expensive: With bonding, a composite resin or plastic is applied to improve the shape and/or color of teeth. The process may need to be redone after five to 10 years, since bonding material can stain over time.

Cost: $300 to $1,200 per tooth.

Whitening. The dentist makes customized plastic trays that fit over your teeth. At home, you fill the trays with whitening gel and wear them for a few hours daily for several weeks, then occasionally as needed.

Cost: $200 to $800.

Faster: In a 90-minute procedure, the dentist applies a power-bleaching agent.

Cost: $300 to $1,000. (Teeth may be temporarily sensitive.)

Braces. These correct crowding, crookedness and bite. Instead of metal bands, orthodontists now use clear or tooth-colored ceramic brackets attached to the front of the teeth... lingual braces applied to the back of the teeth... or transparent removable aligners that use no brackets.

Cost: About $5,000.

Referrals: Contact the American Society for Dental Aesthetics (800-454-2732, www.asdatoday.com)... or the American Association of Orthodontists (800-787-2444, www.braces.org). At your consultation, ask to see before-and-after photos of the dentist’s patients. Insurance generally does not pay for whitening or veneers but may partially cover crowns and braces.


Bottom Line/Women’s Health interviewed Marvin A. Fier, DDS, executive vice president, American Society for Dental Aesthetics, and adjunct professor/guest lecturer at the dental schools of New York University, New York City, University of California, Los Angeles and Loma Linda University, Loma Linda, California. He is in private practice in Yonkers and Pomona, New York. www.drfierdds.com

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