These few lines on aesthetics have been inspired by article 41 \ 42 (weekly oral health) SPECIAL BEAUTY: GRADIENT THERAPY.

The faceis the most exposed part of the body and many patients do not consult more for pain but for an aesthetic need.

The smile on the premium look.

The smile lights up a face and contributes to its beauty. But the smile is changing over time. L'aspect et la teinte de la dent vont évoluer suivant l'individu, ses habitudes alimentaires et comportementales, ses conditions de vie. The look and color of the tooth will evolve according to the individual, his eating habits and behavior, his living conditions.

In recent years, demand for aesthetics, followed by enormous progress in both technology and in the choice of materials, offers patients a number of answers to their problems Patients are demanding and all ages are affected. With experience, I realize that each patient is unique and understanding the patient and dentist is essential.

What exactly want my patient?

  1. A simple change in color or in the height of teeth?

  2. A natural smile retaining its style and appearance.

  3. An artificial smile with white teeth and perfect alignment (as in magazines).

  4. The teeth of his youth (as in the photo album that shows us).

He must trust their dentist will examine an intermediate solution: bright teeth to pleasing proportions.
To find the right choice, different solutions will be proposed and explained at length. After ensuring that everything has been well understood and mutually agreed we will start the treatment.

Different causes Different treatment ...

The 4 seasons of the tooth

The tooth of spring

Period of childhood and adolescence.
Virgin bright and incisal lobed.
Presence of milky white spots towards the incisal edge of the tooth ....

The tooth of the summer

Couleur plus chaude et aspect de surface plus lisse avec facettes d'usure plus visible. Warmer color and appearance of smoother surface with wear facets visible. Les effets de transparence et d'opalescence diminuent. The effects of transparency and opalescence decreases.

The tooth fall

Patients over 50 years.
Color saturated, leaving the dentin appear.
The neck of the tooth begins to undress.

The tooth of the winter

Very damaged by wear dentin appears much more.
The email is still full of cracks.
Root exposure is very visible.

Another problem

With age, the tissues supporting the teeth are damaged.
It follows in the best case a natural loosening of 0.5 mm per year and in the worst case complete loss of the tooth.
A significant heaving like a swollen gums are a sign of periodontal problem.
The evolution of periodontal disease can leave unsightly black holes appear more or less was associated tooth migration.
This will alter the aesthetics of the smile.The development periodontal (gum care and supporting tissues of the tooth) is an essential step before any cosmetic treatment.

A beautiful picture is a beautiful painting in a beautiful setting and a beautiful smile is beautiful teeth in beautiful gums.


We consider the treatment by selecting the first least mutilating for tooth (eg orthodontics) and by last position treatments that require a significant loss of tissue (replacement of one or more teeth with a prosthesis) ...

The dentist must first take care of his patient's health/i>

  1. Orthodontics
  2. The previous misalignments are increasingly common in the new gear they must be treated by a dental alignment.
    Orthodontic treatment provides aesthetic and functional needs to restore a good occlusion between the teeth of the upper and lower jaw.
    In most cases the time will simplify the orthodontic treatment by allowing the practitioner to achieve therapeutic - mutilating.
    The aesthetic treatment is undoubtedly the most conservative orthodontics.
    The correction is followed by a restraint to avoid after the end of treatment a relapse.

  3. Whitening (bleaching)
  4. It does not take a brush and paint. Il s'agit d'un processus qui va éclaircir la couleur de vos dents avec un produit a base d'eau oxygénée et ca prend du temps. It is a process that will lighten the color of your teeth with a product based on hydrogen peroxide and AC takes time.


    External Bleaching: made primarily on vital teeth

    1. Products are sold through pharmacies at low concentrations, no harm no effective non-plus.
    2. Gutters ambulatory. The drift of hydrogen peroxide passes through the email and reached inside to lighten pigment
    3. Sessions at home: long but effective system and sustainable results. The dentist takes an impression and give the patient a splint that will overnight for 2 to 3 weeks.
    4. Sessions at the dental office: rapid technological product with very concentrated and activated by light.The session lasts half an hour to one hour. Please allow 2 sessions 2 weeks apart. The results are less durable and more traumatic for the teeth.
      The sites are to be making money on healthy teeth, it has no effect on fillings and crowns. There is a risk sensitivity during treatment It is not recommended for people who lack health or on persons who smoke (the color will be even more apparent).
      • Cons-indications

      • Pregnant women, smokers, minors, poor hygiene.
      • Risks with repeated bleaching: the concentration of acid used in the long run cause abrasion of the email.
      • Internal bleaching, tooth decay, which has undergone a (after a root canal) becomes darker and aesthetics is severely affected especially if the upper central incisor. On peut l'éclaircir en déposant un pansement a l'intérieur de la dent (perborate de sodium et eau). It can brighten up the applicant has a dressing inside the tooth (sodium perborate and water). Le pansement est renouvelle durant 2 a 3 semaines jusqu'a l'obtention de la teinte souhaitée. The dressing is renewed for 2 to 3 weeks until obtaining the desired shade. On pourra dans le futur renouveler les mêmes opérations. We may in the future to renew the same operations.

  5. Composites
  6. They are adhesives with special adhesives and last from 8 to 10 years. These resins are the color of the tooth.In recent years, composite resins have considerably improved both aesthetically and mechanically. Marketed products offer a range of colors, translucence, opalescence of to reproduce the optical properties of the email and dentin.



    The new technology will compete with ceramics but longevity is a topic of discussion.

    Many issues affect longevity:

    • Location
    • Size restoration
    • Reason for care
    • Type of glue used
    • Depends on the operator
    • Depends on hygiene
    • More restoration is more complex duration is reduced

    Indications: Patients younger pending ceramic veneers Ability to track time and re-intervention facilitated.
    Results aesthetic quality and a reasonable price.

    Composite restorations on the anterior
    Treatment of caries or tooth fracture earlier.
    They are used for many years and the wide range of colors can make aesthetic reconstructions almost invisible.
    The preparation time is long to alleviate the difficulties encountered in the shade, shape, contour line of the filling or fracture and finally polishing.

    Posterior restorations
    The amalgam can be replaced by composites.
    Composites are used for publications on the harmfulness of amalgam and for obvious reasons of aesthetics because it mimics the tooth.



  7. Ceramic Veneers ... To find the brilliance of your smile ...

  8. Compared to false nails that are stuck to the tooth.
    The indications are numerous.
    If staining more important that the money does not give a good result.
    n case of irregular shapes.
    If spaces between teeth.
    In case of misaligned teeth.
    We must treat the teeth because the facets will hide the email and make diagnosis more difficult.
    They must have the 6 anterior teeth.
    One tooth size to a minimum only on the front side and an impression is taken, the facet that is approximately 0.5 mm thick is then bonded to the tooth ...
    You need a good interview: floss and rigorous treatment.
    Cons-indications: cervical erosions significant (incompatible with efficient bonding)
    Greater longevity than composite resin veneers.

  9. Aesthetic Dental And Prosthesis
  10. The prosthesis is part of dentistry that deals with replacing missing teeth or restore decayed teeth by crowns. On parle de prothèse fixe pour les couronnes qui sont collées sur les dents et on parle de prothèse mobile pour les différents appareils que le patient peut s'il le désire enlever ou remettre a volonté. We talk about fixed prosthesis for crowns that are bonded to the teeth and dentures to talk about the various devices that the patient may, if he wishes to remove or reset at will. Le dentiste travaille en association avec le prothésiste. The dentist works in association with the prosthetist.

    Fixed prosthesis

    The crown restores the coronal artificially decayed tooth.
    The bridge replaces a missing tooth or even two missing teeth and the disadvantage is the mutilation of two abutment teeth.
    The wreaths will have to replace the teeth as closely as possible on both the aesthetic and functional.
    Currently the crowns are:

    • Rarely allmetal
    • Often metal-ceramic


    The crown is composed of 2 parts a metal frame placed on the tooth and provides strength. For many years ceramic aesthetics and metal for the Allied forces were among them.

      Base metal:
    • Not valuable (pay attention to nickel chromium nickel allergy)
    • Semi-precious (Gold + 2%, 78% Palladium + cu6%) eg
    • Precious example Captek or Galvan

    Good design, sound much gold that is more acceptable to the gum underlying

    Fully Ceramics

    Fully ceramic for esthetic reasons the base is ceramic (with a hardness approaching that of metal.) And the ceramic is then covered with a conventional ceramic must also have sufficient cutting and it must be cut and to get good results . It takes experience and address both the doctor that technician rating

    In the anterior dental carries all ceramic crowns to improve esthetics. Du fait de l'absence de métal la lumière circule plus facilement à travers la couronne et donne l'illusion d'une dent naturelle. Because of the absence of light metal flows more easily through the crown and gives the illusion of a natural tooth.
    There are different procédées Impress Inceram and procera. Ex: system procera procera alumina with decline of more than 10 years, solid, guaranteed for 5 years, very aesthetic. With procera zirconia offers a + in the posterior or situations being load are more important.

    Which crown you choose?

    In each preparation is very important that the crown is perfectly suited to the crown of the tooth if there can be inflammation and regression of the gum and it will seriously affect the aesthetics. To the front teeth, the choice is done between Captek (or galvanic) and full ceramic crown.

    False-Stump (Inlay-Core)

    The play is composed of 2 parts. A lower portion that fits into the tooth root and an upper part that completes the remaining coronal portion (or replace it completely. It is sealed and permanently glue the tooth and runs like a tooth cut ready to receive its The false crown stumps may be non-precious metal, gold Like an esthetic crowns (or metal sensitivity) can be ceramic. The false stumps on the prosthetic implant is an intermediary who is on the screw-implant and supports the crown. It also is an esthetic zirconia (instead of titanium)

    Temporary Crown

    A temporary crown or temporary protected the tooth cut pending the construction of the permanent crown in the laboratory. It has an aesthetic role, but plays a very important role in the success of the treatment. Elle est moins solide. It is less solid. Avoid sticky foods and too hard that could fracture the tooth.

    The Dental Prosthetist

    A temporary crown or temporary protected the tooth cut pending the construction of the permanent crown in the laboratory. It has an aesthetic role, but plays a very important role in the success of the treatment. Avoid sticky foods and too hard that could fracture the tooth.

    Prosthesis Mobile

    He Who Is In a prosthesis may be removed. It includes a base which supports the artificial teeth. This database is in Acrylic Resin Imitating The Gum. And Artificial Teeth Are in resin or ceramic. It relies in part on the remaining teeth and partly on the gum (with the underlying bone). It will require several days of conditioning after his release from his mouth.

    The prosthesis is called partial remains in the mouth when teeth on which it is held by hooks. It is said to be total when there is no teeth.Her outfit is made on the gum, on the remaining roots or implants.

    Partial dentures

    1. Stellite Cobalt Chrome Prostheses.
      Constitutes a base resin and a metal frame called frame (chrome cobalt or titanium).
      Advantage: slight.
      Disadvantages: heavy load on the remaining teeth and food getting stuck in the open spaces.
    2. Partial resin.
      Stellite Cobalt Chrome Prostheses. Constitutes a base resin and a metal frame called frame (chrome cobalt or titanium).


    The metal hooks are often not very aesthetic.
    How has overcome this problem? They will imitate the gum resin or flexible transparent material (Valplast) acetate or white (the color of the crown) can also be crowned the remaining teeth and prevent the hooks making crowns and attachments between devices. Attachement, name gives the system of fixing dentures or slide type snap. Implants under the unit to avoid relying on the remaining teeth and avoid the unsightly hooks.


    When there is more teeth they are replaced with an artificial resin which relies solely on the mucous membranes. It operates on the principle of drop between 2 glass slides. Saliva acts as a water seal and ensures retention. It will improve prosthesis held by the addition of implant system (snap) and it will improve patient comfort. (see paragraph implant).

    Today implants are often replaced by implants. But in many cases (financial problem or health problem) they will remain a key solution and will provide the patient satisfaction both aesthetically and functionally.

  11. Multidisciplinary Treatments Of Recovery Of Smiles
  12. They use various techniques in cosmetic dentistry: Implant periodontics, orthodontics, prosthesis and clarification. After a thorough study of the case and an interview with the patient. The treatment plan will be established and mutually agreed care begin.