Veneers, whitening and invisalign…for crooked stained teeth ?

Q. Dear Dr Solanki, I have a few problems with my teeth that have bothered me for years, I am so embarrassed to smile as my teeth look so awful, I think about my teeth all the time there is not a minute that goes by in the day that I don’t think about them. My teeth are very brown and stained (I think because of excessive smoking and my love for Indian food! Have at least 3 curries a week) even though I brush them twice a day, I have tried whitening toothpastes but they don’t make any difference. My teeth are also crooked and my front teeth stick out a bit. I haven’t seen a dentist in the last 5 years (I know its bad!) and I have some savings to pay for my treatment, do you offer payment plans where I can spread the payments out, as I do not think I could afford paying for it in one lump sum, do you have any idea how much this treatment will cost.

Many thanks for taking the time to read this in advance

A. First of all I can empathise with you when you say that you are embarrassed to smile, I see patients in the same situation everyday. The effect that your smile can have on your self esteem and confidence is huge and one of the most rewarding aspects of my job is after transforming a patients smile, is the positive change in their personality and confidence, to be able to change someone’s life like that is priceless. You have quite a few questions so let me dissect them for you:

You say you haven’t been to the dentist in over 5 years, my main concern before considering any cosmetic dentistry would be to assess the health of your mouth and teeth, to make sure that you don’t have any gum disease and get your mouth back to full health. This may involve several visits to the hygienist, on the other hand if your mouth is healthy then you could consider the following:

For your Stained teeth the two main options are tooth whitening or veneers. Tooth whitening will maintain the structure of your teeth whilst improving their shade, you mention that you have used whitening tooth pastes without success, however these only remove surface stains and teeth whitening actually bleaches your teeth achieving results that cannot be obtained with brushing alone. Eating Indian food and smoking will however stain your teeth again once you have had them whitenined and you may need top up home whitening treatments to keep them white. Smoking can also have a negative impact on your oral health and gums and can delay healing after having dental surgery. Dental veneers are often used to improve the shade of people’s teeth however this is a more drastic option and requires some tooth reduction.

For your crooked teeth that stick out orthodontics using either fixed braces or clear aligners such as invisalign may be the answer. However, without actually seeing you it is difficult to know what is the best option. Orthodontic treatment does take some time and you could be wearing aligners or braces for over 12 months. If your teeth are only slightly crooked veneers may be an option, referred to by some as “instant orthodontics”. The veneers would then solve your problem of both discoloured and crooked teeth and the treatment could be completed in as little as a day with CEREC veneers or over a period of about two weeks using conventional laboratory made veneers.

It is vritually impossible for me to tell you how much your treatment will cost without a plan of action for your treatment. But to give you a ball park estimate teeth whitening costs from £450 to £750 depending on the whitening system used, dental veneers cost around £500 to £700 per unit and orthodontics can cost any where from £4000.00 upwards depending on the level of treatment required. Once you have seen a dentist and had a full consultation they should be able to give you a more accurate idea of costs. Payment plans – high quality cosmetic dentistry can be expensive and not everyone can afford to pay for this in one upfront payment. Most of the treatment sold in my practice is usually on an interest free payment plan, this makes cosmetic dentistry more affordable for everyone. You will find that most dental practices offer some type of payment plans.

Dr Kailesh Solanki Kissdental – UK Practice of the Year 2007 157 Woodsend Road, Flixton, Manchester, M41 8GN.2 New Street, Altrincham, Cheshire, WA14 2QS. 13 Stanley Street, Manchester, M8 8SH. Web: www.kissdental.co.uk Tel: 0161 748 5250 View My Profile Dr Solanki

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