Gregory E. Oxford, DDS, MS, PhD  &  Isabell G. Oxford, DMD
100 Whetstone Place, Suite 308, St. Augustine, FL 32086  (904) 810-2345

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Posts for tag: smile makeover

By Oxford Dental Associates
December 02, 2019
Category: Dental Procedures
ConsideringaSmileMakeoverBeSureYouIncludeYourBite

A lot of cosmetic dental procedures focus on how teeth look: whether they're stained, chipped or otherwise disfigured. But a true smile makeover requires looking beyond individual teeth appearance and asking if they're properly aligned. Your teeth may be beautiful in and of themselves, but they could detract from your smile if they're not straight.

Orthodontics—the dental specialty dedicated to correcting poor bites—can be just as important to your smile appearance as veneers, crowns or other restorations. Cosmetic enhancement, though, isn't an orthodontist's only priority: a poor bite can interfere with dental function and oral hygiene, so repairing it and making sure the teeth "bite" together correctly is just as important to your health.

Your first step is to undergo a comprehensive orthodontic exam. Its purpose is two-fold: to diagnose the nature of your particular bite problem; and to determine if your mouth is healthy enough to undergo the necessary treatment to correct it. From here, your orthodontist will propose a treatment plan to correct your particular bite problem.

Although a number of orthodontic appliances may be used, the most likely tools employed will be either fixed braces or removable clear aligners. Both of these use the mouth's natural ability to move teeth by applying subtle pressure on the teeth and supporting periodontal structures for a period of time.

While braces are effective, if you're an adult or teenager and nothing in your bite situation would preclude their use, you may choose clear aligners. Aligners are a sequence of plastic mouth trays that are computer-generated based on the patient's mouth impression. Patients wear the trays in succession, each slightly smaller than the previous one, until they complete the series.

People often prefer aligners over braces for a couple of reasons. Unlike fixed braces, you can take them out of your mouth for eating, cleaning or special occasions. And because they're clear, they're nearly invisible to others and so less embarrassing than metal braces.

Whichever method, you'll be under the supervision of a trained dentist or orthodontist who will monitor your progress and make treatment adjustments as necessary to keep you on course. It takes a lot of skill to make sure the bite fits together correctly. Remember, the plastic aligner is always between your teeth. Making sure your teeth come together is something a dentist must supervise or else it may not allow your teeth to fit together properly. In the end, you could have an entirely new smile that's healthier and more attractive—let's just make sure the bite is correct as well.

If you would like more information on gaining a straighter, more attractive smile, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Magic of Orthodontics: The Original Smile Makeover.”

By Oxford Dental Associates
August 04, 2019
Category: Dental Procedures
Tags: smile makeover  
TakeaLookintoYourFuturewithaTrialSmile

While the imagination is one of our most powerful mental abilities, many people still find it difficult to “see” in their minds a future dramatically different from the present. That could be the case with a “smile makeover”—it’s not easy to imagine how proposed changes to your teeth and gums can affect your entire look.

Computer imaging software has helped in this regard. Starting with a photo of your current smile, we can manipulate it with imaging software to show you what any proposed dental work might look like after completion. But imaging technology has its limits: you’re viewing a static, two-dimensional image that can’t really show you how your new smile looks as your mouth and face move in a three-dimensional space.

There is another way, and although it may add to your treatment costs it can give you an even more realistic view of your future appearance. Known simply as a “trial smile,” it’s a procedure in which we temporarily place life-like bonding material called composite resin on your current teeth. We shape, cure and sculpt the resin to produce a three-dimensional model of what your future smile will look like.

A trial smile gives you a chance to experience in real time how this future smile looks and feels as you smile or talk. And although we’ll have to remove it before you leave, we can photograph your new look for you to show to family and friends later for their reaction.

There are a couple of important reasons to have a trial smile. First, it gives us both a chance to review how the proposed changes may enhance your appearance, and whether we need to alter those plans in any way. It’s a kind of dress rehearsal where we can improve the “script” before the actual performance.

Just as important, a trial smile can help reassure you about what to expect from the outcome. You’ll have a fairly accurate idea of how you’ll look, which will help reduce any apprehensions you might have.

If you’d like to include a trial smile in your treatment plan, please feel free to discuss it with us. It can be money well spent to ensure you’ll be satisfied and delighted with your new smile.

If you would like more information on ways to restore your smile, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Testing Your Smile Makeover.”

ThreeConsiderationsforWorkingwithYourDentistonYourSmileMakeover

Cosmetic and restorative dentistry is filled with a varied array of procedures, materials and techniques that can address any shortcoming with your smile. Whatever your condition, there’s a means to correct or enhance your smile.

The real question, though, is whether we’re both, patient and dentist, on the same page as to what’s best to enhance your smile. Dentists have a different perspective on smile outcomes than the average layperson. We’re clued into aspects like tooth alignment with facial features or gum-to-lip distance influenced by our professional training and experience. You, though, may see your smile in terms of other features that define beauty like mouth expressions or lip shape.

Bridging these differing points of view requires open and honest communication. Here are three considerations to make that happen.

Build trust between you and your dentist. It’s natural for us to have differing views on what constitutes proper smile aesthetics based on the perspectives previously mentioned. Working through those perspectives to arrive at a unified plan requires trust that both of us desire the same outcome: a beautiful smile you’re happy to display to the world.

“Seeing” your future smile can help ease your misgivings. It’s one thing to try to imagine a certain treatment outcome — it’s quite another to actually see it beforehand. And you can, through computer simulation that takes a picture of your current face and smile and then augments them digitally so you can see how your smile will appear after proposed treatment. It’s also possible in some cases for you to wear temporary or “provisional” restorations so that not only can you see how they look, but also how they feel and function in the mouth.

Understand what “type” of restoration patient you are. Although everyone is different, we can usually characterize patients and their expectations in two ways. Some patients are “perfect-minded” — they want restorations that offer the maximum symmetry, regularity and tooth brightness. Others are more “natural-minded” in that the changes they seek don’t drastically alter their natural appearance, but are just enough to look different and create a sense of character. Knowing what you really want — a drastic change or a subtle enhancement — will help you communicate your desires more clearly and help us design the treatment options that best fit your expectations.

If you would like more information on fostering communication between dentists and patients, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Great Expectations.”

ProvisionalRestorationsletyouTryoutYourNewSmileFirst

Transforming your smile with veneers, crowns or other restorations could be a life-changing decision. To help make that change a successful one, it’s possible to fit you with a kind of temporary restoration that allows you to “try out” your new look and even make modifications before you receive the permanent one.

Referred to as a prototype or provisional restoration, it’s different from other temporary, “one-size-fits-all” restorations that serve mainly a functional purpose until the permanent restoration is ready. By contrast, a provisional restoration is a customized “blueprint” of the final restoration so you can better communicate with your dentist to get what you want.

Provisional restorations are test runs — they help both patient and dentist evaluate three key areas critical to ultimate success:

Your ┬áSmile — with provisional restorations you can get input from others (and from what you see in the mirror) regarding tooth coloring and how it blends with other teeth, the attractiveness of the crown shapes, and whether the teeth appear proportional and balanced with the gums.

Your Facial Appearance — changing the look of teeth may also alter overall facial appearance. Do the new teeth fit well with the lips and other facial features? Do they change the smile line, and does it appear harmonious with the rest of the face?

Your Mouth Function — There’s more to teeth, of course, than how they look. Teeth are essential for biting, chewing and speaking. So, can you perform these tasks comfortably with the provisional restoration?

While you’re wearing the provisional restoration, we’ll discuss these and other areas, what might look or work better, or if you feel we’ve hit the mark just right. We can then modify or verify our specifications with the dental lab creating the final restoration.

Of course, a provisional restoration will allow you to function normally like other temporary options. But their custom detail serves a higher purpose — to help us improve your future smile.

If you would like more information on customized temporary restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Concepts in Temporary Restorations.”

By Oxford Dental Associates
April 11, 2018
Category: Dental Procedures
KeeponCourseduringthe3PhasesofaSmileMakeover

Are you ready for a new smile? You’ve endured the embarrassment and drain on your of self-confidence long enough. The good news is that modern cosmetic dentistry has an awesome array of materials and methods ready and able to help you make that transformation.

But before you proceed with your “smile makeover” it’s good to remember one thing: it’s a process. And depending on how in-depth your makeover might be, it could be a long one.

To help you navigate, here’s an overview of the three main phases of your smile makeover journey. Each one will be crucial to a successful outcome.

The “Dream” Phase. The path to your new smile actually begins with you and a couple questions: what don’t you like now about your smile? And if you could change anything, what would it be? Right from the start you’ll need to get in touch with your individual hopes and expectations for a better look. With your dentist’s help, take the time during this first phase to “dream” about what’s possible—it’s the first step toward achieving it.

The Planning Phase. With that said, though, your dreams must eventually meet the “facts on the ground” to become a reality. In this phase your dentist works with you to develop a focused, reasonable and doable plan. To do this, they’ll need to be frankly honest with you about your mouth’s health state, which might dictate what procedures are actually practical or possible. You’ll also have to weigh potential treatment costs against your financial ability. These and other factors may require you to modify your expectations to finalize your treatment plan.

The Procedure Phase. Once you’ve “planned the work,” it’s time to “work the plan.” It could be a single procedure like whitening, bonding or obtaining a veneer. But it might also involve multiple procedures and other specialties like orthodontics. Whatever your plan calls for, you’ll need to be prepared for possibly many months or even years of treatment.

Undergoing a smile makeover can take time and money, and often requires a lot of determination and patience. But if you’ve dreamed big and planned well, the outcome can be well worth it.

If you would like more information on ways to transform your smile, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Beautiful Smiles by Design.”