April L. Skinner DDS
1300 Lincoln Way  - Suite B
Auburn,  CA    95603
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Enhance Your Smile

Your smile is one of the most important aspects of your appearance.  Studies have shown that an attractive smile can positively impact almost every aspect of a person's life.  Modern dentistry can help you achieve a beautiful, natural smile and all of the benefits that come with it.

Many people are satisfied with the sparkle they get from brushing twice a day with a fluoride toothpaste, flossing once a day, and regular cleaning and polishing at the dental office.  However, if your are considering going beyond regular care to make your smile brighter and better here are some options to think about.

TEETH WHITENING:  Whiteners are not effective for everyone.  They can not correct all types of discolorations and they will not change the color of tooth-colored fillings or crowns.

Teeth Whitening Trays are most commonly made in the dental office fom models taken of your mouth.  These custom trays allow for the maximum exposure of the whitening gel to the teeth, while reducing the danger of irritating or damaging the gum tissue.  Usage regimens can vary depending on the brand and concentration of the whitening gel.  Tray delivery systems are recommended for mature patients that have deep intrinsic stains or discolorations that they are trying to lighten.

Teeth Whitening Strips are available over the counter and are thin, flexible, strips with a thin film of the whitening gel on one side.  The limitations of the strips include shorter exposure time, gum irritation due to contact with the gel, and ineffectiveness on darker, deeper discolorations.  Strips can be very effective for teens post-orthodontics and young adults with light surface staining.

Light Activated Whitening has been popular over the last several years.  However,  due to the high cost factor, numerous patient complaints of prolonged increased sensitivity and the need to send the patient home with a tray system for continued whitening,  Dr. April does not offer light activated whitening in her office at this time.

We encourage you to talk with Dr. April and her staff about any questions that you may have regarding your whitening options.  The best option for you is determined by your existing dental condition, your lifestyle and your goals.

ORTHODONTICS:  Sometimes the best option for the patient, whether they are a young adult or a mature individual looking to improve their smile, is orthodontics.  Modern orthodontics can help you create the beautiful smile of your dreams in less time and with less aesthetic challenges than you may think.  Tooth colored brackets and Invisilign tray systems are just some of the ways that the orthodontist can help the adult patient straighten their teeth.  Dr. April refers to excellent orthodontists in the area and may recommend that you schedule a consultation to discuss your options.
BONDING:  Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth.  It can also be used to close a small gap between teeth.   During bonding, a white filling material, composite resin, is placed on your tooth to improve the appearance.  Composite is available in a variety of tooth colored shades.  This allows us to closely match the color and appearance of your natural teeth.

Most bonding is done after the patient has completed a tooth whitening regimen.  This allows us to match the lightest shade of your natural tooth.  Whitening after bonding is ineffective as the whitening gel is unable to change the color of  the composite resin.

Bonding is less expensive than other cosmetic treatments and usually can be completed in one visit.  The composite bonding can stain over time and exposure to darker food and drink and tobacco.  Composite bonding is also easier to break or chip than other treatments. However, composites are also easier and less expensive to repair or replace.
VENEERS: Veneers are thin, custom-made shells of tooth colored porcelain that cover the front surface of your teeth.  Veneers can make dramatic improvements to the size, position, and color of your teeth.  Most veneers require that a small amount of tooth structure be removed.  Occasionally, when using veneers to close gaps between the teeth, a no-preparation type of veneer can be used.

Similar to composite bonding,  we usually recommend that the patient complete a whitening regimen prior to having the veneers done.

The process of having veneers made for your teeth is similar to having a crown done.  The  first visit involves preparing the teeth if necessary, taking an impression for the laboratory, and fabricating  temporary veneers if possible.  Occasionally, temporaries are not possible and the patient will have several days of adapting to the feel of their altered tooth shapes.  The second appointment has the dentist and the patient  approving the color, contours and general appearance of the new veneers  prior to cementing or bonding permanently.

Veneers create a beautifully natural appearance to your teeth and are very strong and stain resistant once bonded onto the tooth.

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