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Cosmetic Dentistry

Cosmetic dentistry will give you healthy, radiant teeth. It is one of the most cost-effective ways to improve confidence and make you want to share your smile.

Tap the links below to read about some of the cosmetic services that our practice offers. (Tap again to close.)

► Veneers
Smiling couple with dental veneersWhen considering how to make your smile more beautiful, we always suggest that you consider veneers. Veneers are dental cosmetics that allow us to alter your smile in any way you want. Tired of teeth that aren’t as white as they could be, but don’t want to keep whitening them? Maybe you have a crooked tooth that has been bothering you? We can fix the issue with veneers!

What Veneers Are

Dental veneers are typically made of thing strips of porcelain that we place over the front of your anterior (front) teeth. This kind of veneer is called an indirect veneer and is crafted for you by our dental laboratory. Porcelain is a strong material that can be made to very closely resemble the aesthetic of teeth.

Direct veneers are made of the same composite material that we use to place tooth colored fillings. This material is a mixture of glass, plastic, and a resin that we mix to match the exact color of your teeth. Once mixed it has the same consistency as clay or putty. We prepare your teeth to receive this material by gently scratching the surface of them to give them some surface area for the bonding material to gain purchase on the tooth. The composite material is then placed on your tooth and molded until it fits the aesthetic that we require. Once we have it looking exactly the way we want we will set it in place permanently using a special UV light.

How Veneers Can Fix Your Smile

We can use veneers to change your smiler in just about any way you like. The following issues are just some of the ways we can alter your smile with veneers:

•  Straighten crooked teeth
•  Give teeth more space
•  Fill in gaps between teeth
•  Make teeth appear whiter
•  Hide chips and cracks
•  Alter the shape of teeth
•  Make teeth appear more uniform

The Procedure

When you decide to have veneers placed we will discuss with you what kind of veneer will best suit you and your needs. If you decide on direct veneers, we can often accomplish the task in one visit. If you decide on porcelain veneers, then it usually takes two trips to our office to have them placed.

The procedure to have porcelain veneers placed starts with a discussion about what teeth you want changed. Some patients decide that they want all the visible teeth in their smile to have veneers placed on them. Some patients decide on just having a select few done. There is no right or wrong answer, just what makes you feel best about your smile.

The first visit to our office involve preparing the teeth to receive the veneers by shaving off some of the enamel on them. By shaving the enamel off of the front surface of the tooth we create enough room for the veneer to fit over the top of your tooth. When we finish preparing them to receive the veneers we will conclude the first appointment. The second appointment will consist of placing the veneers onto your teeth.

If you would like to schedule a no obligation consultation, please give us a call at 503-334-1141.

► Teeth Whitening

A patient showing her teeth before and after a teeth whitening treatment.At Dougherty Laybourn Menashe Dental we totally understand how important a great looking smile is. It’s the face of every first impression you ever make, and you want it to be brilliant. That’s why we offer a wide variety of cosmetic dental options that can revitalize and rejuvenate your smile to give your first impressions the effect you so desire. When our patients ask us which cosmetic procedure will make the biggest difference, we always suggest teeth whitening.

Why Tooth Whitening is Fantastic

Not only is having whiter teeth the number one aesthetic concern of most dental patients in America today, it’s one of the easiest ways to make a big difference in your smile. It works on your natural teeth and doesn’t require us to add anything to them. It doesn’t require reshaping or physical alteration of any kind and it takes so little time, effort, and money to accomplish, yet it yields the most impressive results.

What Tooth Whitening can do for You

We can clear up a wide variety of staining and coloration issues for you with professional teeth whitening. Some of the issues we can fix with our whitening procedures include:
•  Yellow or brown stained teeth
•  Teeth stained by medications
•  Normal wear, when teeth lose enamel they begin to appear dull
•  Fluorosis, better known as white marks on teeth
•  Staining due to coffee, tea, and wine

Don’t Be Taken by Over-The-Counter Solutions

Are all OTC teeth whitening products bad? No. Do they even come close to comparing with the speed, cost-effectiveness, and quality of professional whitening by Dougherty Laybourn Menashe Dental? No! Anytime you pick up an OTC whitening product it’s a roll of the dice as far as how long it might take and how much it will whiten your teeth. We offer results fast, and more importantly, we stand behind the safety of our procedures.

Different Types of Professional Tooth Whitening

We offer a few treatment options when it comes to your pearly whites.
In-office whitening is the fastest treatment method we offer. It’s a single visit to our office that usually lasts around an hour before you are done. ZOOM!® in-office whitening uses a gel that we apply to your teeth and is activated by a special light wand that we shine on the gel. The process minimizes the tenderness that often follows teeth whitening procedures.

When one of our patients have teeth that need an extra bit of attention we turn to the KoR® in-office whitening system that can treat teeth with issues like fluorosis and tetracycline staining.

If a more measured approach is one that you feel suits your smile better, we also offer take-home whitening trays. We give you trays that are custom molded to your teeth and whitening gel that is placed within the trays. You leave the trays in your mouth for up to an hour once or twice a day and can monitor your progress as your teeth are whitened.

To find out more about teeth whitening or to schedule your appointment, please give us a call at 503-334-1141 today.

► Crown Lengthening
Dental CrownDental crown lengthening, which is also referred to as crown extension or crown elongation, is an oral surgery procedure that is done when a tooth is too short for a restoration (typically a crown). The process involves removing bone, gum tissue, or both, in order to expose more of the tooth’s structure in order to prepare the tooth for a crown. The result is more of the tooth above the gums along with gum contours that flow smoothly.

Reasons for Crown Lengthening

There are several reasons that you may need to pursue crown lengthening in order to improve the function and appearance of your smile:

•  To repair a tooth that has broken at the gum line.
•  To repair a severely decayed tooth.
•  To increase the amount of tooth structure left above the gum line in the event that your dentist needs to remove tooth decay.
•  To reduce chronic irritation and inflammation caused by ill-fitting dental crowns.

In some cases when not enough tooth is left above the gum line, tooth decay could get under the dental crown, resulting in the need for continued dental treatment, and you could potentially lose the tooth entirely. This is another reason that crown lengthening is such an important and useful procedure.

Benefits of Crown Lengthening

There are several reasons that you might want to go through the crown lengthening process:

•  Ability to create a tooth that may have otherwise required extraction
•  To create gum contours that make it easy to clean the teeth
•  Improved gum line appearance
•  Ability to enjoy a long-lasting restored tooth

What Crown Lengthening Involves

Crown lengthening is a surgical procedure performed by a dentist or periodontist. It can be performed on a single tooth, several teeth, or the entire gum line, depending on your oral health needs. This surgery, most commonly utilizes local anesthesia, so your dentist will start the procedure by thoroughly numbing the tooth.

Next, your dentist will make cuts into the tissue in order to pull the gums away from the affected teeth. This will provide access to the roots and the surrounding bone. In certain situations, removing a portion of the gum tissue might be necessary, and in other situations, the removal of bone might also be necessary.

Once enough of the tooth’s structure has been exposed, your dentist will wash the area with a saline solution before stitching the gums together, and the incision will be covered with a special bandage.

Dental Lengthening Surgery Recovery

The process of crown lengthening should cause relatively little pain, but your dentist may provide a prescription to help you manage your discomfort. You’ll be given dental care instructions and a special mouth rinse to care for your teeth throughout the recovery process. When caring for your teeth, it is important to avoid brushing the gums at the surgical site. Finally, you will return to your dentist’s office about a week after the procedure so that the stitches can be removed, but your gums will need some time to heal before the tooth can be fitted with the dental crown.

► Orthodontics

Clear Invisalign® Aligners

The Invisalign logo.

Aligners are made of clear, strong medical grade plastic that is virtually invisible when worn. Aligners are clear and look similar to tooth-whitening trays, but are custom-made for a better fit to move crooked teeth back into alignment.

Invisalign® uses 3-D computer imaging technology to depict the complete treatment plan from the initial position to the final desired position from which a series of custom-made, clear "aligners" are produced. Each "aligner" moves teeth incrementally and is worn for about two weeks, then is replaced by the next in the series until the final position is achieved. Invisalign® allows you to view your own virtual treatment plan before you start so you can see how your straight teeth will look when your treatment is complete.

With Invisalign®, you can straighten your teeth without anyone knowing. You can also brush and floss normally to maintain good oral hygiene. There are no metal brackets or wires as with braces to cause mouth irritation, and no metal or wires means you spend less time in the doctor's chair getting adjustments.

Click here to learn more about Invisalign clear aligners.

Traditional Braces

A patient showing her traditional metal braces.Traditional orthodontics, or braces, may be used to treat malocclusions (improper bite) ranging from simple to complex cases. Treatment involves cementing brackets to the teeth and attachment of wires to these brackets to position teeth. The duration of treatment depends on case complexity and desired outcomes.

After the orthodontic movement of your teeth is complete, retainers are made to keep your teeth in their new position. Retainers can be removable or permanent (cemented). At Dougherty Dental we always offer complimentary teeth whitening after completion of your orthodontic treatment.

Call Dougherty Dental today to schedule an orthodontic consultation appointment for Invisalign® or traditional braces.

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Dougherty Dental, 1809 NW Davis St, Portland, OR 97209-2121 ~ 503-334-1141 ~ doughertydental.com ~ 7/20/2021 ~ Page Terms:cosmetic dentistry, dentist portland or, cosmetic dentist portland or