Jun 30, 2010



The idea of a Bellevue Cosmetic Dentist fixing a single front tooth so that it gives a person a beautiful smile would seem to be a very simple process as opposed to restoring multiple front teeth to accomplish that incredible smile. It seems that one tooth would be much less challenging and time consuming than doing multiple teeth. However, the opposite is really the case. Restoring a single front tooth is a very large challenge from a cosmetic dentistry perspective. The reason for this is that the single restored tooth, either a porcelain veneer or crown, must match or have a highly compatible relationship to the teeth adjacent to it in all aspects. These aspects would include tooth size, shape and color as well as spatial perspective and relationship to each other. Patient portrait photo is shown after bleaching and completion of a single upper anterior veneer.

A cosmetic dentist easily can control all of these aspects and relationships of the restored teeth when six or more teeth are involved in the cosmetic smile changes. These would all be done at the same time by the laboratory making the crowns or veneers for the dentist. Therefore, the size, shape and color of all the teeth can be controlled in the laboratory. The overall spatial relationships can be controlled when the final restorations are placed in the patient’s mouth in a much easier fashion because the size, shape and color have all been accounted for by the laboratory.

However, with a single anterior porcelain crown or veneer, all of these things have to be accounted for at the time of final placement by the Bellevue Dentist. Often the surrounding natural teeth will be bleached and then the single anterior tooth is matched to that color. However, with the single tooth there is very little margin for error, since the natural teeth will be very prominent in their position next to the newly restored tooth. If the laboratory does not get a near perfect color match the family dentist may have to send the tooth back to the laboratory. This can lead to lost chair time for the dentist and possibly an upset patient. For this reason, many cosmetic dentists prefer to restore at least four teeth in the front and more preferably six teeth to get a really good match from the laboratory. Photo at left shows closeup of the patient with a single upper anterior tooth that needs cosmetic restoration, while the photo below shows a closeup of the same patient after tooth bleaching to whiten teeth and a single upper anterior porcelain veneer.

At Brookside Dental Bellevue, we have an on-site porcelain artist who does our porcelain veneers, crowns and bridges. This is a great advantage in getting that perfect match with single tooth restorations on front teeth. Of course, it also is fantastic to have him for the larger 4, 6, 8 and 10 unit anterior cosmetic cases. With our on-site porcelain artist who can beautifully match single crowns and veneers, we are able to be conservative in our cosmetic dentistry approach and save the patient some money and still deliver a fantastic new smile.

May 24, 2010




Dr Cindy Pauley, Bellevue Cosmetic Dentist, was elected the new President of the Seattle-King County Dental Society (SKCDS) (http://skcds.org/) in April 2010. She served as Secretary of SKCDS for 1 year and then as a member of the SKCDS Executive Council for 8 years, during which time she was a delegate to the Washington State Dental Association for two terms. During her time on the Executive Council, she is most proud of her involvement on projects to help the underserved citizens of King County. Currently, she is involved with projects that include “The Northwest Kidney Foundation” and SKCDS Dentists working together to take care of the dentistry needs of kidney transplant candidates to assist them to get on the list for new kidneys. Dr Cindy recently has written two articles for the SKCDS Quarterly titled, and “­­­ The Beginnings of Something Great: A Joint Effort to Support Kidney Patients” (2008) and “A Morning with Medical Teams International” (2010). These articles detail two of the projects involving SKCDS dentists’ efforts to bring dental services to underserved citizens. The mission statement of SKCDS is, “We are behind every smile in King County” and Dr Cindy Pauley, a Bellevue Dentist, is actively pursuing that goal. She has been a Bellevue and Seattle Area Dentist since graduating from dental school at the University of the Pacific in 1992.

Since its founding in 1892, the Seattle-King County Dental Society (http://skcds.org/) has promoted the highest levels of oral health for the citizens of King County and provided critical support and educational opportunities for the many dental professionals practicing in the County. The overview page of SKCDS provides more information about resources we provide to the general public and dental health professionals. The Seattle-King County Dental Society is a membership organization of approximately 1,700 dentists practicing in King County, Washington, that is a component society of the Washington State Dental Association (http://www.wsda.org/) and the American Dental Association (http://www.ada.org/). The Seattle-King County Dental Foundation, established in 1992, works closely with the Society to provide access to dental care for the underserved citizens of King County. The Foundation also supports dental educational programs for members of the public and for healthcare professionals.

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