BondingBonding can be an alternative to laboratory fabricated porcelain veneers, and can be used as a restorative procedure for teeth that are chipped, cracked, discolored or misarranged. It can have better esthetic results if done with high quality products and attention to detail.
How does it work?
The damaged or diseased part of the tooth is removed with either a dental handpiece or air abrasion. The tooth then undergoes some processes to adhere the tooth colored material to the surface. Care is taken to insure proper isolation of the tooth during this process as the presence of moisture will diminish the appearance and cause the bonding to fail. It is of utmost importance the the correct shade of material is selected and any characterization is placed on the tooth to insure that it appears lifelike and natural.
This patient was a young girl from Kenya who had moderately severe fluorosis (brown tooth stains from too much fluoride). She had limited finances therefore we did direct chairside bonding of the teeth rather than veneers. We were both very happy with the results and she left in 90 minutes without the need for local anesthetic
This young female patient had not so ideal home care while in orthodontics and presented to me with significant decay and demineralized anterior teeth. I did direct bonding of her front 6 teeth in a little over an hour.
The bonding procedure can often be completed in a single office visit, and can improve the appearance of a tooth significantly. However, since the plastic resin used is not as strong as your natural tooth enamel, it is more likely to stain, chip or break than natural teeth. Bonding typically lasts three to five years before need of repair.