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Cosmetic Dentistry Frequently Asked Questions
Provided by Dr. Sheldon Seidman of Chicago


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Cosmetic Dentistry


The difference between a cosmetic dentist and a general dentist, and even between cosmetic dentists, is in results. Why choose Dr. Seidman? In short, Dr. Seidman can provide you with results superior to those provided by another Chicago dentist.

In contrast to a general dentist, a cosmetic dentist is a well-qualified, experienced dentist who focuses on the esthetics of the whole smile. A cosmetic dentist makes everything look as untouched and natural as humanly possible. New advances allow the cosmetic dentist to shape, lengthen, lighten, and straighten teeth to achieve the perfect, natural-looking smile.

The differences between a general dentist and a cosmetic dentist are:
  • Advanced, post-graduate education on new techniques and materials
  • An eye for beauty and the ability to make the artificial look natural
  • Using tooth-colored (not metal) restorations in the back of the mouth
  • Ability to customize a smile for each individual
Chicago cosmetic dentist Dr. Seidman embodies these traits. He has received advanced training in cosmetic dentistry procedures and has excelled in creating beautiful, natural-looking smiles for countless cosmetic dentistry patients. He uses only the finest tooth-colored restorations to ensure that your results are both attractive and exceptionally durable. Please contact Chicago, Illinois cosmetic dentist Dr. Sheldon Seidman to learn more!

INVISALIGN®
Invisalign® is a revolutionary way to help you get even, straight teeth without noticeable, painful metal braces. Virtually undetectable, Invisalign® aligners are made of strong, clear plastic that gradually guides your teeth into perfect alignment. Unlike metal braces, they have no wires or brackets on which your lips or gums can snag.

During your first evaluation, one of our orthodontists will help you determine if Invisalign® is a good option for you. He'll then design a treatment plan and take tooth impressions, from which Invisalign® will develop accurate, personalized tooth-straightening devices, called aligners. Aligners slide directly over your teeth and are replaced every two weeks as your teeth shift into place. Depending on your case, you will wear them full-time (except when eating or drinking) for 12 to 48 months-no longer than you would wear traditional metal braces-and see your orthodontist about every six weeks for check-ups.


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Dental Bridges


A missing tooth can mar even the most beautiful smile, but Chicago cosmetic dentist Dr. Seidman can restore beauty to your smile. Cosmetic dental bridges are made of natural, tooth-colored materials. In the gifted hands of Dr. Seidman, they can seamlessly replace a tooth lost by disease or injury.

A dental bridge is a device used to fill the space where a tooth has fallen out or been removed. A typical dental bridge consists of a pontic (a filler tooth) that is attached to two surrounding abutments (dental crowns). Once complete, this dental bridge structure is bonded into the mouth. Without the use of a dental bridge, spaces in the mouth from missing teeth can cause multiple teeth to shift, lead to occlusion (biting) and/or jaw problems and spur periodontal disease. Dental bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

Dental Bridge Process
Dental bridges usually require two trips to the dentist's office. During the initial visit, the surrounding teeth are numbed with a local anesthetic. The dentist prepares the surrounding teeth by cleaning any plaque or decay that remains and reducing them so that the dental crowns can be fitted. The dentist makes a mold of the teeth and sends it off to a dental lab, where the customized impression is prepared. The customized mold takes one to two weeks to return to the office. In the interim, patients are fitted with a temporary dental bridge constructed of acrylic resin. When the patient returns to the dental office, the dentist removes the temporary dental bridge and replaces it with the permanent one. The dentist then adjusts the dental bridge for the proper bite and fit, and the dental bridge is permanently bonded into the mouth.

Types of Dental Bridges
There are several different types of dental bridges. The first is a fixed dental bridge, which consists of a filler tooth (a pontic) that is attached to two dental crowns. The dental crowns fit over the existing teeth to hold the dental bridge in place. The fixed dental bridge is the most popular bridge.

Another dental bridge design is a composite bond, known as a "Maryland" dental bridge. This type of dental bridge is commonly used to replace the front teeth. The pontic is attached to metal bands that are bonded to the abutment teeth, and the metal bands are hidden with a white-colored composite resin.

A cantilever dental bridge is often used when there are teeth on only one side of the span. A typical 3 unit cantilever dental bridge consists of two abutment dental crowns that are positioned next to each other on the same side of the missing tooth space. The pontic is then connected to the two dental crowns, which extend into the missing tooth space.

If the missing tooth space has no surrounding teeth, the dentist may decide a dental implant is the most appropriate choice. When a series of teeth are missing, the dentist may suggest a partial denture as the most effective way to maintain the structure of the jawbone.


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Composite Bonding


Dr. Seidman believes in using conservative methods to enhance your smile whenever possible. Composite bonding is an ideal choice for fixing many minor aesthetic problems without damaging your natural tooth in doing so. His steady, experienced hand and advanced training help him to create absolutely stunning results with composite bonding.

Composite bonding is a technique used to improve the appearance of your teeth. The term composite bonding refers to any composite material, either a plastic or resin, which is bonded to an existing tooth. Bonding is ideal for fixing chipped or cracked teeth, hiding discoloration on the tooth's surface, or reducing the gaps between teeth. Whatever the specific intent, composite bonding creates more aesthetically pleasing teeth and a brighter smile. Unlike porcelain veneers or dental crowns, composite bonding removes little if any of the original tooth.

Advantages of Composite Bonding
Composite bonding is a quick process, typically lasting less than an hour. Compared to porcelain veneers or a dental crown procedure, it is a popular choice because it does not reduce the tooth's original structure. Composite bonding is also relatively inexpensive. And finally, composite resins are available in many different shades. The shade can be chosen to match the natural color of the original tooth.

Composite Bonding Process
The cosmetic dentist begins by examining and cleaning the tooth to be bonded. Once the tooth is properly prepped, the cosmetic dentist rubs the tooth with a mild solution that facilitates the bonding of the composite resin to the tooth. The composite resin is then applied in several coats. Each coat is hardened (or set) using a specially designed dentist's light. Once the cosmetic dentist has placed an adequate amount of resin on the tooth, the bond is sculpted for the desired shape and texture. Bonding is performed in the dentist's chair and usually does not require any anesthesia.

After Composite Bonds are Placed
Proper care of the bonded tooth ensures the longest possible duration of the bonding. The bonded teeth, just like the rest of your teeth, should be brushed and flossed daily. This is especially important if you drink coffee, tea, or smoke tobacco, all of which stain composite bonds. Bonds typically do not last as long as porcelain veneers or dental crowns and may need to be retouched or replaced every five to ten years.


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Dental Crowns


Dr. Seidman uses the finest materials in creating custom crowns for cosmetic and restorative purposes. For teeth that are damaged or sufficiently decayed, he always chooses natural-looking, tooth-colored crowns. Dental crowns can also be used for purely aesthetic reasons -- to change the shape or appearance of the teeth. Whatever the situation, Dr. Seidman has the experience and knowledge to produce superior results. As a teacher of other cosmetic dentists, he knows the ins and outs of this procedure and has the ability to provide each patient with beautiful results.

When a tooth is cracked, decayed, or damaged, a dental crown may need to be fitted onto the tooth. A dental crown is a permanent covering that fits over the original tooth. Dental crowns can be made of porcelain, gold and other metals, acrylic resin, or an amalgam (a mix) of these materials. Porcelain crowns typically have the most realistic appearance, although they tend to be less durable than other materials. Dental crowns can whiten, reshape, and realign existing teeth, adding to a bright, healthy smile.

Preparing the Tooth and Crown
During your first visit, the dentist will numb the tooth to be crowned and remove the decay in or around it. The tooth is then resculpted to provide an easy fit for the dental crown. This is a painless procedure that is performed in the dentist's chair.

An impression of your teeth is then taken and sent to the dental lab where permanent, custom-made dental crowns are created (this usually takes one to two weeks). During this interim period, temporary dental crowns made of an acrylic resin are fitted onto the teeth.

Applying the Crown
On your next visit, the dentist removes the temporary dental crown and fits the permanent dental crown onto the tooth. He or she makes sure the dental crown has the proper look and fit and then cements the crown into place.



Maintaining Your New Crown
The proper dental hygiene for normal teeth should be applied to any new dental crown. Daily brushing and flossing will help to keep the teeth, gums, and crown free from the bacteria that can cause gum disease. Chewing on hard foods such as ice or pistachios should be avoided because over time, they can cause dental crowns to crack or break. Given proper care, crowns can last several decades and may last a lifetime.


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Dental Implants


One of an elite, specially trained group of cosmetic dentists to offer dental implants, Dr. Seidman is pleased to provide his patients in Chicago, Illinois with one of the most exciting procedures available in cosmetic and implant dentistry today.

For individuals who wish to replace missing teeth, dental implants may be an effective long-term solution. Dental implants provide greater structural support and last longer than either dental bridges or dentures. Dental implants serve as the artificial root to which new teeth are bonded. They are typically constructed of titanium, a strong and safe material that effectively attaches to bone. The procedure to insert dental implants typically involve three steps: the implant insertion stage, osseointegration (the period of healing for the jawbone), and the attachment of the restoration or new tooth.

Types of Dental Implants
In implant dentistry, the most popular form of dental implant is the root implant. This type of dental implant is very effective and mirrors the size and shape of a patient's natural tooth. Many times, this implant will be as strong structurally as the original tooth's root. Once the dentist applies the local anesthesia, he or she makes an incision in the gum in order to gain access to the jawbone. The bone is then prepared, and the dental implant is inserted into the jawbone with care and precision. Finally, the dentist stitches the gums and, if necessary, prescribes an appropriate medication. During the osseointegration step, which lasts anywhere from three to eight months, the jawbone firmly attaches itself to the dental implant. Once osseointegration is complete, the patient returns to the dental office, where the dental implant is fitted with the new tooth.

Another form of implant dentistry is the plate form implant. This dental implant is ideal in situations where the jawbone is not wide enough to properly support a root implant. The plate form dental implant is long and thin, unlike the root implant, and anchors into thin jawbones. The insertion process is the same as for a root implant, but in certain cases, plate dental implants are immediately fitted with the restoration without waiting for the osseointegration period.

The last type of dental implant used for implant dentistry is the subperiosteal implant. These dental implants are utilized when the jawbone has receded to the point where it no longer supports a permanent implant. These implants are placed on top of the bone and embedded in the gums, but not in the jawbone as with the other types of dental implants. The dentist applies a local anesthesia, and makes a mold of the mouth and jawbone. From this impression, a dental lab constructs implants to custom fit the patient's jaw. On the second visit to the dentist, the dentist exposes the jawbone and inserts the dental implant on top of it. Over the next month the gums grow up and around the implant. This same type of implant can sometimes be performed in a single procedure with the use of an initial CAT scan of the gumline and jawbone.

Dental Implant Risks
As with any cosmetic surgery, complications for implant dentistry are rare but can include infection, slight damage to nerves, and mild discomfort. Although very unlikely, infection of the gums or jawbone is a possibility but can be treated through antibiotics or another medication. Surgery to the upper or lower jawbone can result in mild nerve damage. Nerve damage typically subsides in several weeks but can persist for longer periods of time. As the jawbone heals, patients may experience some discomfort, which can be tempered through medication. Discomfort should subside within seven to ten days.

Dental Implant Maintenance
Although patients should always practice proper dental hygiene, this is especially true once a dental implant has been put into place. When teeth and gums are not properly cleaned, bacteria can attack sensitive areas, causing the gums to swell and the jawbone to gradually recede. Enough recession of the jawbone can weaken dental implants and eventually necessitate their removal. Patients should visit their dentists' offices at least twice a year in order to ensure the health of their teeth and dental implants. Following an implant dentistry operation, smoking should be avoided, as it impairs the ability of the gum and jawbone to heal. Given the proper care, dental implants should last 25 years or longer.


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Porcelain Veneers


With his mastery of aesthetics, cosmetic dentist Dr. Seidman can use porcelain veneers, also known as dental veneers, to make almost any smile flawless. Even crooked teeth can be straightened with porcelain veneers with an incredible cosmetic dentistry technique known as "instant orthodontics." It takes skill and experience to create outstanding results, and Dr. Seidman has both.

Porcelain veneers, or dental veneers, are thin shells that are laid onto the teeth and bonded to the surface. Although they can be made of different materials, porcelain is frequently used because of its durability and realistic appearance. Porcelain veneers are a more conservative alternative to dental crowns since they require less removal of the tooth's original surface. With porcelain veneers in place, cosmetic dentistry patients can expect straighter, whiter, and more even teeth.

Porcelain Veneers Procedure
During the initial visit, the patient and dentist discuss the process of placing porcelain veneers and the options available (e.g. types and shades of veneers). On your next visit, the dentist removes a very small layer of each tooth's outer enamel. A local anesthesia may be used but is typically not necessary. The dentist makes a mold of the teeth and then sends it to a dental lab where they create customized dental veneers for the teeth. The lab prepares the porcelain veneers in roughly seven to 10 days. During this time, the teeth have a slightly different appearance because of the removal of the outer layer of enamel. Some patients choose to have temporary restorations placed on their teeth, but this step is usually not necessary. Once the porcelain veneers have returned from the lab, the patient makes a final dental visit. The dentist applies the veneer to the tooth using a bonding material. When exposed to light, this bonding material dries and hardens.

Following the Porcelain Veneers Procedure
Cosmetic dentistry patients may experience some sensitivity in the teeth, especially when contacting hot or cold substances. This sensitivity should lessen within two weeks. If you grind or clench your teeth while you sleep, your dentist can fit you with a mouth guard that will protect your teeth. Porcelain veneers are quite strong and can withstand considerable force when a patient bites down, but they may fracture or break if twisted. Patients should therefore avoid hard or sharp foods such as ice or pistachios that may cause undue stress. Dental veneers should be cared for in much the same way as normal teeth; this includes daily brushing, flossing, and periodic check-ups with a dentist. Given the proper care, porcelain veneers can preserve a smile for decades.


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Teeth Whitening


Tooth whitening can brighten up your entire face, and it is a procedure that is constantly in demand. Dr. Seidman takes the time to make sure your results look natural while ensuring your comfort and safety throughout your tooth whitening treatment. The results Dr. Seidman offers are more dramatic and lasting than other methods of teeth whitening.

Regardless of how well you care for your teeth, it is inevitable that, over time, some yellowing or discoloration will occur. This gradual change can be caused by aging, substances that stain your teeth (such as coffee and tobacco), excessive fluoride, or the deterioration of a tooth's nerve. A tooth whitening treatment can be performed either as an at-home, dentist-supervised process or in the dentist's chair. While neither of these methods stops future discoloration, these tooth whitening treatments bring about whiter teeth and help create a brighter smile.

At-Home Teeth Whitening
The most popular method of tooth whitening is the at-home, dentist-supervised option. During your visit to the dentist for tooth whitening, he or she takes a mold of your teeth and creates a comfortable, customized mouth tray. The mouth tray holds a mild solution whose main ingredient is carbamide peroxide, a substance that reacts with water to release a non-toxic bleaching element (hydrogen peroxide). The mouth tray is placed inside the mouth and sits only against the teeth, thereby avoiding contact with the gums. Patients can choose either to wear the mouth tray throughout the night or for stretches that last from two to four hours. When the mouth tray is worn throughout the night, the tooth whitening treatment lasts one to two weeks. Patients with more sensitive teeth may opt for the latter approach, which lasts three to five weeks.

Laser Teeth Whitening
The alternative method for teeth whitening is a laser procedure, performed at the dentist's office. This tooth whitening treatment involves coating the teeth with a paste-like form of carbamide peroxide. When the laser is applied to this paste, the tooth's enamel takes on a whiter appearance. This tooth whitening technique lasts approximately one hour in the dentist's chair and involves no further at-home tooth whitening treatment. While more convenient than take-home tooth whitening treatments, it is more expensive and the results are not as long lasting.

Teeth Whitening Concerns
When using the at-home teeth whitening treatment, patients' teeth may feel a heightened, but temporary, sensitivity. The gums may also feel more sensitive or burn slightly. Not all people experience the quality of whiteness they had hoped for on their first tooth whitening treatment, and they may require a "touch-up" treatment. Teeth whitening treatments begin to fade in one to four years. It should be noted that tooth whitening treatments have no effect on the artificial materials used for bonds, porcelain veneers, or capped teeth.


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Invisalign®


Invisalign® is a revolutionary way to help you get even, straight teeth without noticeable, painful metal braces. Virtually undetectable, Invisalign® aligners are made of strong, clear plastic that gradually guides your teeth into perfect alignment.

Unlike metal braces, they have no wires or brackets on which your lips or gums can snag. During your first evaluation, one of our orthodontists will help you determine if Invisalign® is a good option for you. He'll then design a treatment plan and take tooth impressions, from which Invisalign® will develop accurate, personalized tooth-straightening devices, called aligners. Aligners slide directly over your teeth and are replaced every two weeks as your teeth shift into place.

Depending on your case, you will wear them full-time (except when eating or drinking) for 12 to 48 months-no longer than you would wear traditional metal braces-and see your orthodontist about every six weeks for check-ups.


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Sheldon Seidman, DDS
Smile Chicago

Office Address:

400 N. Michigan Ave.
Suite 1014
Chicago, IL 60611
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