Cosmetic dentistry is for anyone who wants to improve the appearance of their teeth. So, to camouflage certain defects, cover a yellowed tooth or close a gap that you deem unsightly, several avenues are available to you.

A multitude of possibilities…

Whiten your teeth

A staple of cosmetic dentistry, the famous bleaching. This treatment requires the use of a peroxide gel and professional supervision.

Did you know? Thanks to our Lifetime Whitening program, if you accept a treatment protocol that includes tooth whitening, you will receive free filling syringes for touch-ups… for life!

Apply veneers or crowns

Do you have teeth of different sizes, misaligned, discolored or damaged?

The facet is an option to consider. Made of composite resin or porcelain, it is a thin prosthetic film that is cemented to the visible wall of the unsightly tooth.

It is generally used on the front teeth, the ones that make up the smile. It is also the solution of choice for closing a diastema, that space that can get in your way.

For its part, the crown is an artificial, hollow tooth that envelops the entire natural tooth. It not only improves its aesthetic appearance, but also restores its function. Thus, a weakened tooth will regain its strength.

Correct gently with Invisalign® / Spark®

An orthodontic procedure with Invisalign® / Spark® can also be part of a cosmetic dentistry treatment plan.

This quick and discreet method can easily help to close interdental spaces or correct malocclusions.

It will be after our free consultation meeting that we will be in a better position to assess the means that will allow you to achieve the smile of your dreams.

A logical approach above all else

At the Susan Biner Dental Clinic, we've established a winning way forward.

1 | Free consultation

First, we plan a meeting to assess your needs and fully understand your expectations. This free consultation allows you to specify and prioritize what you want to correct.

2 | Explanatory meeting

Second step of your dental aesthetic process. During this meeting, we develop:

• Details of the treatment plan
• The possible options, according to your constraints and priorities
• The timeline
• Funding available

3 | Treatments and controls

Once the treatment protocol has been decided, your metamorphosis will begin. To ensure success, the observation of follow-ups during and after treatment should be respected.

If you have one or more teeth that are bothering you, don't hesitate to schedule your free consultation meeting. We will take the time to listen to what is bothering you and accompany you to a smile that will give you confidence and joviality.

Programs & rewards

Clinique dentaire Susan Biner : At your service !

Patient health is our top priority. This is why we’ve created reward programs aimed at motivating patients to practice healthy dental habits.

Bleach for life Program

Developed for patients who take their oral health and dental hygiene very seriously, our Whiter, brighter, for life loyalty program provides you with free teeth whitening touch-up syringes for life when you sign up for a dental care plan that includes teeth whitening.

Program benefits

We believe in the importance of regular check-ups and undergoing required dental treatments to maintain a beautiful, healthy smile. Patients who are diligent about their oral health reap many benefits, including saving money. When you delay a visit to the dentist, a problem with your jaw, teeth or gums could worsen or even become irreversible. In addition to being damaging to your health, it could cost you a lot more money.

We encourage all our patients to take their oral health to heart. Our Whiter, brighter, for life program is like a gift: it is absolutely free !

Terms of the program

To take part in the Whiter, brighter, for life program, you must read and accept its conditions. If one of the conditions is not followed, you will immediately be disqualified. You can rejoin if all requirements are met once again.

A copy of the program’s terms and conditions will be given to you at the clinic. Please take the time to read and sign the document. We will also ask that you sign a copy of our policy on missed appointments.

What are veneers used for?

Veneers are very thin shells that are glued to the visible surface of teeth. They are used to
correct minor cosmetic defects. They can also be used to restore slightly damaged teeth, correct their shape, brighten a smile or fill a gap between two teeth.

Composite resin or porcelain?

The dentist will recommend resin or porcelain veneers, depending on which best suits your needs.

1 | Composite resin veneers

• Don’t require any prepping; the enamel remains intact and the procedure can be reversed
• Can be installed in just one session
• Are not as durable; touch-ups are often needed over time
• Are less expensive

2 | Porcelain veneers

• Require that a thin layer of enamel be removed from the tooth for improved adherence; the procedure cannot be undone
• Won’t change color
• Can be used for more complex repairs
• Are durable
• Require two appointments because the shell is made in a lab using a dental impression

The procedure

Installing dental veneers is a simple, common cosmetic procedure. The installation process varies, depending on the type of veneer used.

1 | Composite resin veneers

The natural tooth is maintained in its entirety. Composite resin is applied directly to the tooth, formed by the dentist and hardened using blue light. The procedure is painless.

2 | Porcelain veneers

Using local anaesthesia, a thin layer of enamel is removed from the tooth’s surface. An impression of the tooth is made and sent to the dental lab, where the porcelain veneer is custom-made. In the meantime, a temporary veneer is installed to protect the tooth. When the permanent veneer is ready, it’s secured in place using composite resin cement.

Contraindications

Before deciding on veneers, the dentist will check the condition of your teeth’s surface. Veneers are not possible in the following cases :

• Insufficient enamel for the veneer to stay in place
• Untreated cavity
• Gum disease (gingivitis or periodontitis)
• Significantly broken tooth (a crown would be best)
• Teeth grinding, which can break veneers (once again, a crown would be best)

Advantages

Veneers are durable and won’t stain. And, because they require minimal prepping, most of your natural enamel is maintained.

Veneers are a good option for minor cosmetic corrections. The results are remarkable because the finished product looks just like natural teeth (color, transparency, etc.). You get a more beautiful smile quickly and painlessly.

How to care for veneers

Although veneers are proven to be solid and durable, they could still break or a cavity could form underneath them. Good oral hygiene, including brushing and flossing, is critical to keeping your teeth healthy and your veneers looking beautiful. During your regular dental check-up, the dentist can check the condition of your veneers and ensure no cavity has formed.

By following these recommendations, your veneers will stay in great shape for many years.

What is a crown?

A crown is a hollow artificial tooth. Shaped like a little hat, it covers a damaged or weak tooth. This type of dental prosthesis is permanent and can completely restore the appearance of a tooth, making it stronger and more functional.

Do I need a crown?

You may need a crown if :

• A major cavity has left a significant hole in your tooth, weakening it. The tooth cannot support an amalgam or composite restoration
• A former filling needs to be replaced
• Your tooth is broken, cracked or worn down
• Your tooth has been devitalized following a root canal
• Your tooth is discolored or misshapen
• A dental implant was installed and needs to be covered by an artificial tooth
• Two teeth are acting as pillars for a bridge and need to be covered with crowns

Advantages of crowns

1 | Cosmetic appeal

Since a crown covers a tooth completely, it can make your smile look better. Crowns are custom designed and manufactured, taking into account the color and shape of adjacent teeth for a more natural look.

2 | Durability

With proper oral hygiene, avoiding hard foods and stopping bad habits like chewing on pencils, crowns can last more than 10 years. The lifespan of the prosthesis may vary slightly depending on the material used.

3 | Strength

Once a crown is installed, the tooth is as solid and as strong as ever.

4 | Comfort

Because a crown is a permanent prosthesis supported either by the tooth’s natural root, a pivot installed after a root canal, or a dental implant, it feels just like a natural tooth. Crowns are shaped and adjusted to ensure that you can bite comfortably.

5 | No extractions

If the root of a tooth is still healthy, installing a crown is the best option. By avoiding having your tooth extracted, you’ll maintain the natural balance in your mouth.

Installation steps

Designing, manufacturing and installing a crown usually requires two sessions.

1 | Prepping the tooth

During the first appointment, the dentist will remove any cavity or previous filling. The hole is filled using a filler composite that seals the tooth and creates a solid foundation for the crown.

Using local anastesic, the dentist preps the tooth by removing a thin layer of enamel. The tooth is now ready for the crown.

2 | Taking impressions

We are proud to announce the availability of the 3Shape Trios® at our clinic! This intraoral scanner virtually eliminates inaccuracies and takes under five minutes to form a full 3D impression of your dental arches. With the 3Shape Trios®, your dentist can track changes in the mouth such as gum recession, bruxism and even provide a visual representation of the alignment that is possible for your mouth with orthodontic therapy such as standard braces or Invisalign®.

3 | Installing a temporary crown

A temporary crown is installed on the tooth right away, protecting it until the next appointment.

4 | Manufacturing the crown

Our crowns are made in a highly specialized dental laboratory and it takes a week to fabricate. They use the highest quality of materials to insure the most beautiful and long lasting crowns on the market.

5 | Installing the permanent crown

Once the permanent crown is ready, the dentist removes the temporary crown and secures the permanent crown using dental cement. Careful adjustments are made to ensure comfortable, efficient occlusion. The results are both beautiful and functional.

Materials used to manufacture crowns

There are four main types of crowns :

1. Metal (gold)
2. Metal-ceramic
3. All ceramic
4. Composite resin

Each type of crown offers different advantages related to durability, appearance, and functionality. Your dentist will help you choose the best option for you, taking into account your overall needs and the location of the tooth to be replaced. For example, molars are less visible but need to be very strong because they are used the most for chewing.

Ask your dentist for more information on dental crowns.

What is a permanent bridge?

A permanent bridge is used to replace one or several missing teeth. It consists of an artificial tooth secured to a metal base. On each end of the prosthesis, a small hook is used to secure the bridge to adjacent teeth. This type of prosthesis is permanent and cannot be removed.

How is a bridge made?

The prosthesis consists of two pillars and one bridge. There are three types : metal-ceramic, all ceramic, or composite resin.

Metal-ceramic bridges

A metal structure covered in layers of porcelain (dental ceramic) that matches the colour and transparency of natural teeth.

All ceramic

A dental prosthesis made entirely out of ceramic. The tooth is made using several layers of ceramic on a ceramic substructure.

Composite resin

The tooth is made of light-activated paste using a process called photopolymerization. The resin is similar to the material used in white fillings.

The procedure

A permanent bridge is installed in four steps :

1. The adjoining teeth, which will serve as pillars, are trimmed
2. A dental impression is made (this is the longest step)
3. A temporary bridge is installed while the permanent bridge is made
4. The permanent bridge is installed

Two visits are needed to complete the procedure. The first three steps are done during the initial appointment. The temporary bridge is installed to protect exposed gums and teeth while the permanent bridge is being made (which can take up to ten days). Then, the temporary bridge is replaced by the permanent, custom-made bridge.

Advantages of a permanent bridge

• Stops adjacent teeth from migrating to the empty space
• Prevents your natural teeth from becoming prematurely worn down
• Prevents occlusion problems
• Improves digestion thanks to better chewing
• Improves speech
• Looks just like your natural teeth

Important

This procedure may have some inconveniences, so make sure to talk with the dentist about your treatment options.

Just like natural teeth, permanent prostheses must be well taken care of through healthy eating habits and proper oral hygiene. Your dentist can show you the best way to brush and maintain your prosthesis.

What is a Maryland bridge?

The Maryland bridge was first developed at the University of Maryland. The bridge is shaped like a butterfly with two metal wings.

This permanent dental prosthesis is composed of one or several artificial teeth (crowns) and two metal wings. The wings are cemented to adjacent teeth, protecting them. Then they are adjusted for a long-lasting, beautiful look. Because the wings are secured behind teeth, the restoration is invisible and the artificial tooth matches the other teeth. A Maryland bridge has a slightly shorter lifespan than a traditional permanent bridge.

Advantages of a Maryland bridge

• Blends in with natural teeth
• Protects adjacent teeth
• More affordable than a traditional bridge because of its composition (porcelain tooth and metal wings)

The procedure

How is a Maryland bridge installed?

1. A dental impression is taken to custom-make a temporary bridge as well as the permanent one
2. The temporary bridge is installed to fill the empty space while the permanent prosthesis is being produced
3. The permanent bridge is installed

This procedure usually requires two sessions. The first two steps are done during the initial visit, so that the temporary bridge can protect the exposed gums and teeth. Once the permanent, custom-made prosthesis is ready, it will replace the temporary bridge.

Problems linked to missing teeth

Missing teeth should be replaced as soon as possible. This will help prevent oral health problems and improve the look of your smile. If missing teeth are not replaced, your remaining teeth may become misaligned. Other problems may include:

• Bone loss
• Wearing down of remaining natural teeth
• Difficulty chewing and digesting
• Difficulty pronouncing certain words
• Uneven smile
• Migration of adjoining teeth toward the empty space

Good to know

When you have permanent prostheses, good oral hygiene as well as regular check-ups and cleanings are really important. Your dentist and dental hygienist will be happy to tell you how to keep your prostheses in great shape.

Ask your dentist today about tooth replacement options. He or she can propose a treatment plan that meets your needs and budget.

Losing teeth is a common occurrence resulting from accidents, poor dental hygiene or regular wear. In Quebec, up to one million baby boomers have lost all of their teeth. However, there are several effective solutions to help patients suffering from this major health problem recover durable, comfortable dentition.

Missing teeth need to be replaced by artificial teeth to avoid alignment, malocclusion and chewing problems. In addition, missing teeth cause the jawbone to slowly lose density.

There are many options for replacing missing teeth: bridges, partial dentures, full dentures, etc. When possible, dental implants are the ideal solution because they can best reproduce the appearance and comfort of natural teeth.

Implants help stabilize prostheses, rendering them more comfortable, solid and functional for improved speech and chewing.

What is an implant?

An implant is a biocompatible titanium screw inserted into the jawbone to replace a root. It can support an artificial tooth (crown), several teeth (bridge) or all teeth (full dentures). The prostheses can be permanent or removable.

Permanent implant supported prostheses

Permanent prostheses cannot be removed by the patient, as they are permanently anchored to the dental implants. Only your dentist can remove them. Depending on how many teeth need to be replaced, an implant can support different types of permanent prostheses.

Single crown

An artificial tooth (or crown) is secured to the implant, leaving adjacent teeth intact. The artificial tooth looks and functions just like a natural tooth.

Implants for bridge

An implant-supported permanent bridge replaces several missing teeth. It is custom-made and permanently secured to two dental implants. With this option, the bridge doesn’t need to be attached to adjoining teeth, which would require removing a layer of tooth enamel.

If your teeth are healthy and your situation allows for it, your dentist may suggest an implant- supported prosthesis, which maintains your natural teeth as much as possible.

Dentures on Implants

Full dentures can also be secured to implants, making them very stable. This option also eliminates pain caused by dentures rubbing on gums, as well as chewing and speech problems. With implants, full dentures can be stable and comfortable.

The number of implants you need depends on specific criteria. For full dentures, four implants are usually enough.

This type of prosthesis is permanent and can only be removed by a dentist. Because full dentures stay in your mouth day and night, they feel like natural teeth. This solution is great for helping patients maintain good self-esteem..

Removable implant-supported prostheses

Implants can also support removable prostheses. Solidly secured during the day, the prosthesis can be removed at night for cleaning and sleeping. With this option, the prosthesis is both removable and stable thanks to the implants. And, you’ll avoid unwanted movement associated with dentures.

Implants can support partial or full removable dentures, depending on how many teeth you need to replace. Different anchoring systems can be used. The dentist will recommend the option that best suits your needs.

There are two removable prosthesis options :

 1 | Removable prosthesis using a snap fastener system

Full dentures or bridges are secured to the implant pillars. As with permanent prostheses, the number of implants needed can vary depending on specific criteria that your dentist will assess. Two to four implants are usually enough. Using a snap fastener system, the pillars are secured to anchors underneath the prosthesis, making removal easy.

Even though the prosthesis isn’t permanently secured, this type of anchoring system is very comfortable, stable and easy to clean. It can improve your quality of life significantly.

2 | Bar-retained removable prosthesis

A retaining bar is another type of anchoring system used to stabilize removable implant- supported prostheses. This system is a good option for the lower jaw. In addition to stimulating the jawbone to prevent resorption, the bar evenly distributes the pressure exerted on implants during chewing, which in turn is more comfortable for your gums. When placed on your upper dental arch, the retaining bar is very comfortable as it completely frees up your palate.

In most cases, four implants are needed to properly secure the titanium retaining bar. The prosthesis attaches to the bar and is immediately stabilized and functional.

Different types of retaining bars can be used, including the U-shaped Dolder bar, milled bar or Paris bar. While they all enable you to easily remove your prosthesis, the dentist will recommend which one best suits your needs.

A bar-retained anchoring system helps patients feel like they have their natural teeth back.

Who can use implant-supported prostheses?

Before dental implants can be installed, the dentist must perform a complete check-up of your mouth and assess your overall health. He or she will check your gums and jawbone to ensure they can support the implants. Otherwise, a bone graft may be needed to increase bone mass.

Implants may be contraindicated if the following applies to you :

• Insufficient bone mass that cannot be increased by a graft
• Uncontrolled diabetes
• Malformation of dental arches
• Heavy smoking
• Pregnancy

Installation steps

The installation process is usually the same for implant-supported permanent and removable prostheses.

1. A complete dental check-up is performed and x-rays are taken
2. Surgical phase: One or several implants are installed in the alveolar bone
3. A temporary prosthesis is installed
4. Bone integration phase: As tissue heals, it gradually fuses the implant to the bone. This step
   can take two to four months
5. Prosthetic phase: After the healing period, the implant is solidly integrated into the bone.
   The temporary prosthesis is removed and a pillar is installed on the implant. The final prosthesis will be attached to this pillar, which can be secured to the crown, anchors under the bridge or under full dentures. The prosthesis can be permanent or removable
6. The last step involves carefully adjusting the prosthesis for comfortable and effective occlusion. The results are both attractive and functional

Advantages of implant-supported prostheses

• Stable: When speaking and chewing
• Comfortable: No more painful rubbing or pressure points; feel just like natural teeth
• Attractive: Matches the color and shape of your teeth for a natural look
• Durable: Implants can last for many years, even a lifetime if you practice good oral hygiene and follow your dentist’s recommendations
• Prevent jawbone resorption
• Replace missing teeth without damaging adjoining teeth
• Easy to clean
• Help improve your confidence and self-esteem

How to care for your prostheses

Caring for implant-supported prostheses is easy. Treat them like your natural teeth with a basic everyday routine. Your dentist will give you all the information you need. Maintenance is similar for both permanent and removable prosthesis. The key to success is regular cleaning and gentle care around the implants.

Biannual check-ups are recommended, during which the dentist will carefully check the condition of your prosthesis and the comfort and stability of your implants.

The 3Shape® TRIOS® intraoral scanner is a computer-aided design and manufacturing system. This technology is beneficial to everyone since it combines speed of execution, precision and comfort.

TRIOS® generates real-color 3D images to provide patients with an accurate overview of their oral condition. In addition, the virtual conceptualization allows us to present your future smile to you.

The advantages of the TRIOS® intraoral scanner

• Fast scanning
• Quick and comfortable procedure
• Color photos in high resolution
• Improved communication and understanding

The ideal material: ceramic

Ceramic is a material of choice for the fabrication of dental restorations, because it is perfectly biocompatible, resistant and very similar to the natural tooth. In fact, ceramic perfectly imitates dental enamel in terms of both its firmness and its texture. The same is true for its reactions when subjected to temperature variations in food. It is also more durable than fillings made of white composite.

Ceramic restorations produce comfortable chewing. They wear out naturally, at the same rate as other teeth. This ensures a soft contact when chewing, not producing premature wear on the adjacent and opposite teeth.

We are confident that TRIOS® technology will dramatically improve the experience for our patients. If only because it decreases the time spent in the chair and gives a result that requires less adjustment due to its high precision.