Cosmetic Dentistry

Charles Payet, DDS: A Cosmetic Dentist in Charlotte, NC

The American Dental Association does not recognize “Cosmetic Dentist” as specialty designation, which makes it harder for patients  to find a dentist qualified to perform complex and esthetic cosmetic treatment. Fortunately, Dr. Charles Payet is a general and family  dentist with extensive training in cosmetic dentistry and cosmetic dental procedures.

Experience Matters in Cosmetic Dentistry

Dr. Payet  is a leader in continuing education, and uses the most advanced techniques and technology in his office (such as lasers and same-day crowns). If you are in Charlotte, NC or the surrounding area, and you are looking to improve your smile, learn more about Dr. Payet and his approach and training, or contact us and find out how we can help!

Cosmetic Dental Services include full smile makeovers in addition to:

 Each one of these choices has advantages and disadvantages that we will review below.

All-Ceramic Crowns

A crown is also known as “cap” and is used when there isn’t enough tooth structure left to place a routine filling. If you have a fractured tooth or a chipped tooth, a crown will likely be indicated. In the past we often placed PFM (porcelain-fused-to-metal) crowns, which while extremely durable and reliable, are no longer the ideal treatment option for patients who need crowns in an esthetic area of the mouth. These newer crowns are referred to as “all-ceramic crowns” because they are fabricated without the use of any metal, and only contain ceramics (e.g. porcelain).   Advantages of these types of restorations include the fact that they look very lifelike, are extremely strong, and require less drilling vs. PFM crowns.  And because these crowns are so strong, they are not often indicated for teeth in the very back of your mouth because they can cause the teeth opposing the crown to wear down over time.  However, even with this limitation, there are ways to make ceramic crowns work in all areas of the mouth.

Porcelain Veneers

Veneers, also known as laminates, are restorations that we use when we want to change the size, color, shape or position of a teeth with minimal drilling; they are small, thin pieces of porcelain that we bond to the surface of the teeth.  We always want to minimize the drilling that we do to our patient’s teeth, but depending upon the goals of the treatment plan, veneers may or may not be ideal. For example, if a patient has a 4-6 upper front teeth with significant staining or a slight misalignment, then veneers might be a great choice. However, if these same teeth are chipped, severely rotated, or have a history of having had very large fillings placed, then all-ceramic crowns might be a more appropriate choice.  The key advantage of porcelain veneers vs. all-ceramic crowns is that veneers are less invasive and require that less tooth structure be removed. Of course, the disadvantage is that because we don’t take away too much tooth structure, we are limited to the amount of change we can make vs. all-ceramic crowns.

Short-Term Orthodontics

Often a combination of crowns and veneers can be used with or without short-term orthodontics.  The reason orthodontics can be helpful is because we can use orthodontics to first fix teeth rotation and alignment, for example, which removes the need for us to prepare the teeth for crowns and allows us to work only with veneers.

When many of our patients hear “orthodontics” their immediate response is “no” because they don’t want metal bands and brackets; but once again technology allows us to perform simple orthodontic movement of teeth without metal. When our patients hear this detail, they are much more receptive to adding orthodontic treatment to their treatment plan.

Cosmetic dentistry has come a very long way, and the above options – alone or in combination – allow us to make significant changes to our patients’ smiles in a much less invasive and faster manner than we could in the past!