Our case of the month for February is a fantastic one which highlights the extent of the versatility of the Invisalign system. It truly is a replacement for fixed braces with many benefits. In the past, it was correct to say that certain cases could not be treated with Invisalign and that fixed ( train track) braces were the only option. However, times change, technology advances and the advent of digital dentistry has changed the landscape of dental care.

Our client came to us after seeing several dentists and being told that multiple teeth needed to be removed and that fixed braces were needed for over 2 years. She was all set up for this but after the first initial comprehensive examination with Dr Nissit Patel, we had alternative options available. The key is in the planning and after careful deliberation and diagnostic projections, we were able to provide a treatment plan that not only kept all of the teeth but one that could be completed using Invisalign as the sole orthodontic technique.
 

A smile speaks a thousand words as the old saying goes. Sometimes, it is the little changes that really make a difference. This may not be evident to everyone but if a small enhancement gives you more confidence then this make a huge difference to ones wellbeing. 

One of the ways we can enahnce a smile is with a technique called composite bonding. Our case of the month for January 2025 is really a classic one where bonding was used to improve the smile symmetry in a subtle yet striking way.
 

To answer this question, we really need to differentiate the two treatments as they are two different treatment entirely. 

Composite bonding is an additive process. In simple terms, we carefully sculpt composite resin over the teeth in question. This can be used to treat chipped, fractured, uneven and gappy teeth. Composite can also be used to replace old fillings on front ( or back) teeth. The great advantage of bonding includes:

1. Treatment is completed in one visit; an instant smile transformation!
2. Minimally invasive. There is little, if any, drilling of the underlying teeth needed.
3. Biologically safe for the teeth and gums. There is no risk of damage to the nerve.
4. Composite can be easily maintained.
5. More affordable than porcelain veneers or ceramic crowns.
6. Composite will protect the underlying teeth from further wear and tear.
 

One of the most topical subjects at the moment is the debate between composite and porcelain for dental restorations. In terms of cosmetic dentistry, this equates to the use of composite veneers and porcelain veneers. It is important to note that composite veneers can either be made by a laboratory or placed free hand by the dentist in the chair. Porcelain veneers can only be made by a dental laboratory or within a dental practice that has the necessary technology such as computer aided design and a milling machine, otherwise know as CAD-CAM.