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Cosmetic Dentistry

We want to help each and every patient become the most healthy, beautiful version of themselves, which is why we offer a variety of services that can enhance your health as well as your appearance. This is dentistry that results in true confidence. With expert treatment in areas from teeth whitening to veneers, Dr. Fischer and Dr. Alconcel can provide you with a brilliant smile that exudes health and happiness.

Whitened teeth are often associated with beauty and a healthy lifestyle, and when people have a brighter smile, they tend to smile more often and are less self-conscious. Plus, a whiter smile tends to minimize the appearance of facial wrinkles, giving way to a more youthful and energetic appearance. Some soreness or gum/teeth sensitivity may be experienced from the bleach, and if discomfort persists, it’s recommended to discontinue use. Some individuals are more chemically sensitive than others. If you are one of them, let us know so that you can be tested for sensitivity to the solution. Research indicates that bleaching is completely effective in more than 78% of people. In cases of serious teeth discoloration, bleaching may not be the best choice. Veneers or crowns may be the superior choice. However, due to its lower cost, bleaching is usually the first solution to try.
Veneers are most often applied over the front-most teeth to correct discoloration, severely cracked, chipped, worn or crooked teeth. Veneers are the ideal treatment choice to restore the teeth to their natural appearance. Veneers can also cover up significant stains such as those caused by tetracycline. As we age, wear of the front teeth may affect the aesthetics of our smile and result in us appearing older than we actually are. Porcelain veneers may be used to lengthen worn or short teeth and restore you to your natural and youthful smile.

Placement of the veneer requires two appointments. During the first appointment, a small amount of the outer surface of the tooth will be removed in order for a veneer to be placed, then a shade is chosen and acrylic temporaries are placed until the next appointment. Using the mold, a dental laboratory will fabricate the final veneer to the proper size, shape and color. In the second appointment, the veneers’ shape and color are verified and then bonded onto the tooth which provides an esthetically pleasing result.


Veneers are thin shells of porcelain that blend with the natural enamel of the teeth that can then allow light to pass through, giving the veneers a natural appearance. Many people elect to whiten their teeth prior to getting veneers in order to attain the best results. Veneers are the most conservative restoration used to restore natural teeth.

A dental bridge is a fixed appliance used to replace one or more missing teeth. These appliances are cemented into place and cannot be removed by the patient.

The bridge is constructed of three or more crowns that are fused together covering the open space as well as the teeth on either side of the missing tooth, hence, “bridging” the gap. There is a pontic tooth (false tooth) for every missing tooth being replaced and what’s called an abutment tooth for every supporting tooth. Similar to when a crown is prepped there is a waiting time. You will wear an acrylic temporary for 4-6 weeks while the lab customizes your bridge. This procedure takes 2 appointments.

Tooth bonding or dental bonding is an excellent technique for small defects in teeth-chips, spots, and gaps between the teeth. Doing work like this requires a true artist. Tooth bonding is a “direct” technique in that it is done by the dentist directly on the tooth. This, of course, requires artistic ability on the part of the cosmetic dentist, since the work is done freehand. Colors must be matched and blended, the tooth must be sculpted, finished, and polished to a beautiful result. As a talented cosmetic dentist, Dr. Fischer is skilled at the artistic inclinations for doing tooth bonding work like this.

Unlike porcelain veneers, that are made of porcelain which is baked in an oven, teeth bonding is applied directly to the tooth and cured to its final hardness, usually with a light. In order to help the composite bond to the tooth, the tooth is prepared by lightly roughening the area to be repaired, which usually doesn’t require anesthetic. Then the surface of the tooth is etched, a thin, clear bonding agent is applied, and then the composite is applied. Dental composite is made of particles such as silicon dioxide or quartz, bound with a tough synthetic resin. They contain different pigments that can be matched to your tooth color, and they also come in varying degrees of translucency and are usually made so that they can be polished to a high gloss. This composite is applied to your tooth. Often several layers of different shades and translucencies need to be used in order to duplicate the depth of color and the color gradations that occur in natural teeth.

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