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How To Improve Your Smile

How To Improve Your Smile

A DxD Session with Dr Jerry Lim


Ended on Wed Jul 24 2019
Ended

Top Answers


Generally, smile makeovers can range from $1,500 to $5,000 depending on multiple factors.

Here's a summary of the range of costs:

  • Teeth whitening - Approximately $1,200
  • Veneers - from $1,500 to $2,500 each 

There are a variety of procedures available now to improve one’s smile. Your doctor would have to find out the issues affecting your smile before he/she can reccomend a treatment(s) to improve your smile. Here's the cost of some treatment options that I've reccomended to my patients to improve their smiles. 

1. Teeth whitening

smile makeover cost in singapore

I've had a patient who wanted to improve the colour of her teeth through ceramic veneers. She has tried many over the counter bleaching as well as SPA bleaching but it was not effective. She was still battling with brown internal stains under the surface layer of the front teeth. 

However, I realised that she didn't need veneers to hide the stains. These stains could be removed by adminstering a controlled Power Whitening procedure. I also gave her take-home whitening kit held at a certain % of concentration.

This combination helped her to get rid of the brown stains. We didn't have to correct her smile with any ceramic veneers. The cost of the entire procedure was $1,284.

2. Porcelain Veneers 

veneers smile makeover cost in singapore

Also known as dental veneers or dental porcelain laminates, porcelain veneers are a thin, porcelain or composite shell that is fitted directly on your teeth.

What affects the veneer cost include expertise, experience, technology, material cost and number of procedures needed to reach your goals. Generally, veneers can range from $1,500 to $2,500 each depending of all the above factors. 

From my experience, I have had patients who got veneers to remove heavy smoking stains, resolve swollen red puffy gums, change the based colour, shape, arrangement as well as the length of their teeth.

Speak to your dentist and have an honest open discussion about your condition before embarking on your smile makeover journey.

25 Jul 2018

from your question, I assume that you're referring to getting Porcelain Veneers in a Smile Makeover procedure.

Filing your teeth down is an irreversible procedure and should not be taken lightly. I am glad you did your homework to understand the issues and steps involved.

I understand how your front teeth are affecting you. If done properly, removing the surface layer of the teeth by 0.5-1mm should not result in permanent sensitivity. It should be transitional, lasting up to a 3 months in rare cases. These are very technical procedures that requires a very experienced dental team. 

Decay will only occur when there're gaps in between your teeth or that you practice poor dental hygiene. It will not be caused by the porcelain veneers directly. 

In order to minimise the amount of filling, I usually encourage my patients to align their teeth first so that they are not too crooked. If you use veneers to straighten crooked teeth, we would have to trim a lot of the tooth/teeth. Sometimes, this causes the tooth/teeth to lose its vitality. When this happens, a root canal treatment may be required.

Personally, I would strongly advise my patients to consider aligning their teeth first before doing porcelain veneers. Sometimes, after aligning the teeth, porcelain veneers may not be needed anymore because they're already satisfied with their smile. And if veneers are still needed, they can be done in a minimally invasive manner. That keeps all the trimming within the safe first layer of the teeth. I hope this helps!

25 Jul 2018

Porcelain veneers do not have definite life span. If your veneers are still functional and aesthetically pleasing, it is not necessary to replace them.

However, fluorosis staining is one of the most common staining due to excessive fluoride intake. It is also a common reason for people to seek porcelain or resin veneers treatment due to severe forms of fluorosis.

More often, porcelain veneers fail through fractures or debonding. Sometimes they might be removed due to decay underneath the margins of the veneers. Infrequently, we've some patients who have had veneers for a long time (over 15 years) requesting for a new set because the colour has faded or the character of the smile has changed.

Our oral cavity is a dynamic environment. Thus, it's very important to understand the factors that could affect your veneers as they were made years ago. Many things might have changed. 

Some other possible conditions that might required veneers to be replaced:

1. Biting support could have been lost with the lost of the back molar teeth, thus putting pressure on the front veneers.

2. Worsen gum conditions that led to infections and diseased gums, causing teeth migration, gaps or even position and angulation changes.

25 Jul 2018

Dental bonding is an universal term to describe something that is adhesively attached to the tooth. Usually it is referred to treating cavities or to close spacings between teeth.

If you are referring to using resin for smile makeover, then it is referred to as resin veneers as opposed to using ceramics which is referred to as porcelain veneers.

I will explain the similarities and differences here.

Resin veneers are made from resin filling materials and porcelain veneers are made from ceramic or glass. Resin veneers generally require slightly lesser trimming of teeth than porcelain veneers.

However, resin veneers tend to loose its lustre faster (3 - 4 years, requiring re-polishing) and generally needs to be replaced much earlier due to colour issues as compared to porcelain veneers.

In the hands of a skilled dental surgeon, both resin and porcelain veneers will yield excellent initial results as they both change the shape, colour, and arrangement of teeth.

25 Jul 2018

The average cost of dental bonding in Singapore ranges from $300 - $500 per tooth. 

Most of my patients who have a gap in between their teeth would go for dental bonding. The procedure involves adhesively bonding a tooth-coloured composite to the side of the tooth and extended to partially cover the gap. The other half will come from the other side of the adjacent tooth.

dental bonding singapore

The factors that affects the cost of dental bonding in Singapore are: 

1. Number of teeth being treated - You are charged per tooth, so the cost will increase if you have more than than one gap that you'd like to treat. 

2. Size of the treatment area - The size of the filling, as determined by the number of tooth surfaces (sides) it involves. Filling in a small section of a tooth will cost less than resurfacing an entire tooth.

3. Additional treatments - Complementary treatments can increase the cost too. I had a patient who wanted to change the shape and the colour of his whole teeth at the same time while closing gap using resin. This procedure is called veneering and this additional treatment can cost anywhere from $800 - $2,500 depending on the materials, the dentist’s experience, their skills and also the level of difficulty of the particular case.

30 Jul 2018

Yes, crooked teeth can be indeed be ‘straightened’ with porcelain veneers or crowns. However, there might be a risk of nerve injury. 

Let's examine the details. When you say crooked teeth, this means that your teeth are not aligned and we'd need to bring them into a well aligner arch. Teeth that are protruding will have to be trimmed sufficiently to make them go in line into the arch. Our teeth have a range of 1.5 - 3.5 mm of enamel and dentine thickness.

Imagine you have to bring the tooth in line by 2.5mm (which is normal when moving crooked teeth), you would have to trim away almost 3-3.5mm of tooth structure. Sometimes, this will encroach into the nerve of the tooth making root canal treatment necessary!

Personally, I would choose to straighten my teeth first, then place a thin veneers over it later. I would not trim so much of my teeth and place veneers just to straighten it and risking nerve injury.

If braces puts you off, you may consider one of the newest treatment method in teeth straightening, Clear Aligner Therapy. There are a couple of brands available now in Singapore.

That way, you don't have to content with metal braces that may be uncomfortable or unsuitable for working adults in the service line.

Hope this helps!

30 Jul 2018

Yes, you can get veneers if your teeth are not straight. However, it depends on the severity of your misaligment. 

If your misalignment is mild and the veneers will be resting mainly on the first layer of your teeth (the enamel) then they will be strong with sufficient strength to withstand the stress of chewing function.

Beyond a certain level of misalignment, it would be prudent to actually align the teeth first then place veneers on them later. It may be costly now but certainly less than the biological cost you will be paying should you decide to trim a lot of the teeth structure away for veneers.

If they are minor misalignment, then using the veneers to align first would be a great option.

Please speak to your dentist to discuss the risk percentage of your case. I am sure they will be glad to show you pictures of your teeth, and share with you their thoughts. You should also ask them for previous cases that they have done to see some of the results that they have achieved for their patients.

30 Jul 2018

A few of my patients have nightmares of their teeth falling out! It's actually quite distressing when your veneers crack and drop off. 

First of all, make sure the veneers are well bonded onto the teeth. This is a very technical aspect of the treatment. It needs to be done well. 

After the veneers are well bonded onto teeth, their strength to withstand chewing forces are actually quite high. The day to day function of your teeth should not post any problems but night grinding and clenching can break the veneers. Thus, if you grind your teeth at night, you should wear your night guard.

Porcelain veneers do not stain easily unless there are micro cracks or rough portions. Therefore, please do not use abrasive toothpaste (for people who smoke) as they contain many rough particles.

Another important point to note: when you go for scaling and polishing with dentists, ensure they use special polishing paste designed to polish porcelain veneers e.g. Proxyt. Normal polishing paste contain some mild abrasives. Please check with your dentist about what they use.

30 Jul 2018

This is a difficult question to answer because there are so many aspects to an aesthetic smile makeover other than just colour. Your dentist will have to correct the shape and the inclination of the teeth, and ensure that the natural spaces between each tooth is either preserved or enhanced, not encroached.

Our eyes can pick up imbalances and appearance that do not harmonise like nature do. In this picture, the teeth looked too bulky and the angle of the inclination is wrong. The white is too stark and opaque. It's too monotone and not three-dimensional enough. The shape of the teeth are also too rounded at all corners.

In order for us to achieve a beautiful smile, we must analyse all aspects of the current smile that we can enhance. All the smile parameters should be analysed, for example: the length of the teeth, the colour, the angulation of the teeth in general, the shape as well as the level of the gums.

We also look into the fullness of the smile to see if there is anything we can improve. Essentially, we look into the ABC - A (Alignment), B (Brightness) and C (Contours) of the smile. All these enhancement of the smile need to be balanced with the biological cost of trimming the teeth.

A lot of times, we move the teeth before doing veneers trimming so that we can trim less to get the desired smile.

I hope this gives you an insight to how we analyse a person's smile before we recommend the smile makeover procedures required.

30 Jul 2018

No, porcelain veneers cannot be easily removed. 

Porcelain Veneer installation Singapore

A 3d illustration of a porcelain veneer installation procedure

Reason being, the procedure of getting veneers require the trimming some of your teeth. Trimming is an irreversible procedure. Furthermore, veneers are carefully bonded onto each specific teeth. Even if they were removed, your teeth and smile will look different. They do not go back to original form.

This is why I always encourage my patients to make sure that they truly understand what getting veneers entail before they embark on this journey. 

We usually help our patients to perform an Aesthetic Trial Smile to help them visualise how they will very possibly look like after their final smile makover. However, not all patients are suitable for this trial smile. Please check with your dentist to find out more!

30 Jul 2018

judging from the picture, it seems to me that you have short looking teeth because the width and the height of the teeth appear to look the same. Normal looking teeth have a width that is less than the height. Usually this ratio is anywhere from 70% to 80%.

A tooth can look short due to: a) excessive gums or b) the wear and shortening of the edge of the tooth. We need to establish the cause of the short or small teeth before proceeding.

If it's due to excessive gums, then we can perform a laser gum recontouring. We can also consider  lengthening the teeth simultaneously with porcelain veneers. 

If the actual tooth is small and tiny, we can make them look bigger with porcelain or resin veneers.

30 Jul 2018