Your teeth are one of the first things people notice about you. If you are self-conscious about your smile, it affects the way you see yourself and how you think others see you. For many, a smile contributes significantly to one's self-esteem.

Learn how cosmetic and implant dentistry procedures can improve the quality of your life.


Benefits of Cosmetic and Implant Dentistry:
Cosmetic and Implant Dentistry can restore your mouth to feel almost as good as your natural teeth, or even better. Missing teeth can be replaced with dental implants without unnecessary grinding of healthy teeth. When missing teeth are replaced with unnatural removable partial dentures, dental implants are the answer to getting rid of the uncomfortable partial. Cosmetic Dental procedures may be performed independently (without implants) or with implants. The replacement of a missing tooth or teeth with dental implants has to be carefully planned and performed for the implant supported tooth (teeth) to look as natural as possible.

The combination of Cosmetic and Implant Dentistry can bring you a lasting smile, increase your chewing ability and contribute to a healthier body. By improving your oral health, you will improve the quality of your life.

Cosmetic Dentistry:
Cosmetic Dentistry uses tooth-colored fillings, bonding, porcelain veneers and crowns to restore teeth to nature's ideal. To give his patients an esthetically pleasing smile, Dr. Mayeda evaluates and coordinates the treatment of the front teeth, back teeth and gums. Lip type, face shape and proportions are also considered.
Dental Implants:
Dental implants are devices which act as the equivalent to your natural tooth roots. Your replacement teeth or "prosthesis" are attached to the dental implants which lend support and stability to the prosthesis.

Dr. Mayeda surgically places a patient's dental implants in his in-office surgical suite, eliminating hospitalization. He then designs and creates the prosthesis.

Please go to Cosmetic and Implant procedures section to find out more.



Simple FAQs on Cosmetic and Implant Dentistry:
· A complete dental examination, full mouth x-rays, diagnostic models and extra-oral photography are necessary before cosmetic or implant procedures are performed.
· The bite of the upper and lower back teeth must be in harmony before extensive cosmetic dentistry is performed.
· Hand-sculpted composite bonding will give you an instant smile improvement in one appointment.
· Porcelain laminate veneers usually take two appointments to complete
· Porcelain laminate veneers maintain their shape and color longer than composite veneers
· Removable dentures and partials reduce eating efficiency as much at 75%, thus leaving only a 25% chewing ability.
· Implant supported dentures and teeth can improve chewing efficiency up to 100%.
· Please consult with Dr. Mayeda (your dentist) before considering over the counter teeth lightening products
· Home tray bleaching (teeth lightening) is very effective when done properly



Problems & Solutions:
Problem
Solution
Nice smile (Nicely arranged) but lightly discolored teeth Teeth lightening/bleaching
Conservative/moderate teeth defects Custom Direct Bonding
Discolored and slightly crooked teeth Porcelain laminate veneers or Custom Direct Bonding
Moderate to severe decayed teeth Porcelain crowns
Missing tooth Single dental implant with custom implant supported; prosthesis (crown) - and not; affecting adjacent healthy teeth)
Missing teeth Multiple dental implants with custom implant supported prostheses (crowns)
Loose dentures Dental implants
Bulky dentures or partials Dental implants


Before and After:
These "Before and After" images are visual examples of the vast range of cosmetic and implant dental techniques Dr. Mayeda offers his patients.

Pre-missing right lateral incisor, peg left lateral

Right single tooth implant, left porcelain veneer


Fractured front teeth, missing back teeth

Bonding of front teeth, porcelain crowns back teeth


Gummy smile, discolored small teeth

Gum lift plastic surgery, porcelain veneers/crowns


Discolored, mis-shapen upper teeth; Crowded, discolored lower teeth

Porcelain veneers/crowns on upper teeth; Orthodonic straightening, future bleaching on lower teeth


Poor smile display, discolored teeth

Pleasant smile display, natural colored veneers


Crooked discolored teeth

Instant One Appointment Bonded Veneers


Missing all upper and lower teeth

Non-removable Implant supported teeth




Smile Analysis:
Take a simple "Smile Analysis" to see if you are a candidate for Cosmetic or Implant Dentistry.

Yes   No: My teeth are discolored or too yellow/brown.
Yes   No: My smile looks crooked or uneven.
Yes   No: I can see chipped or missing teeth when I talk or smile.
Yes   No: I cannot chew my food well or comfortably.

If you have answered Yes to one or more of the above questions, you are a candidate for Cosmetic or Implant Dentistry



Cosmetic Procedures:
Cosmetic Dentistry uses tooth-colored fillings, bonding, porcelain veneers and crowns to restore teeth to nature's ideal. Learn more about the specifics of some of the commonly performed cosmetic procedures.

Custom Direct Bonding (Single Appointment Procedure)
· Indications: For patients who are predisposed with mild loss of natural tooth structure or discolored fillings and teeth; who desire to close spaces between their teeth, repair minor chipped, fractures or broken teeth, realign crooked teeth, restyle flared or twisted arrangements and lengthen their teeth.
· Benefits: Instant cosmetic improvement performed with minimal tooth reduction.
· Dr. Mayeda custom hand-sculpts and polishes each bonded tooth
· Treatment Time: Immediate (one appointment) results. An additional post-operative appointment is required for refining contours, proportions and polishing.
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Bonding can stain, especially if you smoke, drink coffee or tea heavily, or eat certain staining foods. Chipping can occur from teeth grinding and biting into hard objects.
· Esthetic Life Expectancy: One to three years

Porcelain Veneers and Crowns Custom Direct Bonding (Two Appointment Procedure)
· Indications: For patients who are predisposed with mild to moderate loss of natural tooth structure; who desire to close spaces between their teeth, repair moderately chipped, fractures or broken teeth, realign crooked teeth, restyle flared or twisted arrangements and lengthen their teeth. For patients who desire long term results for cosmetically and functionally improving their teeth.
· Benefits: Significantly stronger than bonding and long term stability of color and shapeDr. Mayeda hand-sculpts each custom temporary tooth to customize the smile. This custom smile design is then transferred to the dental laboratory for porcelain fabrication.
· Treatment Time: (Two appointments)
- 1. Preparation and custom smile design temporaries,
- 2. Placement of laboratory fabricated porcelain veneers or crowns.
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Porcelain veneers (for mild to moderate loss of tooth structure) and crowns (for severe loss of tooth structure) are very strong and maintain their color and luster. Chewing on hard materials is discouraged to prevent fracture and chipping.
· Esthetic Life Expectancy: Five to seven years

Custom Tooth Design (Personalized Tooth and Smile Design)
· Indications: A personalized procedure necessary for proper matching of a single tooth or for optimum smile makeover.
· Benefits: Custom teeth are matched to fit in shape and color with adjacent teeth and the patient's face. Dr. Mayeda individually hand-sculpts and finishes each custom temporary or bonding, which is used as the customized template for the final porcelain veneers and crowns.
· Treatment Time: Immediate results at the appointment of tooth preparation. Selectively, a follow-up appointment is required for the enhancement of contours, proportions and surface finish.
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing).
· Considerations: A custom designed tooth temporary can stain, especially if you smoke, drink coffee or tea heavily, or eat certain staining foods. Chipping can occur from teeth grinding and biting into hard objects.
· Esthetic Life Expectancy: One month to two years depending on restorative material.

Tooth-Colored Invisible Fillings (One Appointment Procedure)
· Indications: To restore tooth small to medium defects like decay and cavities with composite tooth-colored fillings. These fillings are custom matched and do not contain mercury or silver.
· Benefits: Fillings are matched to the natural teeth, and not obvious like silver/dark fillings. Dr. Mayeda conservatively removes decay and old fillings preserving healthy tooth structure, then uses a strong adhesive to actually bond the tooth-colored filling material to the tooth.
· Treatment Time: One appointment to clean out and filling the tooth.
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Tooth-colored fillings are indicated only for small to medium defects
· Esthetic Life Expectancy: Two to five years

Teeth Lightening / Bleaching (Conservative Multiple Appointment Procedure)
· Indications: To lighten teeth of brown or yellow discoloration on healthy well-shaped teeth.
· Benefits: Most efficient and conservative method to lighten teeth. Dr. Mayeda fabricates custom bleaching trays that fit intimately over the desired teeth. Instructions and prescribed lightening solution is dispensed to the patient for home application.
· Treatment Time: Normally, three to four weeks.
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Teeth and gums must be healthy to prevent side effects like sensitivity. Patient must be compliant to follow instructions and follow-up appointments.
· Esthetic Life Expectancy: Unknown as touch-ups are done periodically to maintain lightened teeth.

Tooth Contouring: Enamelplasty (One Appointment Procedure)
· Indications: To conservatively shape teeth and spaces for improved contours and arrangements.
· Benefits: Most conservative method to contour teeth to improve individual shape and arrangement with adjacent teeth. Dr. Mayeda uses fine diamond instruments to carefully remove sharp and protruding tooth edges. Teeth and spaces are proportioned to create illusions of esthetically pleasing smiles.
· Treatment Time: One appointment
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Teeth are contoured within acceptable limits and may not be perfectly shaped or proportioned
· Esthetic Life Expectancy: Indefinite, based on stable orthodontic conditions.

Periodontal Plastic Surgery (Gum Augmentation / Contouring)
· Indications: To correct gum and bone defects and irregularities for improved smile design.
· Benefits: Gum display is proportioned and esthetically pleasing. Dr. Mayeda usually performs this procedure at the same time of bonding, veneering and crowning procedures for optimum coordination of the final esthetics.
· Treatment Time: Multiple appointments from one appointment to six months.
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Patient compliance and patience are important for success. Monitoring and maintenance of the implants and prosthesis are important for long term success.
· Esthetic Life Expectancy: One to five years.


Dental Implant Procedures: (Teeth Replacement and Stabilization)

Single Tooth Implant Replacement
· Indications: For replacement of a single missing tooth.
· Benefits: Tooth feels almost like a natural tooth resulting in increased chewing efficiency. Adjacent teeth do not have to be "drilled" to support the single tooth replacement. Dr. Mayeda is one of the only 5% of dentists in the United States to perform both the surgical and prosthetic stages of implant dentistry.
· Treatment Time: Multiple appointments from three to twelve months
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Patient compliance and patience are important for success. Monitoring and maintenance of the implants and prosthesis are important for long term success.
· Functional Life Expectancy: Five to fifteen years.

Implant Supported Non-Removable Bridges
· Indications: For the removable partial denture and full denture patient who suffers from partial/denture irritation, inability to chew efficiently and excessive partial/denture movement.
· Benefits: Bridges are non-removable and feel almost like natural teeth resulting in increased chewing efficiency and a more natural display of teeth. Dr. Mayeda is one of the only 5% of dentists in the United States to perform both the surgical and prosthetic stages of implant dentistry.
· Treatment Time: Multiple appointments from three to twelve months
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Yearly adjustment of bridges may be necessary. Patient compliance and patience are important for success. Monitoring and maintenance of the implants and prosthesis are important for long term success.
· Functional Life Expectancy: Five to fifteen years.

Implant Supported Overdentures
· Indications: For the loose denture patient who suffers from denture irritation, inability to chew efficiently and excessive movement.
· Benefits: Increased chewing efficiency, reduced denture rubbing, reduced movement and eliminated pain. Dr. Mayeda is one of the only 5% of dentists in the United States to perform both the surgical and prosthetic stages of implant dentistry.
· Treatment Time: Multiple appointments from three to six months
· Patient Maintenance: Immaculate personal oral hygiene (brushing and flossing). Professional dental prophylaxis (cleaning) and polishing every three to six months
· Considerations: Yearly changing of retention clips may be necessary for optimum support. Patient compliance and patience are important for success. Monitoring and maintenance of the implants and prosthesis are important for long term success.
· Functional Life Expectancy: Five to fifteen years.


Patient Testimonials:

· "After not being able to chew my food properly for over 10 years, I can eat anything now thanks to dental implants." -- A.E., Kula, Hawaii

· "Dr. Mayeda thoroughly discussed the treatment options with me concerning the improvement of my smile. I was able to decide which treatment would benefit my dental and physical health on the long run." -- L.B., Lahaina, Maui.

· "Dr. Mayeda took care of my implant needs while my husband and I were at our Kapalua home for 6 months. Now, Dr. Mayeda is our primary dental professional and takes care of all our implant and cosmetic treatments." -- Mrs. B.V., Chicago, IL

· "Although I live in Tokyo, I schedule my dental implant treatments and crowns on Maui according to Dr. Mayeda's schedule at his Maui office. If I need emergency treatment while I am in Tokyo, I call Dr. Mayeda for a consultation before proceding with treatment." -- Mrs. M. S., Tokyo, Japan



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