Cosmetic Dentistry in Ashland, OR

"An incredible smile." Did that trigger a thought of someone whose smile you’ve always admired? Perhaps it was you at an earlier age.  Perhaps someone you adore, respect or just like to be around.  What is it in particular that initially caught your attention? The brightness? How wide the smile seems to be? The seemingly perfect shape of each tooth? Subtleties in these aspects, and many more, are what make cosmetic dentistry an art. Artistry in cosmetic dentistry is expressed by the dentist and the lab technician through careful coordination.  It is a combination of interest, aptitude, training, practice, and a consideration of the circumstances of each patient.  A great deal of patience and good old fashion "stick-to-itedness" doesn't hurt either.

Do you feel confident and attractive when you smile or laugh? You should! If you have a few imperfections keeping you from feeling confident, come see our dentist, Dr. Aron Kivel, right here in Southern Oregon. Dr. Kivel has helped people from all walks of life create a smile they’ve always dreamt of.

After graduating from dental school, Dr. Kivel was invited to practice at Dr. Bill Dorfman’s Extreme Makeover practice in Century City (you may know Dr. Dorfman from the TV shows The Doctors or Extreme Makeover). In this office, Dr. Kivel became part of the treatment team for Hollywood’s recognizable characters as well as everyday folks who traveled to Beverly Hills for cosmetic dental treatment simply because they believed they’d receive the highest standard of care. He continued his career at equally successful cosmetic and general practices in both Beverly Hills and Manhattan Beach, later acquiring a practice in San Francisco.

Here in his chosen home of Ashland, Oregon, Dr. Kivel uses only the very best materials and state-of-the-art equipment to give you an enhanced natural appearance with lasting results you will love. With master dental ceramists painstakingly crafting each crown or veneer, your new smile will be perfectly suited to your specific objectives. "A beautiful smile depends on symmetry in and of itself plus harmony with the other dental and facial surroundings . When you notice a fantastic smile, your attention doesn't go to any tooth in particular. Your eyes and thoughts absorb the whole, in an instant, and register the attractiveness and the depth of this extremely enjoyable personal characteristic,” says Dr. Kivel.

 

Keys to Cosmetic Dental Success

The following images represent the stages and techniques employed by Dr. Kivel for cosmetic cases. At each stage the patient is able to collaborate with Dr. Kivel so that they can communicate to the lab technicians, in the form of photographs, emails, and telephone communications, what the patient desires.

The Process

Your First Appointment

Your new patient exam or cosmetic consultation is a great way for you to get to know our team, take a tour of our office and discuss your goals. Right then and there we are able to propose treatment options and related cost estimates. If you decide you are interested in proceeding we can take any necessary records to get started in that same appointment. We find many patients considering cosmetic cases like some time to think about their options or discuss with their loved ones before getting started. 

 

Taking Records

When you’re ready to proceed with cosmetic treatment or simply want to see what things would look like if you choose to go forward, we can get started by taking your dental records. This may include taking digital scans of the teeth and definitely some great “before” pictures. Not only does this give you a baseline to look at after your treatment is complete, but these high definition images can provide much needed information for the lab work to begin.

 

Temporary Try-In

We start a cosmetic case with a wax version of what  the new restorations will look like. From this model we are able to transfer an acrylic temporary smile into the patient’s mouth.  This is by far the best way for patient to give feedback about what they like or don’t like, as well as allow Dr. Kivel to "freehand" different shapes of your teeth in “real life”. The teeth are made of acrylic and are not bonded.  So they are not meant to be worn long-term.  Nevertheless, many patients will wear their wax try-in out the door to get feedback from friends and family (most patients feel comfortable chipping off the acrylic temporaries themselves later that day). Once again, this is a vital first step in the treatment process for the best results. It is simply imprudent to proceed otherwise.  This step can also be used to help a patient decide on the larger treatment plan and can be done prior to committing to the full case.

 

Temporaries

51-year-old Female Patient

51-year-old Female Patient

Once you've decided to move forward with treatment, and after conservative modifications to your existing teeth, our temporary veneers are the next step. They are meant to be worn home and through your daily routine, usually for a week or two. Temporary crowns and veneers are the best communication tool we have. At this stage, we should be as precise as possible in length, shape, and alignment. You will work closely with Dr. Kivel to get as close as possible to the ideal look before sending final records to the lab to create the final restorations.  Temporaries look very good but are made of a different material than the permanent restorations. As a result, the temporary material will not look as natural as the finals which will have a glossy sheen, significant natural texture, light-reflecting surface variations and natural gradients in color.

 

Permanents

The final step! Once we get your final restorations from the lab, we’ll make an appointment to place them. This is the moment we’ve all been waiting for. Each tooth will be placed individually and will mimic natural teeth perfectly. This final appointment usually takes a couple hours.

 

 

The “Tools”

Porcelain Veneers

When the majority of a tooth is in good shape, then a thin tooth-surface replacement called a veneer is indicated. Teeth that are chipped, dull, too small, maligned or rotated can all be treated with veneers. This solution is widely recognized as the most conservative, durable, natural and esthetic option for cosmetic dentistry.

Crowns

Dental crowns are used similarly to the veneers described above. However, a crown tends to replace most of the tooth’s structure instead of just the front facade. Crowns will generally be chosen for teeth that need more of a bite change than is possible with a veneer or there is existing decay or restorations that need to be address simultaneously.

Whitening

Whitening has become a normal part of dental maintenance. We all feel better having teeth that look bright and healthy. Not only do we offer the very best whitening products on the market, we have a variety of options to fit your desired outcomes and budget. Professional whitening is used a stand-alone procedure or at the beginning of a larger cosmetic case to lighten the teeth optimally before proceeding with crowns or veneers.  Whitening is also highly recommended after orthodontic treatment.

Dental Bonding

Bonding, or “composites”, refer to the dentist’s application of a resin material that becomes shaped and hardened into a tooth structure.  Many patients would call this a “filling”, although with a cosmetic outcome in mind, the materials are different and of a variety of colors used together in layers.  It is an effective and affordable quick-fix for minor decay, chips, gaps or discoloration. This relatively noninvasive procedure can restore the look and function of your natural teeth. Bonding typically doesn’t last as long as veneers or have the same gorgeous natural result.

Invisalign® Orthodontics

To straighten crooked teeth or to move teeth closer to the final position for more conservative cosmetic treatment, we use Invisalign®. Invisalign treatment consists of a series of clear aligners worn over the teeth that are custom-made for you. As time progresses, each aligner slightly shifts your teeth. Each set of aligners is worn for two weeks (less if you’re using Acceledent!) and most treatment plans range between 6-18 months. Invisalign is often recommended for use in conjunction with porcelain veneers to achieve the best possible starting point for your new teeth in the event that your existing teeth are considerably out of alignment.