Welcome to Aesthetic Dental Clinique, Diane I. Hines, DDS

Opening Hours : M-Th 9am - 7pm
  Contact : Southfield 248-358-4000 | Detroit 313-533-6500


How to Achieve a Picture-Perfect Smile

There is no denying that a perfect smile can steal the show. It also can be embarrassing if you may be having issues with your teeth and if you are unhappy with your smile.

There are numerous cosmetic procedures to improve the appearance of your smile. Before deciding to undergo any dental cosmetic procedure, it’s important to know the risks and what to expect during the process. Make sure you are clear about the costs and whether you will need any special maintenance after treatment. Here are some options for achieving that Hollywood smile.

Teeth Whitening

Over time, teeth can become stained or discolored, especially after smoking, taking certain medications, or consuming food and beverages like coffee and tea. Our Zoom Whitening program requires less than 2 hours to complete in office, and it’s proven to get teeth whiter instantly.

Veneers and Crowns for a Perfect Smile

These custom shells, typically made of porcelain (or occasionally plastic), cover the front areas of the teeth to enhance their color and shape. Veneers last longer than bonding and create a superior appearance. They are less expensive than crowns and can improve teeth that:

  • Have spaces between them
  • Are chipped or worn
  • Are permanently stained
  • Are poorly shaped
  • Are slightly crooked


Take a more modern approach to straightening teeth using custom aligners created specifically for you. Invisalign trays are comfortable, invisible, and will gradually and gently shift your teeth into place. The most appealing part of the journey toward a perfect smile is that most people won’t even know that you are straightening your teeth.

Want to achieve the perfect smile and feel more confident about your teeth? Schedule an appointment today at Aesthetic Dental Clinique for a comprehensive examination.

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Everything You Should Know about Cavity Fillings

Tooth decay is a dental issue that many people face at some point in life. According to the National Institute of Health, 92% of adults age 20-64 have tooth decay in their permanent teeth. Tooth decay occurs when bacteria-caused acid eats away at your teeth. Though cavities can be very painful and cause uncomfortable tooth sensitivity, the process for rectifying tooth decay is quite simple and painless. To treat cavities, we properly remove the decay then fill the affected area of the tooth with a durable substance to prevent further damage.

Treatment Overview

Before starting the filling process, we will numb the area surrounding the affected tooth using an anesthetic to avoid causing any discomfort during the procedure. For some more extensive tooth filling procedures, your dentist may administer a sedative agent (also known as nitrous oxide or laughing gas) to promote relaxation. Once all the decay is successfully removed, the area is replaced with a filling made from one of the various types of materials.

What are Cavity Fillings?

After a thorough examination of your unique treatment needs, we will determine the best filling for your specific needs. Cavity fillings are made of a variety of materials as mentioned below:

  • Amalgam—a form of metal blend— is one of the more commonly used materials for dental fillings. The American Dental Association deems Amalgam safe, durable, and affordable, noting that more than 100 million Americans have used this method for teeth restoration.
  • Also a common choice, composite resins are tooth-colored fillings that blend well with your teeth, making the tooth filling nearly undetectable to the naked eye. Composite resin fillings are ideal for small and large fillings alike, especially for the more visible parts of the teeth.
  • Ionomers, also made of a tooth-colored material, are often used for people with extensive decay in the part of the tooth that extends below the gum. Some ionomer fillings release small amounts of fluoride, which may help those who are prone to cavities.
  • Some people opt for cast gold dental fillings, which may last longer than any other material. However, this material is less commonly used and may require at least two office visits—first to make an impression of the tooth and then to place it.
  • Many patients receive ceramic cavity fillings because they offer the discreetness of a tooth-colored material and provide enhanced resistance to abrasion and staining.

What to Expect After Treatment

After your cavity filling, you may experience a numbing sensation in your lips and gums for several hours until the anesthesia subsides. To avoid injuring your tongue or inner cheek, take caution while chewing.

Why are Cavity Fillings Necessary?

When decay creates a cavity on a tooth’s surface, a cavity filling is required to prevent further damage. Without proper treatment, the cavity may cause sensitivity or a painful abscess that could lead to more severe problems such as bone loss.

How Well Does it Work? 

Although a cavity filling will stop the tooth from decaying, over time, you may need to replace a worn-out filling. Also, the affected tooth may become sensitive to heat and cold for a several days after your procedure. If that happens to you, we can recommend specialty toothpaste that may curb some of the sensitivity and discomfort.

Are There Risks?

While cavity fillings are completely safe procedures, be sure to let your dentist know if you have any heart problems. For those with an existing heart condition, some procedures can cause bacteria in the mouth to enter the bloodstream and increase the chance of infection in other parts of the body. In this case, an antibiotic may be prescribed before the procedure to lower the risk of developing a heart infection called endocarditis that affects the inner lining of the heart chambers and heart valves.

Something to Consider

It’s important to begin treatment before tooth decay worsens and affects a nerve. Severe decay may cause pain or tooth loss and may require a costly crown, root canal, or tooth removal. So stay on top of your dental hygiene by receiving a regular cleaning once every six months so your dentist can thoroughly examine your teeth and correct any issues at the start. Early detection and prevention are the best tools you have to keep a healthy, brilliant smile.

Think you might have a cavity? Schedule an appointment now for a full cleaning and examination at Aesthetic Dental Clinique, a family dental practice with locations in Southfield, Michigan, and Detroit, Michigan.

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What Your Dentist Knows About Your Health

A Southfield Michigan family dental practice, Aesthetic Dental Clinique.

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During your routine dental check-up, your dentist can uncover important clues about your overall health.

If your tooth enamel is worn down, for example, that’s a sign that you may be suffering from stress and grinding your teeth at night. Swollen and receding gums can be an early sign of diabetes, and sores in your mouth that don’t heal can sometimes indicate oral cancer.

A dentist or periodontist may be the first to notice these symptoms and can tell you which additional tests or treatments you may need. In some cases, they’ll work closely with your primary care doctor to help manage your follow-up care.

“Dentists and periodontists are concerned about more than saving your teeth – they’re looking at how oral health fits into your overall well-being,” says Steven Offenbacher, DDS, PhD, chair of the department of periodontology and director of the Center for Oral and Systemic Diseases at the School of Dentistry at the University of North Carolina at Chapel Hill.

Here are some of the most common conditions dentists look out for that can affect your oral health.


People with type 1 and type 2 diabetes are more likely to develop gum disease.

That’s because they may have a decreased ability to fight bacterial infections, including those that occur in the mouth. In addition, serious gum disease can make it more difficult for people with diabetes to control their blood sugar.

“When I see a patient with symptoms like frequent gum abscesses, swelling, a lot of bone loss in a short amount of time, and gum disease that doesn’t respond to normal treatment, those can be signs that they have diabetes,” says Sally Cram, DDS, a periodontist in Washington, D.C., and spokeswoman for the American Dental Association. “Over the years, I’ve had at least a dozen patients who I identified as diabetic and they didn’t know it.”

If your dentist suspects that you have undiagnosed diabetes, he or she will advise you to go to an endocrinologist or to your primary care doctor for testing.

Once you’ve been diagnosed as having prediabetes or diabetes, your dentist may send status reports to your doctor — letting him know, for instance, if they suspect your blood sugar is not well controlled because your gum disease has been difficult to treat.

Also, your dentist or periodontist may recommend that you schedule dental exams more frequently — for example, every three months — if you have a history of diabetes and gum disease.

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Dental Care for Seniors

Aesthetic Dental Clinique is located in Southfield Mi. Come and see us!

Advancing age puts many seniors at risk for a number of oral health problems, such as:

Darkened teeth . Caused, to some extent, by changes in dentin — the bone-like tissue that underlies the tooth enamel — and by a lifetime of consuming stain-causing foods and beverages. Also caused by thinning of the outer enamel layer that lets the darker yellower dentin show through.
Dry mouth. Dry mouth is caused by reduced saliva flow, which can be a result of cancer treatments that use radiation to the head and neck area, as well as certain diseases, such as Sjögren’s syndrome, and medication side effects. Many medicines can cause dry mouth.
Diminished sense of taste . While advancing age impairs the sense of taste, diseases, medications, and dentures can also contribute to this sensory loss.
Root decay . This is caused by exposure of the tooth root to decay-causing acids. The tooth roots become exposed as gum tissue recedes from the tooth. Roots do not have any enamel to protect them and are more prone to decay than the crown part of the tooth.
Gum disease. Caused by plaque and made worse by food left in teeth, use of tobacco products, poor-fitting bridges and dentures, poor diets, and certain diseases, such as anemia, cancer, and diabetes, this is often a problem for older adults.
Tooth loss . Gum disease is a leading cause of tooth loss.
Uneven jawbone . This is caused by tooth and then not replacing missing teeth. This allows the rest of the teeth to drift and shift into open spaces
Denture-induced stomatitis . Ill-fitting dentures, poor dental hygiene, or a buildup of the fungus Candida albicans cause this condition, which is inflammation of the tissue underlying a denture.
Thrush . Diseases or drugs that affect the immune system can trigger the overgrowth of the fungus Candida albicans in the mouth.
Age in and of itself is not a dominant or sole factor in determining oral health. However, certain medical conditions, such as arthritis in the hands and fingers, may make brushing or flossing teeth difficult to impossible to perform. Drugs can also affect oral health and may make a change in your dental treatment necessary.

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Foods and Habits That Stain Your Teeth

Aesthetic Dental Clinique wants you to have clean, stain-free teeth, we are located in Southfield Mi. Come and see us!

If your smile isn’t as bright as you’d like, think about what you put in your mouth. You can stain your teeth if you smoke or if you eat or drink certain things, and it’s more likely to happen as you age.

But once you know what to eat — and what to avoid — you can keep your pearly whites bright and shiny.

What Causes Stains?

“Tooth enamel [changes] as you get older,” says Sally Cram, DDS. “Like a piece of pottery that gets fine lines [over time], the stain gets into the little cracks and crevices.”

You need to watch out for these three things:

Chromogens — compounds with strong pigments that cling to enamel
Tannins — plant-based compounds that make it easier for stains to stick to teeth
Acids — these make tooth enamel softer and rougher, so it’s easier for stains to set in
Coffee, Tea, or Neither?

You probably think the main cause of darkened teeth in the U.S. is a drink you brew for yourself in the morning. After all, more than half of Americans drink coffee every day. You can tell from its color that it’s high in chromogens, and it’s very acidic. Together, these factors help turn white teeth yellow over time.

But it’s not the worst culprit. That would be tea, which nearly half your fellow Americans drink every day. Not only is it full of acid, it also has tannins.

“Tea causes teeth to stain much worse than coffee,” says Mark S. Wolff, DDS, PhD, professor at the New York University College of Dentistry. “Iced tea or brewed tea — it doesn’t matter.”

If you have coffee or tea only after Sunday dinner, you’re less likely to have stained teeth than if you drink three cups every morning.

“To really have that big of an effect, it’s really the frequency of intake that’s going to make the stain,” Cram says.

What’s In Your Glass?

Red wine can be good for your health, but it’s not ideal for a bright smile. Wolff says three factors work against it: It’s very acidic, it has lots of tannins, and — as its deep purple color suggests — it’s high in chromogens, which land on your teeth and stick to them quickly Wolff says.
White wine has both acid and, despite its color, some tannins. It doesn’t have its own color to stain teeth, but the tannins and acids make your teeth fair game for other types of stains. They’re more likely to be stained by a tomato, a blueberry, or a strawberry, Wolff says.

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Dental Health and Toothaches

Aesthetic Dental Clinique wants you to live pain free, we are located in Southfield Mi. Come and see us!

A toothache is a pain in or around a tooth that may be caused by:

Tooth decay
Abscessed tooth
Tooth fracture
A damaged filling
Repetitive motions, such as chewing gum or grinding teeth
Infected gums
Symptoms of a toothache may include:

Tooth pain that may be sharp, throbbing, or constant. In some people, pain results only when pressure is applied to the tooth.
Swelling around the tooth
Fever or headache
Foul-tasting drainage from the infected tooth
When Should I See a Dentist About a Toothache?

See your dentist as soon as possible about your toothache if:

You have a toothache that lasts longer than 1 or 2 days
Your toothache is severe
You have a fever, earache, or pain upon opening your mouth wide

Proper identification and treatment of dental infections is important to prevent its spread to other parts of the face and skull and possibly even to the bloodstream.

What Happens When I Go to the Dentist for a Toothache?

To treat your toothache, your dentist will first obtain your medical history and conduct a physical exam. He or she will ask you questions about the pain, such as when the pain started, how severe it is, where the pain is located, what makes the pain worse, and what makes it better. Your dentist will examine your mouth, teeth, gums, jaws, tongue, throat, sinuses, ears, nose, and neck. X-rays may be taken as well as other tests, depending on what your dentist suspects is causing your toothache.

What Treatments Are Available for a Toothache?

Treatment for a toothache depends on the cause. If a cavity is causing the toothache, your dentist will fill the cavity or possibly extract the tooth, if necessary. A root canal might be needed if the cause of the toothache is determined to be an infection of the tooth’s nerve. Bacteria that have worked their way into the inner aspects of the tooth cause such an infection. An antibiotic may be prescribed if there is fever or swelling of the jaw. Occasionally, phototherapy with a cold laser, usually in conjunction with another treatment, may be used to reduce the pain and inflammation associated with the toothache.

How Can Toothaches Be Prevented?

Since most toothaches are the result of tooth decay, following good oral hygiene practices can prevent toothaches. Good oral hygiene practices consist of brushing regularly with a fluoride-containing toothpaste, flossing once daily, rinsing once or twice a day with an antiseptic mouthwash, and seeing your dentist twice a year for professional cleaning. In addition to these practices, eat foods low in sugar and ask your dentist about sealants and fluoride applications.

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Dental Health and Teeth Grinding

Many people grind and clench their teeth. Medically referred to as bruxism, occasional teeth grinding does not typically cause harm. However, when teeth grinding occurs on a regular basis, it can damage the teeth and cause other oral health complications.

Why Do People Grind Their Teeth?

Although teeth grinding can be a byproduct of stress and anxiety, it often occurs during sleep and is most likely the result of an abnormal bite or crooked or missing teeth. Sleep disorders may also trigger teeth grinding (e.g., sleep apnea).

What are the Signs of Teeth Grinding?

Most people don’t know that they grind their teeth because grinding often occurs during sleep. However, a dull, constant headache or soreness in the jaw when you awake is an indication of bruxism. Sometimes, people learn that they grind their teeth from a loved one who may hear the grinding during the night.

If you are grinding your teeth, consult your dentist, and have your mouth and jaw examined for signs of bruxism, which include excessive wear on your teeth and tenderness of the jaw.

Why Is Teeth Grinding Harmful?

Sometimes, chronic teeth grinding can result in a fractured, loosened, or lost tooth. Also, chronic teeth grinding can wear teeth down to stumps. If any of these events happen, you may need bridges, crowns, root canals, implants, partial dentures, or even complete dentures to repair the damage.

Not only can severe grinding damage the teeth, but it can also result in tooth loss, affect your jaws, worsen or cause temporomandibular disorders and possibly even alter your face’s appearance.

What Can I Do to Stop Grinding My Teeth?

Talk to your dentists and get fitted for a mouth guard to protect your teeth from grinding as you sleep. However, if stress is the culprit of your teeth grinding, consult your dentist about options to alleviate stress. Participating in stress counseling, adopting an exercise program, working with a physical therapist, or using a prescription muscle relaxant are some of the possible options that may be useful. Also, if your teeth grinding is the result of a sleep disorder, treating the condition may reduce or eliminate the grinding.

You might also consider trying some of the following suggestions:

  • Avoid or reduce the intake of foods and drinks that contain caffeine (e.g., chocolate, coffee, and some sodas).
  • Avoid alcohol consumption. Grinding may intensify after drinking alcohol.
  • Do not chew anything that is not edible (e.g., pens and pencils). Also, avoid chewing gum because it causes your jaw muscles to become accustomed to clenching, making you more susceptible to teeth grinding.
  • You should train yourself not to grind your teeth or clench your jaw. If you notice that you clench or grind during the day, position the tip of your tongue between your teeth. This practice trains your jaw muscles to relax.
  • Relax your jaw muscles at night by holding a warm washcloth against your cheek in front of your earlobe.

Aesthetic Dental Clinique wants you to enjoy healthy teeth for life. If you think you may be grinding your teeth, schedule an appointment and visit our family dental locations in Southfield or Detroit, Michigan.

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Whitening Your Not-So-Pearly Whites

Aesthetic Dental Clinique wants you to enjoy healthy teeth for life, we are located in Southfield Mi. Come and see us!

Your pearly whites not so pearly anymore? That can happen to any of us, for any number of reasons. The good news is that you don’t have to live with a smile you’re less than happy with. Tooth whitening can restore your teeth to their earlier brightness. But given the number of options and the cost and time involved with each one, how do you know which one is right for you?

As we age, the outer layer of enamel on our teeth is worn away, eventually revealing the darker tissue underneath, at the center of the tooth around the nerves and blood vessels. Our teeth may also become discolored from smoking, from drinking coffee, tea, and wine, and even from taking certain medications as a child such as tetracycline.

“It’s like wearing a great outfit or wonderful accessory,” says Wynn Okuda, DMD, national president of the American Academy of Cosmetic Dentistry (AACD). “Having your teeth whitened makes you feel good.”

Almost everyone wants whiter teeth these days, adds Melissa Ing, DMD, associate professor of prosthodontics at the University of Connecticut Health Center. “It’s the number one aesthetic concern of my patients,” she says.

Ing is not alone in noticing the upsurge in requests for a brighter smile.

That may be because it’s fairly easy to accommodate those requests, says Ing. “Tooth whitening or bleaching works for most people and my patients who have done it are happy with the results.”

Two Ways to Tooth Whitening

Tooth whitening can be achieved in two ways. A product can bleach the tooth. That means it actually changes the natural tooth color, usually anywhere from five to seven — but even up to twelve — shades brighter, which is how dentists assess tooth color. Bleaching products contain peroxides that help remove both deep and surface stains. The second whitening process uses non-bleaching products that work by physical or chemical action to help remove surface stains only.
A newcomer to the world of tooth whitening is known as chairside bleaching. This may require more than one visit, with each visit lasting 30 to 60 minutes. During chairside bleaching, your dentist applies either a protective gel to your gums or a rubber shield to protect the soft tissues in the mouth. A bleaching agent is then applied to the teeth, and a special light may be used to enhance the action of the agent.

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Wisdom Tooth Extraction

Aesthetic Dental Clinique, located in Southfield Michigan, can help you with your wisdom teeth!

Surgery Overview

An oral and maxillofacial surgeon or your dentist can remove (extract) a wisdom tooth. The procedure often can be done in the dentist’s or surgeon’s office. You may have the surgery in the hospital, especially if you are having all your wisdom teeth pulled at one time or if you are at high risk for complications.

If you have any infections, surgery will usually be delayed until the infection has cleared up. Your doctor or dentist may have you take antibiotics to help heal the infection.

Before removing a wisdom tooth, your dentist will give you a local anesthetic to numb the area where the tooth will be removed. A general anesthetic may be used, especially if several or all of your wisdom teeth will be removed at the same time. A general anesthetic prevents pain in the whole body and will cause you to sleep through the procedure. Your dentist will probably recommend that you don’t eat or drink after midnight on the night before surgery so that you are prepared for the anesthetic.

To remove the wisdom tooth, your dentist will open up the gum tissue over the tooth and take out any bone that is covering the tooth. He or she will separate the tissue connecting the tooth to the bone and then remove the tooth. Sometimes the dentist will cut the tooth into smaller pieces to make it easier to remove.

After the tooth is removed, you may need stitches. Some stitches dissolve over time and some have to be removed after a few days. Your dentist will tell you whether your stitches need to be removed. A folded cotton gauze pad placed over the wound will help stop the bleeding.

What To Expect After Surgery

In most cases, the recovery period lasts only a few days. Take painkillers as prescribed by your dentist or oral surgeon. The following tips will help speed your recovery.

Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call your dentist or oral surgeon if you still have bleeding 24 hours after your surgery.
While your mouth is numb, be careful not to bite the inside of your cheek or lip, or your tongue.
Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
Try using an ice pack on the outside of your cheek. Apply for 15 to 20 minutes at a time for the first 24 hours. You can use moist heat-such as a washcloth soaked in warm water and wrung out-for the following 2 or 3 days.
Relax after surgery. Physical activity may increase bleeding.
Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.
Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing.
After the first day, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain. You can make your own salt water by mixing 1 tsp (5 g) of salt in a medium-sized glass [8 fl oz (240 mL)] of warm water. Do not rinse hard. This can loosen the blood clot and delay healing.
Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot and delay healing. Also, smoking decreases the blood supply and can bring germs and contaminants to the surgery area.
Avoid rubbing the area with your tongue or touching it with your fingers.
Continue to brush your teeth and tongue carefully.
Your dentist will remove the stitches after a few days, if needed.

Why It Is Done

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. Some of the problems that can occur when wisdom teeth come in are:

Your jaw may not be large enough for them, and they may become impacted and unable to break through your gums.
Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can get trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection.
More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or a cyst.
One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.
How Well It Works

Wisdom tooth removal usually is effective in preventing:

Crowding of the back teeth.
A wisdom tooth becoming stuck in the jaw (impacted) and never breaking through the gums.
Red, swollen, and painful gums caused by a flap of skin around a wisdom tooth that has only partially come in.
Gum disease and tooth decay in the wisdom tooth, which may be harder to clean than other teeth, or in the teeth and jaw in the area of the wisdom tooth.

After a wisdom tooth is removed, you may experience:

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Dental Bridges

Dental Bridges 101: What You Should Know

Dental bridges are created to “bridge” a gap between one or more missing teeth. A bridge is made of two or more crowns for the teeth on either side of the gap (also known as abutment teeth) and a false tooth (or teeth) in between. The false teeth, known as pontics, are typically created from various materials, including gold, alloys, porcelain, or a combination. Natural teeth or implants support dental bridges.

Some people turn to bridges to restore their smile as well as their ability to chew and speak if they have any missing teeth. Dental bridges can also help maintain the face’s shape for someone who is missing teeth, while distributing the pressure of one’s bite properly and replacing those missing teeth. Furthermore, dental bridges are used to keep the teeth from shifting position in the mouth.

Three Types of Dental Bridges

  1. Traditional bridges are the most common type, created with either porcelain combined with metal or ceramic. This kind of bridge requires a crown for the tooth or an implant on the sides of the lost tooth, and a pontic is added in the middle.
  2. Cantilever bridges are used when there are adjacent teeth on only one side of the missing teeth. This uncommon method and is not suggested for teeth in the back of the mouth where it can cause too much pressure or damage on other teeth.
  3. Maryland bonded bridges are also known as resin-bonded bridges or Maryland bridges. They are most commonly created with porcelain, porcelain fused to metal, or plastic teeth and gums supported by a porcelain or metal framework. Porcelain or metal wings (sometimes on just one side of the bridge) are bonded to your natural teeth.

About the Process

During your initial visit, your dentist will prepare an abutment and re-contour your teeth by removing a portion of the enamel to create room for the crown to be placed on them. After that, impressions of the teeth are taken as a model to form the bridge, pontic, and crowns inside the dental lab. You may be asked to wear a temporary bridge to protect the exposed teeth and gums while your bridge is being created.

During your follow-up visit, the temporary bridge will be removed, and the new bridge (typically made of porcelain or metal) will be adjusted as necessary to achieve the right fit for your mouth. Sometimes, multiple visits are needed to check and adjust the fit of the framework and your bite.

Do you have questions that we didn’t cover here about dental bridges and the details of this procedure? Contact Aesthetic Dental Clinique at our Southfield or Detroit offices for more information.

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