Extensive restorative and aesthetic dentistry

As our name suggests, a healthy mouth remains the foundation. In a healthy mouth, we can create a beautiful smile. Dentist Peter van der Eerden specializes in comprehensive restorative and aesthetic dentistry.

From a chipped corner or discolored filling to a complete makeover, you can turn to him. Setting the right expectations is important for a good result and satisfaction. During a consultation, the dentist listens to your wishes or concerns, and X-rays and/or photographs may be taken. Subsequently
He discusses the options, including the advantages and disadvantages, the estimated costs, and the next steps. Together, you choose the desired option.

For extensive restorative work, a scan can be made for a trial setup. Using a type of mold, the shape of the teeth from a dental model can be transferred into the mouth, so that you can, as it were, try on the new teeth.

Teeth are often restored with composite filling material (GC G-aenial Injectable and A'chord) in dozens of different colors. We leave as much tooth material intact as possible. We only drill away the old filling material, cavities, or discoloration. We prefer not to damage healthy enamel and dentin.

Sometimes veneers, crowns, or onlays are necessary. After preparing and scanning the teeth, they are made in Bunnik by our skilled dental technicians (Yorgos de Soeten and Emma Kraniotachi) from Dental Keramiek. Thanks to this close collaboration, the dental technician can match the crown or veneer to the correct color right here at our practice.

When making porcelain veneers, we also leave the tooth as intact as possible. Sometimes a porcelain veneer can be placed without drilling (non-prep veneer), while other times some tooth tissue needs to be removed. Naturally, we discuss this with you in advance.

In terms of appearance, we prefer to work as naturally as possible. So, no perfectly straight, pearly white teeth, but a natural color gradient with perhaps some imperfections. After all, the greatest compliment is when no one notices what we have restored.

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The small teeth, barely visible while speaking, bothered the patient. When smiling broadly, she found the gaps bothersome and desired lighter teeth. We considered orthodontic treatment to close the gaps and whiten the teeth. Since this does not increase the visibility of the teeth, we decided to build up the existing teeth using composite filling material. We created a Digital Smile Design: a plan based on photographs showing how the teeth will look on the face. The dental technicians create a model from this. Using a mold, we transferred this to the mouth with temporary filling material so that we can assess the shape, color, and dimensions of the teeth. We make adjustments during this fitting phase. Using a new mold, we built up the teeth with permanent composite (filling material). A major advantage of this treatment strategy is that we can plan and perfect the shape of the teeth without drilling into the healthy teeth, and can "fit" the new appearance.

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The patient found the large black space between the middle front teeth and the discolored edges of the fillings bothersome. We removed the old filling material and replaced it with new composite filling material. We widened the middle teeth at the base with filling material. Because we only had to drill away the old filling material, we were able to leave healthy enamel intact and visible.

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As a child, the patient had fallen on her front teeth, causing a piece of her left incisor to break off. She did not like the appearance of the replacement piece. She also wished to have somewhat lighter teeth. The patient bleached her teeth at home using custom-made trays. Using a tray, she first bleached only the left front tooth, which was darker than the rest. Once her teeth were the same color, she bleached all her teeth. The dental technicians made a mold so that we could optimally restore the shape of the left incisor. After removing the old filling material, we built up the tooth to the correct shape and color using the mold. An additional challenge in this case was the bumpy and ribbed enamel surface of her own teeth. We managed to make the surface of the composite resemble this as closely as possible, as the light reflection beautifully demonstrates.

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The patient regularly noticed pieces of her teeth chipping off. There was excessive wear on the cutting edges. The enamel top was gone, exposing the softer dentin and causing the wear to accelerate. Without drilling, but only by etching the surface with an acid, it was roughened to ensure sufficient adhesion. The wear was repaired and the fracture line filled using filling material. The patient also wanted the dark triangle between the front teeth reduced, which we achieved by slightly widening the teeth at the base. We made a night guard to inhibit wear caused by teeth grinding.

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The patient was concerned because he noticed his teeth wearing away increasingly. There was indeed significant wear on the cutting edges and at the necks of the teeth. The patient also wanted a "fresher" smile. First, we bleached the teeth to create a lighter base. Dental technicians made molds on dental models that allowed us to fit the restoration of the wear in the mouth using temporary filling material. After a few refinements, the definitive filling material was placed using modified molds. Very light drilling was performed only at the neck of the tooth to remove the worst discoloration; otherwise, all healthy tooth tissue could remain intact. To prevent further wear, a night guard was made.

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The patient found the discolored edges of the fillings in the front teeth bothersome; he considered the too-light crown on the left front tooth the worst. There were two options: replace the crown with a darker one or whiten the other teeth. The patient chose the second option because he wanted everything to be a bit lighter, it was more financially advantageous, and the treatment would be less invasive. After whitening, the crown and the teeth matched well again, and the old fillings were replaced with new ones.

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The patient found the serrations and V-shape of his front teeth unattractive. Only the sharpest corners were slightly rounded with a drill to create a smoother transition from tooth to filling material; the rest of the enamel remained intact. Subsequently, the shape of the teeth was restored by hand using filling material. Not only does this give a more attractive and natural appearance, but further wear on the teeth, which could cause greater problems in the future, was also prevented because the teeth are better sealed.