Bonding is a way to restore chipped, discolored, and poorly shaped teeth in a single visit. The results are very natural but bonding does take more maintenance than porcelain veneers and does not tend to last as long. However, less tooth structure needs to be removed, which makes it a more conservative choice for some cases.

This tooth has a developmental defect, which is called a "peg lateral." This only happens to the lateral teeth, which are one tooth away from the centerline of the mouth. There is nothing wrong with the tooth but the patient wanted to have it treated for cosmetic reasons.

The treatment consisted of shaping the tooth to look like a natural lateral tooth with a composite material. This procedure took one appointment and was done without any anesthetic. Periodic polishing will help maintain the shine and luster of this restoration for many years.

This is an old tooth-colored filling that has been in service for many years and needs to be replaced because of the color and because bacteria can enter the tooth due to the filling wearing out.

The filling has been replaced with a newer tooth-colored filling that should last for many years. This restoration was completed in one office visit.

This patient was unhappy with the space between two of her teeth. This was caused as a result of a periodontal (gum) defect between the teeth.

Composite, which is tooth colored material, was bonded to both of the teeth. This procedure took one office visit. The result was a more esthetic appearance and it gave the patient confidence to smile again.

There are several issues with this patient's teeth. He is a heavy grinder, which is what causes the edges of the teeth to chip away, and the grinding is what causes the wear patterns you can see in the lower image. The yellowish area is the second layer of tooth structure, which is the dentin. The dentin is much softer than the outer layer of tooth, which is enamel. If you look closely at the top image, you will also see that the teeth are starting to wear away at the gum line, which can be caused by grinding or it can be caused by brushing too hard.

The treatment consisted of composite bonding at the gum line, at the edges of the teeth, and on the inside as well as making a nightguard to protect not only the composite but the tooth structure as well. The results were very good when compared to the before images. The patient did not want the space closed.