European Stars And Stripes (Newspaper) - October 27, 1987, Darmstadt, Hesse                                Cosmetic dentistry brings new smiles by Warren Berger new York times oing into the 1980s, Tho denial Industry in the United slates appeared headed for some trouble brought on ironically by its own achievement in helping to reduce Loolah decay by 50 percent in two decades. But just As Tho need for irad Lional dental work declined cosmetic dentistry began to nourish. Today More than 80 percent of the nation s 130.000 a enlists do cosmetic work and Many report it in the fastest i owing part of their practice. 7 hero Aie no definitive numbers on the size of the eos Molic dentistry business the american denial association does t distinguish cosmetics from general dentistry. But Ronald Goldstein a professor .11 Tho medical College of Georgia and author of change your smile. Estimates that nearly half of the Donial Industry s $32 tuition m annual revenues is generated by dental treatment that is in some Way cosmanic. According to Jeffrey Morley president of the american Academy of cosmetic dentistry a enlists do three limes As much cosmetic work As five years ago that increase has come about largely because of tha availability of better materials. Most notable among them Are porcelain laminates thin porcelain veneers thai Are slipped Over existing Teeth and bonded into place. There Are restrictions to prevent Chipping patients Are advisor no to bile their nails or gnaw on spareribs. Bui most dentists say Hal with minimal care tha laminates Are durable and virtually in detectable five years ago i Only did about 10 percent of my business in cosmetics said new York dentist Mark Mergler. Back then. I did t think the bonding that was available was reliable. But porcelain laminates opened up a whole now bal Gartte and now cosmetics is almost half my  according to Michael Lyon product manager of Den mat corp., a leading manufacturer of porcelain laminates the use of porcelain laminates is generating up to $250,000 a year in revenues for dentists who average 10 treatments a month. Dert Lisis typically laminate 4 to 6 Teeth. At $300 to Isoo a tools or higher studies show nearly half of the country s a enlists Are installing porcelain laminates. Most dentists in the United slates also continue to co composite resin bonding which is less expensive removing cavities without dring the carides system it designed to remove tooth decay through chemical processes. It greatly reduce the use of drilling and Anat Hesia Lor lilting Teeth. The Pracki a can to fwd on Fly Deir Jan of tools. Here  11110�vlty thl u continuing to erode it being railed. A Imil hot 1� my in the Wal Row repair by Uluig Bur. Tin ont lit then determine mow much cart Dex solution it needed the solution. Which hat no effect on healthy tooth enamel dispensed onto me decayed area by using a special tool. Than porcelain laminates but is also considered less durable. Another popular cosmetic dental treatment in America today is bleaching a chemical treatment which whitens icel at a Cost of $100 to $200 a treatment. Who s gelling All this work done entertainers and politicians of course. But what s now. Goldstein said is thai people not in the Public Eye Are coming around men in particular. Males now account for 40 percent of cosmetic patients he said up from around 20 percent a few years ago. Soma cosmetic dentist boast that they cart do in three hours what it takes an orthodontist three years to do which is not necessarily so. Frank Faunce research director at trend research Institute in Atlanta and an Ada spokesman in cosmetic dentistry cautioned against instant  patients with very uneven Teeth he Saiol really need orthodontic work instead of building  porcelain has been used by dentists for decades but it was Only a few years ago thai porcelain veneers and the bonding techniques to secure hem to existing Teeth were fully refined when that happened the denial cosmetics business took Oji. This year american manufacturers will sell More than 300.000 porcelain laminates for about $20 million according to the Den mat corp. In Santa Maria Calif. Porcelain May be the material of Choice Lor now. But denial cosmetic ans Are always Hunting or in or John Kanca s Case baking to create a boiler Bond. Kanca who practices in Middlebury. Cl., uses Ceramic particles in a resin base to form Caps and Bridges. After being Farmed in the Mouth the Caps Are baked in an oven for seven minutes. The result according to Kanca is Caps thai Are at least twice As Strong As porcelain laminates Al about half the Price. A enlists can do baked bonding on premises if they Nave a specially designed oven which costs about $1,000. Kanca is investigating less expensive alternatives. People Are going to laugh a this he said but there is a possibility hat this process could be done in a toaster oven while Kanca is working Wilh ovens. Or. Jeff Golub of new York has developed a patented silk bonding process tha he says increases bonding strength by 300 percent it is also about 25 percent More expensive than regular bonding. Faunce of the Ada acknowledged that Ifie baking technique used by Kanca and others does strengthen composite materials but the improvement is not that  As for Golub s silk bonding Faunce said. I see no reason Why that process would t work " Faunce added that he strongest crowns and veneers available Are made of pure Ceramic and produced by dents ply International of York. Pa., which developed the technology with Corning Glass. I suspect Ceramic will become the material of Choice in the next few years he said. Another new process is eliminating the need for bonding in certain cases. In the past a enlists used bonding to cover discoloured Teeth now they Are simply applying  afr Vii Ini i a i i. .7 reported no ill a flecks Faunce cautions thai occasionally discoloration Hal has been bleached away will reappear Over time in one problem Jor cosmetic dentists has been that Jonh ? f Riad Marr a professor at the University of Southern Cal Forna has installed a computer system in is office thai allows patients to see. In Advance How they might look after dental cosmetic work the system consists of a video camera an electronic c. Usra Cosmerle changes onscreen by whitening Teeth closing gaps or smoothing rough edges Aee sup ised to see a a their smile Page 16 the stars and stripes tuesday october 27, 1 987