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Bonding Gallery

Bonding is a process used to restore chipped, discolored, and misshapen teeth in a single visit. The results are very natural in appearance, but bonding does take more maintenance than porcelain veneers and may not last as long. Less tooth structure needs to be removed, which makes bonding a more conservative choice for some cases.


bonding_00_before

BEFORE | This tooth has a developmental defect, which is called a peg lateral. This only occurs in the lateral teeth, one tooth away from the centerline of the mouth on each side. There is nothing wrong with the tooth but the patient wanted to have it treated for cosmetic reasons.
bonding_00_after

AFTER | The treatment consisted of shaping the tooth with a composite material to make it look more natural. 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.

bonding_01_before

BEFORE | This is an old tooth-colored filling that has been in place for many years and needs to be replaced because of discoloration as well as wear. The wear may allow bacteria to enter and cause decay if the filling is not replaced.
bonding_01_after

AFTER | 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.

bonding_02_before

BEFORE | This patient was unhappy with the space between two of her teeth. This was the result of a periodontal (gum) defect between the teeth.
bonding_02_after

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

bonding_04_before

BEFORE | This patient was unhappy with two issues: the space between her upper front teeth and the different heights of the gum tissue above her teeth, which made the teeth appear to be of different lengths.
bonding_04_after

AFTER | Step one of her treatment was to even out the height of the gum tissue. After healing, which took several weeks, the space, which dentists call a diastema, was closed using composites bonded to her teeth. The total number of treatments was two; one for the gum tissue and one for the bonding and the result was exactly what the patient had in mind.

bonding_05_before

BEFORE | The lateral, or side tooth, had an old tooth-colored filling that was showing its age. Older composites were much more porous than the newer composites and, therefore, they show more discoloration over time.
bonding_05_after

AFTER | In one office visit, the old filling was removed and replaced with new composite bonding material. The result is a much more natural appearance.

bonding_06_before

BEFORE | This patient did not like the natural gap between his two front teeth.
bonding_06_after

AFTER | Composite bonding was placed in one office visit. Bonding takes periodic touch-ups to keep it looking like new.

bonding_07_before

BEFORE | The dark areas on the teeth are indicative of severe decay caused by neglect. All of the decay must be removed before any restoration of the teeth can begin.
bonding_07_after

AFTER | After all the decay was removed, the teeth were restored with composite bonding in one appointment. The ideal treatment plan would have been to place porcelain crowns, but it was not an option due to the patient’s finances. The patient was very happy with the results.

bonding_08_before

BEFORE | This patient was not happy with the color of her teeth. She also disliked the worn edges of her top teeth, related to her teeth-grinding habits.
bonding_08_after

AFTER | First, the patient’s teeth were lightened with an at-home whitening process. When she was satisfied with the color, composite bonding was added to the edges to restore the natural tooth structure that was lost due to grinding.

bonding-03-before

BEFORE | This patient had severely chipped teeth and wanted them fixed as soon as possible. The options were porcelain veneers, porcelain crowns, or composite veneers. One of the advantages of bonding is that it can usually be completed in one visit.
bonding-03-after

AFTER | The patient chose to go with the composite veneers, which are hand sculpted and bonded in place, because they were the least expensive treatment option. They do have the shortest life expectancy and need periodic polishing, but if they properly cared for, they can last for many years.

bonding-09-before

BEFORE | There are several issues with this patient’s teeth. He is a heavy grinder, which causes the edges of the teeth to chip away and the wear patterns 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 (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 may be caused by grinding or by brushing too hard.
bonding-09-after

AFTER | 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 the composite and the tooth structure. The results were very good when compared to the before images. The patient did not want the space closed.
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Mirelez Wellness Dental
Jose Arthur Mirelez, Jr., DDS, FICOI, FAGD
5492 N Palm Ave Ste B
Fresno, CA 93704
Call: 559-435-3113559-761-1871
Fax: 559-435-5785
Testimonials
  • Unusual situation, needed repairs to an implant. Dr. Miralez and the whole staff went out of their way to be sure to address some issues which could have been dangerous if left untreated. This practice always endeavors to provide the best for their patients.
    —Charles T.
  • My experience was great. They were very nice and gentle and they would also let you watch T.V. while they work on you. Also, they would always greet you with a smile.
    —Adrien P.
  • I am completely happy with my experience. Even though I have moved to Carmel, I continue to drive to Fresno because of the friendly staff and excellent service.
    —Kim B.
  • A friendly and enjoyable experience. This office is the best. They strive to provide something beyond ordinary and elevate it all to extraordinary.
    —Jesse T.
  • I refer everyone I meet who is looking for a dentist. Great staff and always so courteous. I appreciate all that you do.
    —Madeline M.
  • It was very refreshing to have the treatment explained along with a comprehensive estimate provided.
    —Grady M.

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