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.

Joe came into the office with two broken front teeth that were the result of an accident.

The treatment consisted of shaping the teeth to look like a natural teeth 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 these restorations 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.

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 one tooth look shorter than the other.

Step one of her treatment was to even out the height of the gum tissue. After that healed, which took a 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.

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 discolored more over time.

In one office visit, the old filling was removed and replaced with new composite bonding material. The result makes it appear as if the tooth is very natural.

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.