Mark A. Cruz, DDS understands every patient has different needs and goals for treatment. Dr. Cruz and his team are equipped to offer services ranging from customized home or in-office professional whitening for modest stain correction to full-mouth rehabilitation or reconstruction, which combines procedures such as porcelain veneers and dental implant-supported teeth to improve function and comfort as well as the appearance of your smile.

For patients in Orange County and the surrounding areas who are considering services primarily for cosmetic reasons or for functional reasons with a cosmetic benefit, Dr. Cruz also offers the following procedures in addition to the treatments noted above:

  • Composite resin bonding
  • Tooth-colored fillings
  • Lifelike conventional and non-conventional bridges
  • Porcelain or porcelain-fused-to-metal (PFM) crowns

Please note: This is only a partial list. Dr. Cruz will discuss options for treatment once he examines your mouth and discusses goals for treatment with you.

Cosmetic dentistry has come a long way, yet some patients may still think of dental procedures as what they were decades ago, prior to advancements in dental materials and techniques. Dr. Cruz is happy to clear up these misconceptions, by answering some commonly-asked questions.

Do dental fillings still look like dark silver or black spots on people’s teeth?

Many materials are available today to fill decayed areas and rebuild tooth structure. These materials include:

  • Gold
  • Silver amalgam
  • Composite
  • Ceramic
  • Glass ionomer

Each material has its pros and its cons. A material your family member or friend prefers may not be recommended for you, depending on factors such as the location of the tooth and personal budget. Dr. Cruz makes it a priority to educate each patient on the risks and benefits of all materials.

I’ve heard about inlays and Onlays? What are they exactly?

These types of fillings (or restorations as they are also known) are similar to other types of fillings. The difference is they are fabricated in dental laboratories, which is similar to the approach taken when creating a customized dental crown. Since information about your mouth must be sent to an outside lab, where lab technicians make them, inlays and Onlays require 2 visits:

  • The first appointment – Tooth preparation and planning, including rendering a mold or model of the tooth and surrounding teeth
  • The second appointment – Placement of the inlay or Onlay

During the second visit, Dr. Cruz will also check the fit of this structure. If an inlay is what you need, it will lie within the cusps of the chewing surface of the tooth. Onlays are placed on the chewing surface and over the cusps or tips of the teeth. While a more significant alternative to a filling, these approaches are less aggressive than the conventional crown, which is considered full coverage for patients who have more damage to the tooth structure.

Inlays and Onlays, as well as some of the other procedures mentioned here depend on the current state of health of your mouth as well as aesthetic preferences and considerations. Call (949) 661-1006 to schedule an appointment and discuss these concerns with Dr. Cruz.

Full Mouth Rehabilitation Before and After 1

Full Mouth Rehabilitation Before and After

Diagnostic Wax up Prior to Treatment - front view

Diagnostic Wax up Prior to Treatment

Diagnostic Wax up Prior to Treatment

Diagnostic Wax up Prior to Treatment

Diagnostic Wax up Prior to Treatment 02

Diagnostic Wax up Prior to Treatment

Before and After 05

Before and After

Before and After 06

Before and After

Before and After 07

Before and After

Before and After 08

Before and After

Before and After 09

Final Smile

Silver Filling Replacement Before and After

1-Silver Filling Replacement before & after & side view

Silver Filling Replacement Before After

1-Silver Filling Replacement BEFORE | 2-Silver Filling Replacement AFTER

Placement of Porcelain Crowns

1-Removal and clean out of old filling material and crown. | 2-Restoration of 1st molar with ceramic onlay and new porcelain crown on 2nd molar. | 3-Failing composite (tooth colored) filling on lower first molar & decay under existing porcelain crown on 2nd molar

Chipped tooth treatment pictures

1 – Chipped tooth isolated with rubber dam ready to be restored with cosmetic bonding | 2 – Preparation of chipped tooth for bonding | 3-Initial restoration of chipped tooth with composite bonding

Final result of chipped tooth restored with cosmetic bonding

Final result of chipped tooth restored with cosmetic bonding

Note old tooth colored restorations

Note old tooth colored restorations

Patient smile with old tooth colored restorations. Note worn, shortened teeth

Patient smile with old tooth colored restorations. Note worn, shortened teeth

Teeth after old tooth colored restorations removed prior to re-restoration

Teeth after old tooth colored restorations removed prior to re-restoration

Restored teeth to appropriate length and proportion with tooth colored restorations

Restored teeth to appropriate length and proportion with tooth colored restorations

Patient presents with dissatisfaction with her smile

Patient presents with dissatisfaction with her smile

Note lack of lip support and inadequate display of teeth

Note lack of lip support and inadequate display of teeth

Measurement of teeth on diagnostic casts to determine appropriate length, display and proportion

Measurement of teeth on diagnostic casts to determine appropriate length, display and proportion

Cast of duplicated diagnostic wax up showing increased length of teeth

Cast of duplicated diagnostic wax up showing increased length of teeth

Full mouth diagnostic wax up on dental articulator instruments which mimics jaw movements

Full mouth diagnostic wax up on dental articulator instruments which mimics jaw movements

Image of upper jaw diagnostic wax up

Image of upper jaw diagnostic wax up

Image of lower jaw diagnostic wax up

Image of lower jaw diagnostic wax up

Image of upper jaw diagnostic wax up side view

Image of upper jaw diagnostic wax up side view

Diagnostic wax up of front teeth side view

Diagnostic wax up of front teeth side view

Image of diagnostic wax up showing overlap and overjet relationship of front teeth

Image of diagnostic wax up showing overlap and overjet relationship of front teeth

Diagnostic wax up showing tooth cusp and fossa relationship of posterior teeth, side view

Diagnostic wax up showing tooth cusp and fossa relationship of posterior teeth, side view

Posterior view of relationship of upper and lower teeth (cusp-fossa relationship)

Posterior view of relationship of upper and lower teeth (cusp-fossa relationship)

Image of diagnostic wax up showing overlap and overjet relationship of front teeth

Image of diagnostic wax up showing overlap and overjet relationship of front teeth

Diagnostic wax up showing tooth cusp and fossa relationship of posterior teeth, side view

Diagnostic wax up showing tooth cusp and fossa relationship of posterior teeth, side view

Posterior view of relationship of upper and lower teeth (cusp-fossa relationship)

Posterior view of relationship of upper and lower teeth (cusp-fossa relationship)

Note appropriate lip support and natural appearance of ceramics

Note appropriate lip support and natural appearance of ceramics

Note esthetic display of teeth with patient in rest position

Note esthetic display of teeth with patient in rest position

Patient smile prior to diagnostic work up

Patient smile prior to diagnostic work up

Patient smile after completed treatment

Patient smile after completed treatment