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Ask the Expert: Dr. Dan Truono Q&A Topic: Cosmetic Dentistry

Before performing treatment at Dental Associates P.A., owner Dr. Dan Truono first considers what he calls the WIDIOM Rule. “Would I do it on me?”. He explains, “This approach allows us to treat each patient as an individual and ensure that we’re doing what’s best for them and their dental health.” Specializing in cosmetic dentistry for more than three decades—everything from preventive care to rehabilitative procedures—“Dr. Dan” also makes creating an open dialogue in a calming, comfortable atmosphere for patients, a top priority. Here, he shares some of the latest technologies in his field, plus how to find what works best for your needs.

What is cosmetic dentistry?

Enhancement of your teeth and smile, which can be much more pleasing through teeth whitening, orthodontia, porcelain veneers or crowns, implants, periodontal surgery and oral maxillofacial surgery. A surgeon would provide the latter, but we help coordinate treatment through our office.

What are the latest tools and technologies for achieving an optimal smile?

In dentistry, creating mouth impressions has come a long way since putty and trays. For almost 20 years, we have utilized CEREC (Chairside Economical Restoration of Esthetic Ceramics) technology that allows us to scan your teeth to make veneers, crowns and inlays/onlays from ceramic material, in as little as two hours. In addition, through specialized digital photography, we can show the patient a 3D virtual diagnostic mock-up of what their smile will look like post-treatment. We have designed and delivered Smile Makeovers with as many as 14 crowns in one day for our patients. Other technologies, such as CBCT (Cone Beam Computed Tomography) scans, now help dentists get a more accurate shape of the jaw through 3D imaging. This can be used for everything from TMJ and airway (sleep apnea) evaluation to bone grafting and implant placements.

Are clear liners as effective for straightening teeth as traditional wire braces?

Clear liners have improved a lot in 25 years! They are acceptable for most people who need teeth straightening. Dentists and orthodontists can evaluate patients with spacing or bite issues. As I often say, “You can’t park a Mack truck in a garage—you need space.” The sample applies to the teeth and braces. Many times, patients will need prep work that can only be done in a dentist or orthodontist’s office. We’ll first do a scan to determine what needs to be done and at what rate. Speeding up movement can cause root resorption of the tooth, which can lead to more serious problems, including tooth loss.

What should I consider when choosing a cosmetic dentist?

In addition to schooling and certification, nothing beats years of experience, reputation and reviews. During your initial consultation, ask to see before/after smile photos. You want to see cases the dentist has already done.

Who is a candidate for veneers?

Do you like the shape and position of your teeth? If so, then teeth whitening may be all you need. Your dentist can provide a custom tray and top-grade tooth whitening. If you are unhappy with the way they look, then I recommend resin bonding, porcelain veneers or crowns. Veneers are attached to one side of the tooth, while the crowns cover the tooth circumferentially. These can be done on healthy teeth, with conservative tooth preparations, and will change the whole look of your smile.

And a good smile can be lifechanging. Don’t let the world change your smile—let your smile change the world!

For information and to schedule a consultation, visit

 Dental Associates
2300 Pennsylvania Ave., Suite 6 C-D
Wilmington, 19806

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