Durham Cosmetic Dentistry

Prosthodontic and Family Care

Bill Gates, DDS, MS, PLLC

Bill Gates, DDS, MS,
3622 Shannon Road
Suite 101
Durham, NC 27707
HomeNew PatientsOur StaffServicesOur OfficeContact Us


Prosthodontics combines art and science to restore esthetics, phonetics and function.

Esthetics: A natural and pleasant appearance to your smile is essential. Many materials including porcelain and acrylic resin are available to replace missing or severely worn teeth. These materials can be shaped and characterized to look like your old smile or like a new one!

Phonetics: Careful planning is required to place teeth in a position to restore proper speech. Clinical assessment will indicate where the best position is for each patient.

Function: Restoring your ability to chew is dependent upon understanding how healthy jaw joints (TMJ) work. When your jaw joints and teeth work in harmony, your ability to chew is enhanced.



There are many treatment options to help you improve your smile. A thorough understanding of your current dental condition and desired treatment goals will define what works best for each individual patient. Click on any of the following treatment items to learn more. You can also explore the American Dental Association web site for additional information

All Ceramic Crowns have gained popularity among patients because they have no metal component that can show at the gum line. They have gained acceptance among clinicians in recent years due to their increasing reliability. Back to List

Diagram of a crown
All Ceramic Crown

Porcelain Fused To Metal Crowns have proven their service for decades. Porcelain is baked onto a metal coping or substructure. The porcelain is shaped and colored to match your other teeth. Back to List

Diagram of a crown
Porcelain Fused to Metal Crown

Bridges are used to replace one or more missing teeth. This method of tooth replacement has very predictable, long term success rates. Most bridges have porcelain baked onto a metal substructure. Some bridges are made completely from tooth colored materials. In both cases the porcelain is shaped and colored to match your other teeth. Back to List

Link to:

Veneers or laminates are thin porcelain coverings that are bonded to tooth surfaces. Veneers have the benefit of improving tooth color without having to remove or reduce much of the natural tooth. If your teeth are in good condition, but you are not happy with their appearance, this may be a good treatment option for you. Back to List

Link to:

Implant Restorations. Once the dental implant has healed in the bone, restoration of the implant begins. This is accomplished many different ways, depending upon patient needs. In the simplest situation, one implant replaces one missing tooth. A crown is fabricated and attached to the dental implant - usually in two visits.

When many teeth are missing, multiple implants can support bridges or be used to stabilize overdentures. Back to List

Link to:
Dentsply Implants

Teeth Whitening is simple and fun. You can whiten or lighten your teeth immediately with an in office procedure using the Zoom Whitening System. A concentrated whitening material is placed on the teeth and monitored by the Doctor. Results can be seen in 30 minutes to an hour.

The most common method of whitening your teeth is through using custom fitted trays at home for two weeks.Two short visits are required for this method. First, molds of your teeth are made. Our laboratory makes flexible trays from these molds. At the second visit you are provided the trays, whitening gel and instructions for use. In as little as 30 minutes a day for two weeks, you can have lighter teeth. These same trays can be used later to "touch up" your smile for special occasions. Back to List

Link to:

Tooth Colored Fillings, or bonding, may be the most notable improvement in dental treatment since the development of the porcelain crown. A tooth colored filling (also called composite resin) can be used in back teeth as well as front teeth. Teeth damaged by decay or trauma can be repaired to look just like the natural tooth. Many people have their older silver fillings replaced to enhance their smile. Back to List

Silver and Tooth Colored Fillings
Silver filling replaced with composite resin.

Silver Fillings, or amalgam fillings, are an excellent, durable material with a very long history of clinical success. They hold up well under the extreme biting pressure created by molars. Amalgam fillings are typically a less expensive treatment option. Back to List

Full Dentures, or complete dentures, replace all the teeth in the upper or lower jaw. A series of five appointments are needed to fabricate a custom made set of dentures. Tooth color, shape and position are all selected with the help of the patient. Dentures can be the answer to treating seriously damaged and discolored teeth. If you require a complete lower denture, it is strongly recommended at least two implants be placed in the lower jaw. Back to List

Link to:
Full Dentures

Partial Dentures are indicated when numerous but not all teeth are missing and a bridge is unable to be placed. A partial denture has metal clasps and components that adapt to the remaining teeth for support and retention. A partial denture is a removable prosthesis and needs to be removed at night for the health of the remaining teeth. Back to List