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I’m Disappointed in My Smile Makeover with Crowns

Posted on by AllSmiles.

I wanted a smile makeover and assumed I would get porcelain veneers. Instead, I have ten upper teeth covered by dental crowns. I am unsure whether I misunderstood my dentist or he misunderstood me and what I wanted. However, I now realize my dentist’s tooth preparation on my teeth was more aggressive for dental crowns than if I had veneers. I thought I told my dentist I didn’t want my teeth ground down. The crowns look good, but I didn’t want them. I feel like I’ve been tricked, but I am embarrassed that I was unaware of what my dentist was doing to my teeth. Would a second opinion help? Thank you. Graham from Newark, NJ

Graham,

Many dentists charge the same for porcelain crowns and veneers because they require the same work. Dentists frequently use dental crowns for cosmetic reasons.

Why Use Dental Crowns for a Smile Makeover?

Dental crown

A dental crown covers the entire tooth

A dentist may use crowns instead of porcelain veneers for a smile makeover when teeth are severely worn or decayed and too much tooth structure is missing for a porcelain veneer. If the tooth is weak or has fillings, a crown may be a better option.

Another possibility is that a dentist may be uncomfortable with porcelain veneers and prefer dental crowns. Porcelain veneers cover the fronts of teeth, whereas dental crowns cover the entire tooth. Although you already have crowns, you can ask your dentist to explain why he placed crowns instead of veneers. You cannot reverse your cosmetic dental work, but you deserve an explanation if you thought you were getting dental veneers.

You would not need a second opinion unless you were experiencing problems with the dental crowns.

Metairie cosmetic dentist Dr. Duane Delaune sponsors this post. Read details about how Dr. Delaune strives to provide some of the best dental care in Metairie.

How Can I Close a Tooth Gap Without Veneers?

Posted on by AllSmiles.

The gap between my front teeth is getting wider as I age. I thought I could get a snap-on smile as an affordable option, but the dentist I saw said that a snap-on smile wasn’t right for me. She recommended porcelain veneers and no other option, but veneers cost much more than I wanted to pay. Is that my only option? Thanks. Monti

Monti

We don’t know why the dentist didn’t explain options other than porcelain veneers for the gap between your teeth. Multiple treatments can close gaps.

How Can a Dentist Close a Gap Between Your Teeth?

Dental composite, porcelain veneers, and braces are treatment options for closing a gap between teeth. Treatment recommendations can depend on the condition and position of your teeth and the gap size.

Closing  a Gap with Braces

Braces are a tried-and-true method for aligning teeth and closing gaps. If excess gum tissue contributes to the gap, your dentist might need to remove it before proceeding with braces.

  • Treatment Time: Braces typically take six to twelve months to complete.
  • Cost: While more expensive than dental bonding, braces can be more cost-effective than veneers, depending on the number of veneers required.
  • Longevity: With proper retainer use, braces offer permanent results for a gap-free smile.

Closing a Gap with Porcelain Veneers

Porcelain veneers are thin shells that mimic natural tooth color and shine. However, for a proper fit, a dentist must remove a small amount of enamel from the front surface of your teeth. Additionally, depending on the gap size, you might need veneers applied to more than just your two front teeth for a balanced smile.

  • Treatment Time: Porcelain veneers can usually be completed in two to three visits, although some cases may require more.
  • Cost: Depending on your needs, veneers are pricier than dental bonding and can even be more expensive than braces. Typically, a single veneer costs $1,500 or more.
  • Longevity: High-quality veneers, with proper care, can last ten to twenty years.

Closing a Gap with Dental Bonding

A skilled cosmetic dentist can utilize various bonding materials and tools to close the gap between your teeth. This process involves blending composite shades to perfectly match your natural teeth and conceal the gap. Finally, the dentist polishes your teeth for a beautiful, glossy finish.

  • Treatment Time: An experienced cosmetic dentist can complete dental bonding for a gap closure in about an hour, all while you’re comfortably seated in the dental chair.
  • Cost: Dental bonding is the most budget-friendly option compared to braces or porcelain veneers.
  • Longevity: High-quality dental bonding, with proper care, can last around five years or even longer.
Before and after teeth gap pictures with dental bonding

Dr. Duane Delaune used dental bonding to close this patient’s teeth gap

Metairie, Louisiana, cosmetic dentist Dr. Duane Delaune sponsors this post.

dental bonding disaster

Posted on by writeradmin.

I have two front teeth that overlap one another and the adjacent teeth are set further back than they should be. My dentist suggested dental bonding, which he said he’s done to close gapped teeth. He ground down the overlapping teeth and filled in the teeth which were set back. He made them yellow to match my other teeth but I was hoping to get them a little whiter as I planned to whiten my other teeth. The teeth he ground down feel sharp and uncomfortable and I’m just not happy with these results. What do you recommend?

Laurie

Dear Laurie,

a dental bonding case done by Dr. Delaune with before and after pictures

The above picture is a dental bonding case done by Dr. Delaune, you can see more cases on his smile gallery. This is to show you that dental bonding can create beautiful results.

What it boils down to is your dentist was in over his head. While he may have closed a few gaps, the type of dental bonding your case required was much more advanced. My guess is only about 2% of cosmetic dentists can do it correctly.

I don’t know if your dentist will be willing to give you a refund so you can get this done correctly elsewhere, but you can ask.

Regarding the color of your teeth. Your dentist should have warned you if you were going to whiten them, you’d need to do it before having the bonding done. Teeth whitening only works on natural tooth structure.

Once your teeth are whitened, then a skilled cosmetic dentist will match the bonding to your new color.

Finding a Skilled Cosmetic Dentist

Smile makeovers and advanced dental bonding cases, such as yours, aren’t taught in dental school. Because of that, you want a dentist who has invested in post-doctoral training in cosmetic dental work.

In addition to technical knowledge, you want a dentist who has an artistic eye. This is especially true with dental bonding because it has to be done free-hand.

One useful resource is the mynewsmile.com website. They have a search link for patients looking for advanced cosmetic dentists. No one can just pay to be listed. Each dentist is screened for both technical training and artistry, Any dentist they list will do a beautiful job for you.

This blog is brought to you by New Orleans Cosmetic Dentist Dr. Duane Delaune.

another dental tourism disaster story

Posted on by writeradmin.

Woman covering her mouth
If you want a beautiful smile, don’t leave the country.

It is sad to hear heartbreaking stories from patients who traveled out of the country in order to get what they thought was an affordable smile makeover only to have their teeth and even their bite destroyed with absolutely zero recourse.

One such story was on the My New Smile Blog. A woman had traveled to Costa Rica thinking she’d be saving a large amount of money. Instead, she was left with a disastrous smile makeover and severe damage to her bite which has her in so much pain she can barely eat.

The price tag to fix this will be over $30,000. Money she doesn’t have. When she hired an attorney in Costa Rica and had other Costa Rican dentists to tesitify that her bite was destroyed by this dentist, the only place where she could get legal recourse there told her she was the felon because it is illegal there to complain publicly about a dentist until he’s been convicted.

She ended up having to flee the country without any recourse. While the dentist in questions website looked professional, there were red flags. Unfortunately, only a dentist would have recognized those.

Avoiding Cosmetic Dental Horror Stories

Truthfully, it is safer, as well as more affordable, in the long run to save up your money and go to a reputable cosmetic dentist here in the United States.

That doesn’t mean any U.S. cosmetic dentist will do. You’ll want one with both expertise and artistry who has invested time and training AFTER dental school in doing smile makeovers. Make sure you check out the porcelain veneers they’ve done on their patients as well.

It’s hard for patients to know who is qualified and who isn’t, especially since there isn’t a recognized specialty in cosmetic dentistry.

If you want a great smile makeover. Go to the mynewsmile.com website and click on their link for finding a cosmetic dentist. They have prescreened dentists who wish to be listed for both their technical skill and artistry. Any of the recommended dentists on their site can give you a stunning smile makeover.

This blog is brought to you by New Orleans Cosmetic Dentist Dr. Duane Delaune.

dentist said no to porcelain veneers

Posted on by writeradmin.

I had dental bonding done on my front four teeth. The bonding has since worn out. I decided I wanted to upgrade a bit and get porcelain veneers. My dentist said I’m not a candidate for that because of the bonding. Instead, he wants to do crowns. I’m not crazy about that option. Do you have a recommendation?

Laurie

Dear Laurie,

A woman getting a porcelain veneer placed on her teeth

My first recommendation is you see another dentist. Under no circumstances should you let your dentist put dental crowns on your front teeth. This will grind them down to nubs. If this were necessary that would be one thing, but it is completely unnecessary.

You can have porcelain veneers placed after dental bonding. The only reason your dentist is saying you can’t is likely because he doesn’t know how to place them.

In dental school, we’re taught to always be confident with patients. Without that confidence, patients will grow anxious. So, instead of saying, “i’m not comfortable doing porcelain veneers” or “I haven’t done many porcelain veneers”, which could make you (understandably) uncomfortable, he says you’re not a candidate and avoids the issue altogether by suggesting a procedure he does know.

Find a Great Cosmetic Dentist

Cosmetic dentistry isn’t taught in dental school. A dentist has to make an effort to invest in cosmetic training after they graduate.

Even if you needed crowns, I would suggest a different dentist. To get a beautiful smile, you need an expert cosmetic dentist. Otherwise, the results would be disappointing.

In your case, I’d go to the mynewsmile.com website. They have a “Find a Cosmetic Dentist” link. You’ll input your zipcode and how far you are willing to travel to see a cosmetic dentist.

The key to this site is they have pre-screened each dentist who wants to be listed. They can’t just pay to get on the site. Instead, they have to show their technical knowledge and skill, as well as demonstrate their artistry in their work.

Anyone they recommend can give you a beautiful smile.

This blog is brought to you by New Orleans Cosmetic Dentist Dr. Duane Delaune.

Do I Need to Replace Every Crown for them to Match?

Posted on by writeradmin.

I’m kind of hoping you give me the answer I want, but am willing to follow your advice regardless. I had crowns on eight teeth on my top arch for a smile makeover. One of them became loose. I went back to my dentist. He said there is decay on the edge and the crown needs to be replaced. However, he wants me to replace all of them so they’ll match. I want my teeth to match but don’t have a ton of money. Is that really necessary?

Candace

Dear Candace,

A porcelain crown being placed over the prepared tooth

I think the biggest problem here is your dentist isn’t a cosmetic dentist. Was there a particular reason he gave you a makeover with dental crowns instead of with porcelain veneers? Veneers are the standard treatment for a smile makeover because it doesn’t require your teeth to be ground down the way crowns do.

While there’s nothing you can do about that now, and those teeth will always require crowns now that the tooth structure is gone, you don’t have to replace all of them in order to get them to match. Though, to get a good result you will have to use a different dentist for this procedure.

Your Crown Replacement Options

You basically have two choices here: replace them all at once or replace them one at a time. The benefit to doing them all at once isn’t for them to match. A great cosmetic dentist can match a single tooth. It’s more to save you time. You’d replace them all and be done.

If you do them one at a time, it means a new trip to the dentist every time one goes bad. That could get annoying. The benefit to that is you’re only having to fork out money a little at a time instead of all at once.

Either decision will still require you to find a skilled cosmetic dentist if you want an attractive result.

Finding a Cosmetic Dentist

I’m going to suggest you go to mynewsmile.com. They have a “find a cosmetic dentist” link. You simply input your zip code and the distance you’re willing to travel. They’ll provide a list of qualified cosmetic dentists for you. The best part about this is they’ve carefully screened every single one of them for both technical knowledge as well as artistic ability in their work. No matter which dentist on their list you choose, they can give you a gorgeous smile.

This blog is brought to you by New Orleans Dentist Dr. Duane Delaune.

It’s hard to be king when your crown keeps falling off!

Posted on by smiles4u.

My husband had to get s couple of crowns earlier this year and it’s been a pain. He’s back in the dental office about every other week because the crowns keep falling off. So far, the dentist just keeps re-cementing them, but this last time he said there was nothing else he could do. Really? This is not acceptable. We’ve looked into implants, but will he have the same problem with those crowns? Could it be something with the glue they are using to bond them? — Myra

Myra,
You’re right… the dentist’s answer that there is nothing more he can do is unacceptable. Crowns should not fall off – once they are cemented (and it’s done correctly) they stay on.

The issue here is probably more about how the tooth was prepped. When a tooth is tapered too much, a crown has difficulty staying put. Without seeing them, it’s hard to say whether or not you need new crowns or if there is a possibility that a skilled cosmetic dentist might be able to get them bonded correctly. Cosmetic dentists have all sorts of experience with high-tech bonding techniques that bond metal, porcelain, teeth and other materials. Don’t put up with crowns that keep falling off — get a second opinion, preferably from an experience cosmetic dentist in your area. Good luck!

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Are veneers the only option to replace my bonding?

Posted on by smiles4u.

When I was younger, I took tetracycline and it stained my teeth. Back then, they did bonding to cover the stains and for the most part it has held up pretty well. It’s just been in the last few years that they have started to look bad again and I’ve been considering what to do about it. At my last dental appointment, I brought it up to my dentist and asked him what my options are. He insists that I can only do veneers – which are completely out of the question because there is no way I can afford them. I asked if we could do bonding again or if teeth whitening would work and he shot both of them down. Is there really nothing else that can be done? Will I have to just have dingy, stained teeth until I can save up enough money for veneers? — Marilee

Dear Marilee,
Do you know if your dentist does much cosmetic dentistry? Based on what he is telling, it doesn’t sound like he does. There’s no doubt that veneers would be the best way to give you a great looking smile, but there are other options.

Unless he’s examined you and determined that there are structural issues with your teeth, there shouldn’t be any reason why the bonding couldn’t be redone. If he’s pushing the veneers, your teeth are probably fine. As for whitening, tetracycline stains are highly resistant to even the strongest professional grade gels and it could take months of treatment to get where you want to be.

Here’s what you need to do: find a good cosmetic dentist and get a second opinion. He or she might be able to polish some of the stains out. If you do try whitening, you need to realize that it could take a long time to see any results, so you’ll have to be persistent and patient. The bonding won’t actually change color, so it will need to be replaced. A good cosmetic dentist can tell you whether or not the bonding can be removed before you start the whitening and then replaced after you’ve gotten the results you want.

This will be a lengthy process – probably several months at least. If you don’t think you can endure that long, you better start tucking away those extra dollars so you can eventually get veneers.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Can I reshape my teeth after braces?

Posted on by smiles4u.

I am getting my braces off in a month or two. My teeth have straightened significantly, but I can still see that my front top teeth are not as straight as I would like, plus the edges look jagged. I’m thinking about getting them reshaped, but I don’t know if my orthodontist or my regular dentist should do it?  — Amanda

Dear Amanda,
The procedure you are referring to (in dental terms) is called cosmetic contouring. Whether or not you choose to have your orthodontist or your dentist do it, you need to first find out if either one of them have enough training. It is a cosmetic procedure that requires adequate skill.

Definitely wait until you have your braces off because your teeth will continue to shift in these last couple of months. It would also be a good idea to ask your orthodontist or dentist if they think cosmetic contouring will work for your specific situation. Unfortunately, not everyone is a candidate. Most importantly, you need to find out how much experience either one of them has and whether or not they are completely comfortable performing the contouring. If you have any doubts as to whether or not they can give you the results you desire, it would be best to seek out a skilled cosmetic dentist.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Should I still be in pain two weeks after cosmetic procedure?

Posted on by smiles4u.

A month or so ago, I went to Mexico to have a cosmetic dental procedure done and now I’m afraid I made a big mistake. I had several lower crowns done and also veneers on my front upper teeth. I am in so much pain and it’s been a couple of weeks since I had it done. My jaw hurts and one tooth is almost painful to the touch and I can’t even chew soft foods. When I asked the dentist about it, he told me to take ibuprofen to help with the pain and that it’s normal after having so much work done at one time. As for the crown that I can’t even chew on, he said something about it having high contact or possibly needing a root canal. Is it bad that it doesn’t even touch my top teeth when I bite together? Is this much pain normal so long after my procedure and should I just keep taking the ibuprofen until it goes away (I’m currently taking 800mg every 4-6 hours).

Julie,
You are right to be concerned. Taking those amounts of ibuprofen for such an extended period of time is not good for you, and it sounds like it’s not really helping – it’s only masking something that is not right. They amount of pain you are experiencing is not normal after getting crowns or porcelain veneers. Tenderness or soreness for a couple of days should be expected and your bite and teeth should align.

If you are back in the United States, go find a reputable cosmetic dentist in your area – or at the very lease, a competent general dentist. Even if you have to drive an hour or two, it will be worth getting a second opinion to determine what’s wrong before the situation gets worse. Try to back off or stop taking the ibuprofen and if you do need a root canal, don’t go back to the dentist in Mexico – there are only about a handful of good cosmetic dentist in the entire country. Even in the United States, only about 1 of 50 dentists is skilled in the art of cosmetic dentistry, but you should be able to find a reputable doctor near you.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.