chipped teeth Archives - Dr. Duane Delaune's Blog

Bonding Keeps Falling Off My Lower Front Chipped Tooth

Posted on March 12, 2024 by AllSmiles.

My lower left right front tooth was chipped last October, and the bonding keeps falling off. My dentist can’t seem to secure it. The chip isn’t large, but it’s big enough to show when I smile. The bonding fell off four times. When it comes off, my tooth looks worse than it did without the bonding. I’m tired of trial and error and going back and forth to the dentist. I lost my confidence in her anyway. She doesn’t know how to repair my tooth. What do you suggest? It’s sad to think about changing dentists for a small tooth chip, but I’m self-conscious about my smile. Thanks. Lydia

Lydia,

Many dentists find restoring a chipped lower incisor challenging because the edges of the tooth hit the opposite upper tooth whenever you close your mouth. An impact of upper and lower teeth can cause a tooth to chip. The composite on a chipped tooth is under extreme stress that can loosen the bonding. A dentist must understand occlusal stress to ensure the bonding stays intact.

Veneers or Dental Bonding for Lower Front Chipped Teeth?

Skilled cosmetic dentists can use dental bonding or porcelain veneers to conceal chips on teeth, but they must minimize stress on the teeth when they meet. Before treatment, a cosmetic dentist will consider the position of each chipped tooth. For example, light shaving may be needed for a tooth that leans forward. Otherwise, it would absorb more stress when you close your mouth when the upper and lower teeth meet. Stress on teeth is minimized when the upper and lower incisors meet simultaneously, and only an expert cosmetic dentist can achieve the desired results.

We recommend finding a dentist with postgraduate training in occlusion, bite, and cosmetic dentistry. Schedule a consultation to learn about your options.

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.

An example from Dr. Delaune is how a cosmetic dentist can produce beautiful results with dental bonding.

Is It Too Late to Save My Loose Tooth?

Posted on December 10, 2023 by AllSmiles.

Is it too late to save my loose tooth? I tripped over a cement parking space block and fell face forward last Thursday, and now I feel my left front tooth is loose. I chipped two other teeth, but they do not hurt. I was flossing two nights ago and thought the tooth was loose, but now, I am sure. My regular dentist is almost 45 minutes away, but I have not seen him in three years. Should I see an emergency dentist for this, or can I schedule an appointment with my regular dentist to be referred to an oral surgeon? – Thank you. Tamra from Athens, GA

Tamra,

Thank you for your question.

If your tooth is loose, you have a dental emergency. It is best to see your dentist or find a nearby experienced dentist who takes emergency cases if the distance is a problem.

What Is the Treatment for a Loose Tooth?

Treatment for a loose tooth depends on its condition and location. Before treating a loose tooth, your dentist will examine and x-ray it. Treatment options may include:

Splinting or bonding. A dentist can stabilize the tooth by splinting or bonding it to adjacent teeth. Splinting or bonding will help tooth ligaments heal on their own.
Root canal therapy. A dentist will also check your tooth for internal damage. If the tooth pulp is affected, you will need root canal treatment to remove the dying tooth pulp after the ligaments heal. Root canal treatment will prevent infection and further problems with the tooth. The dentist will protect your tooth with a dental crown. The American Association of Endodontists confirms that a loose tooth likely needs root canal treatment, which a dentist or endodontist should complete within a few days of tooth trauma.
See a dentist promptly for a loose tooth and to prevent the need for an extraction and dental implant.
Dental implant. You will only need a dental implant for an unsavable tooth. Before agreeing to an extraction, you can get a second opinion from an endodontist (root canal specialist).

Until you see your dentist, take these precautions:

Avoid chewing on the damaged tooth.
Avoid touching or wiggling it.
Do not floss near it.
Eat soft food.
Take anti-inflammatory medication to reduce swelling and promote healing.

Healing will take a few weeks if your tooth ligaments are mildly damaged. More extensive damage can take months. You will have periodic checkups to ensure the healing is progressing well. Closely follow your dentist’s instructions for caring for your tooth after the dentist stabilizes. In time, you can decide if you want your dentist to apply dental bonding to fill the spaces for your two chipped teeth.

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

Crooked Porcelain Veneer

Posted on December 16, 2020 by writeradmin.

I had a chipped tooth that had dental bonding done. It was getting old and ended up breaking. I wanted to just replace it but because the chip is 1/5 of my tooth they said it was not possible to replace the bonding. My dentist wanted to repair it using a dental crown but I didn’t want to lose any more tooth structure, so I suggested a porcelain veneer, which doesn’t take away as much. When the veneer came in, the size and shape looked fine. The color was whiter than my other teeth, but I anticipated that because we knew I would be whitening my teeth later. I saw it before they bonded it on and everything seemed great. After they bonded it they told me it was gorgeous and sent me on my way. It wasn’t until I got home that I realized it was a tad crooked and the bottom was too long compared to the other tooth. Plus it sticks out a bit almost like they put on too much glue, which also puts a small gap behind the bottom of the tooth. I called them about it when I got home. They said there isn’t anything that can be done about the length but they can fill in the gap. To me that doesn’t sound like it will make the tooth stick out any less. Is there anything I can do about this?

Morgan

Dear Morgan,

These type of stories are so frustrating to hear. This is one of the big problems with cosmetic dentistry not being a recognized specialty. Any general dentist can do it regardless of the amount of training or skill they have. There are quite a few things wrong with your case. First, the dental bonding. That could have been replaced. My guess is she doesn’t know how to do dental bonding so she steered you toward a procedure she is familiar with, dental crowns.

You were wise not to get that. Not only would it have severely ground down your healthy tooth structure, but it is rather tricky to match a dental crown to a front tooth. With your dentist’s cosmetic skills I don’t think it would have looked very natural. A porcelain veneer should have been fine.

As for it being whiter in anticipation of whitening your teeth, your dentist should have had you do the teeth whitening beforehand, when it would make more sense. You can exactly match a porcelain veneer to the tooth color, but it is almost impossible to exactly match teeth whitening to a porcelain veneer. Plus, whitening the underlying tooth structure is always helpful.

Now to your current problem. I find it curious they let you look at it before but not after they bonded it on. My suspicion is they knew something was off. Even when you get your hair cut they have you look at the result before you get up. It’s interesting to me that they told you nothing could be done about the length. This is just more evidence to me that she doesn’t know what she’s doing with cosmetic work. The length on the porcelain veneers can be trimmed.

However, your situation is more complicated and more serious. If it is crooked, not only will it look weird but there are going to be areas where there will be gaps that can harbor bacteria. This leads to decay under your veneers. The only way to solve your case is to get a refund from this dentist and have the case re-done by a cosmetic dentist with more expertise. My suggestion is you use one of the dentists listed on the mynewsmile.com website. Each of them are prescreened for their technical expertise as well as their artistry.

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

My Dental Bonding Looks Awful

Posted on May 9, 2020 by writeradmin.

I had some discoloration on my teeth after getting braces. I really regret not getting Invisalign now, but hindsight is 20/20. I had discoloration on several teeth after my procedure was done. I asked her what we could do about it. At first, we tried teeth whitening, but that only made it worse. So, she told me she needed to do some research. She called me back and said the consensus is dental bonding is the right solution. I felt confident going in because this time she researched the solution. Honestly, though, my two front teeth now look like she just glued pieces of chicklet gum to them. They are way too thick and the color looks flat and chalky. I could tell even she wasn’t thrilled with them but she was trying to not make me feel self-conscious about them. Is there anything I can do to fix these at this point or is it too late?

Sheena

Dear Sheena,

It sounds like your dentist cares about her patients but is just in over her head when it comes to the cosmetic end of things. That isn’t terribly surprising. Dentists are in a bit of a pickle when it comes to cosmetic work. It’s not really taught in dental school, nor is it a recognized specialty. If a dentist wants to learn about cosmetic dentistry they have to invest in post-doctoral training to learn more about it. Especially for dentists just starting out, that’s a tough one.

I can tell your dentist had not invested in that training right off that bat with her suggestion about teeth whitening. Two basic tenets about teeth whitening that every dentist should know are: 1. It whitens your teeth evenly. As a result, when there is discoloration whitening your teeth actually makes that more obvious, not less. 2. It will only whiten natural tooth structure. If someone had discolored dental work bleaching them won’t work.

When that failed, she did what she should have to begin with, and did some research. She was right about the solution. Dental bonding is the correct way to fix this problem. What she didn’t realize is that it is an advanced cosmetic procedure that takes a while to learn, especially because it has to be done freehand.

Another common repair that uses dental bonding is for broken and chipped teeth. if you look at the image above, you can see a repair done by Dr. Delaune. Notice that it blends in seamlessly in both color and texture. This is what you should expect with a dental bonding case.

Getting Bad Dental Bonding Fixed

The only real fix for this is to have it done over. Based on what you’ve said, I honestly don’t think your dentist has the skills yet to give you a beautiful natural-looking result. Your first step is to get your money back, so you can get this done properly. She likely knows it didn’t turn out beautifully and should be willing to give you a refund.

You’ll want an expert cosmetic dentist to do this repair. It is hard for patients to know who has the training and who doesn’t because there isn’t an “official” specialty. One retired cosmetic dentist realized this and started a website to help patients like you. I would go to the mynewsmile.com website. They screen dentists, who want to be listed, for both their technical knowledge and skill, as well as their artistry. Only the best cosmetic dentists are included. They cannot simply pay to have a listing there. Any one of them can give you the repair you were hoping for to begin with.

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

Finding a Cosmetic Dentist on Yelp!?

Posted on May 4, 2020 by writeradmin.

I have chipped a few of my teeth due to teeth grinding. I’m going to get a smile makeover and am thinking of dental bonding because they’re likely less expensive than porcelain veneers. I am aware they take an expert cosmetic dentist. I’ve been going through Yelp! and found two in my area with very high ratings. Is there something else I should be looking for to help me choose between the two?

Jennifer

Dear Jennifer,

It is great that you are trying to do research for you cosmetic dentist but I don’t think Yelp! is the way to go for this particular thing. It is a great resource for finding a decent dentist, but based on the research I’ve done, it doesn’t appear their algorithm judges based on the types of procedures. So they may have a lot of high ratings, but it has nothing to do with their ability to do beautiful cosmetic work. Those high rankings could be simply because they are a friendly office.

Before we go into a better way to find a great cosmetic dentist, though, I want to go over your procedure. You said you wanted a smile makeover which I’m assuming you mean to cover the tooth the way porcelain veneers would. Dental Bonding is much better for small amounts of work, like fixing a chipped tooth (as the images above show).

If you’re looking to cover the tooth the way porcelain veneers do, you will find that it will end up costing you more. Dental bonding is done freehand, which would take forever over larger surfaces. In fact, very few dentists will even do it. So depending on what you’re going for, you may want porcelain veneers.

Whichever procedure you choose, you will need to get a nightguard. This will protect your new dental work from the grinding you do at night. Without that, it will damage your veneers or bonding just like it did your natural teeth.

Choosing Your Cosmetic Dentist

There isn’t a recognized specialty in cosmetic dentistry. That makes it hard for patients to know who is good and who isn’t. One way to help with this is to go to the mynewsmile.com website. This is run by an expert cosmetic dentist who is retired from practice. He screens dentists who want to be listed for their training, technical skill, and artistry. A dentist can’t just pay to get listed on his site.

Any dentist recommended there can give you a gorgeous smile and are among the top cosmetic dentists in the country.

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

Tired of Re-doing my Composite Bonding

Posted on November 7, 2016 by writeradmin.

I’ve had composite bonding for about six years and I’ve already had to re-do it twice. I do need to do something. I have a tooth gap and three different front teeth are chipped. I’m just tired of replacing them. What are my other options? My dentist suggested crowns, but my teeth are healthy so I’m not too keen on that idea. Are those the only two options?

Helen C. – North Dakota

Helen,

Yes, there is a much better option than either dental bonding or dental crowns. But, it’s generally used for total smile makeovers. Porcelain veneers can change anything you want to about your smile. It can change their shape, size, and color of your teeth. While bonding only lasts a few years, veneers last for many. With proper care, well over a decade. It’s the same procedure that celebrities use to remake their smiles.

I wouldn’t pressure your dentist to do the procedure though. If he didn’t mention it, it’s likely because he isn’t comfortable doing it. If you press him, he may do it to please you and it wouldn’t turn out nearly as well as you’d hope.

That doesn’t mean you’ll have to switch dentists to get this repaired the way you want. I’d just recommend going to an experienced cosmetic dentist for your porcelain veneers and your family dentist for everything else. Just make sure when your dentist does your check up, the hygienist doesn’t use anything like a prophy jet or other ultra-sonic cleaner on the veneers. That will take off the glazing.

This blog is brought to you by Dr. Duane Delaune.