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Dental Bonding Doesn’t Match

Posted on by writeradmin.

I chipped a tooth after a fall. My dentist wanted to put a crown on the tooth, but I did some research and saw the best solution was dental bonding so I asked him to do that. He agreed, but the results aren’t that great. The colors don’t match so you can really tell it is a repair. Is it okay to have this dentist do it again? Should I have to pay for it to match?

Olivia

Dear Olivia,

before and after dental bonding for a chipped tooth

When dental bonding is done correctly, it can match perfectly with the rest of the natural tooth. However, it isn’t easy to do. Not only is it done freehand, but many dentists don’t carry enough of a selection of shades and textures to do this right. When a dentist suggests something like a dental crown for a chipped or gapped tooth, which is a massive overtreatment, it is an indication they are uncomfortable with cosmetic dentistry.

You have two options: The first is to give your dentist another chance to get this right. Explain to him that the repair is obvious and doesn’t match the rest of your tooth. If he cares about the quality of his work, he should be willing to do it again. And, no, you shouldn’t have to pay for it.

I would give your dentist another opportunity to get this right. You shouldn’t have to pay for the color to match. That is part of what you paid for in the beginning. Don’t be surprised if he still struggles, but it is fair to give him another chance.  If after the second go he still can’t get it to match, then I would suggest your next step is to ask for a refund, then find an experienced cosmetic dentist.

Who Should Do Your Cosmetic Bonding?

In your place, if it doesn’t work out with your original dentist, then I am going to suggest you look at the mynewsmile.com website. The man who runs this site has retired from cosmetic dentistry but wanted to offer patients a service to help them know who has the skills to do beautiful cosmetic work. Most patients don’t realize that there isn’t a recognized specialty in cosmetic dentistry. That means any general dentist can call themselves a cosmetic dentist regardless of the level of skill they have.

To make matters worse, most of the skills they need for well done cosmetic work isn’t even taught in dental school. For a dentist to develop the necessary skills they will have to invest in post-doctoral training. It’s nearly impossible for patients to know which dentists have done that. The mynewsmile site, pre-screens dentists for their technical training as well as the artistry of their work. Only those who pass his rigorous standards can be listed. Any dentist on that site can give you a beautiful, natural-looking result.

Should You Whiten First

I don’t know if your dentist mentioned this, but the color that is created for your dental bonding is permanent. If you were to whiten your teeth at a later date, your natural tooth structure would whiten, but not the bonding. Therefore, most cosmetic dentists will warn their patients if they are even considering getting their teeth whitened, it will save them money to do it before they have the bonding done. This will save them money by not having to replace the bonding after they whiten.

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

How long will bonding done by the emergency dentist last?

Posted on by smiles4u.

I slipped and fell on the ice last weekend. Unfortunately, my face broke my fall. I wound up with a black eye and a serious chunk of one of my front teeth missing. I went to the emergency dentist to have it checked out. He took x-rays and told me the tooth looked like it was ok structurally. Then, he patched it up and told me to follow up with my regular dental office to have it permanently fixed and checked on again later. I don’t want to waste time and money on another appointment if it isn’t necessary and it looks like he used the same stuff that’s usually used in fillings. Do I really need to go back or can I just let this one be? The patch job by the emergency dentist looks just fine to me.  — Don

Dear Don,
Glad to hear you’re mostly ok after the fall. As for the tooth, the emergency dentist probably did use the same composite material that’s normally used in fillings. If that’s the case, it could last years, perhaps even decades.

With that said, there’s probably more to this than simple bonding. First of all, the tooth was traumatized. Sometimes when a tooth is injured by blunt force, it doesn’t give off any symptoms right away. However, the blood flow to the tooth could have been cut off and that wouldn’t show up on x-rays. If this is the case, the tooth could be dead or dying, and it will eventually need a root canal. Unfortunately, the first sign this has happened is often pain or an abscess, though sometimes the person notices discoloration as well. Anytime you see an emergency dentist, he’ll refer you back to your regular office for a follow-up. In cases with trauma, having the dentist check out the tooth again later could save you a lot of pain and trouble.

As for your comment about having the tooth permanently fixed, could he have mentioned to you that the tooth needed a crown? If the chip was severe, the bonding won’t be adequate and the tooth will need all-around protection. Your best bet is to follow the advice of the emergency dentist and schedule a visit with your regular office to get it checked out. If you’re still wary, you can always call the office that did the work and clarify why he wanted you to follow up.

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.