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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.

Had Zoom Whitening… will my teeth darken to match crown over time?

Posted on by smiles4u.

I had Zoom Whitening done in preparation for a crown I needed. My dentist told me that if I ever wanted to brighten my smile, now was the time to do it, because the crown’s color couldn’t be change afterwards. The tooth isn’t visible all the time. It’s on my top, but two spaces over from the front. Anyway, I went in for the Zoom Whitening and had the crown done about a month later. The dentist assured me it would look fantastic. When I looked at it afterwards, the crown was slightly darker than the rest of my teeth. I didn’t get to see it until after it was cemented, so now I’m stuck with it.

The dentist told me that he used the whitest shade possible, and that it only appears darker because it’s closer to the back of my mouth. He also said that it wouldn’t get noticed, because it’s not part of my smile… except it is. I can see it when I smile in the mirror, and I have looked at it in all sorts of lighting. I complained about it over the phone, and the office lady told me that my teeth would darken over time, and it would match. I’m really frustrated. Are they right and should I leave it, or should I insist that the dentist fix it? — Marilyn

Marilyn,
It sounds like your doctor doesn’t have a whole lot of experience when it comes to cosmetic dentistry or Zoom Whitening. You may want to have another dentist handle any of your future cosmetic needs.

First of all, he didn’t use the whitest shade possible. It sounds like he used the whitest “natural shade,” but now that you’ve had Zoom Whitening, your teeth are incredibly bright. Although they’re not a shade that’s seen in untreated teeth, they’re likely a very common shade for whitened teeth, and he should have ordered a lighter color to suit. Therefore, it’s not your imagination- that tooth probably doesn’t match the rest of your teeth, and, given its position, of course you can see it. It’s part of your smile line, and he should have known this and taken extra care when selecting a shade. Moreover, he should have allowed you to look at the crown before it was put on. It’s very odd that he didn’t have you try it in and give you a chance to examine it before it was permanently cemented.

As you acknowledged, you can’t change the color of the new crown, and the individual who told you that the other teeth would “catch up,” was sorely mistaken. Teeth will take on a whole different hue depending on your habits, and there’s no telling if or when the crown will ever match. The real problem, however, is that you paid extra to have all of your teeth white, and to have that crown match, and you should have received what you expected. At this point, the only way to make it match is to have it redone, and the doctor should be willing to correct it for you without hassle.

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.

Will tooth mousse and whitening get rid of my white lesions?

Posted on by smiles4u.

I’ve had white spot lesions on my teeth for several years. I finally decided I wanted to do something about them so at my last dental appointment, my dentist sent me home with tooth mousse and then told me to come back in a couple of months for some whitening. Will the combination of these two things help me finally get rid of these stains for good? — Eric

Eric,
Unfortunately, your dentist is not quite on the mark with this one. Yes, tooth mousse does treat white spots, but it’s only designed to keep them from turning into cavities by remineralizing them. You can check into it, but the company doesn’t make any specific aesthetic claims beyond that.

But what is even more concerning is that your dentist is recommending tooth whitening. The bleaching gel is designed to whitening everything, so if you have white spots, they will end up looking even worse. Find an expert cosmetic dentist in your area and he/she will be able to help you get rid of the white spots with either microabrasion (an acid-pumice mixture that is applied to the surface of the teeth) or tooth bonding which is covering the areas with composite resin.

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.

Tired of my Lumineers falling off!

Posted on by smiles4u.

I was so excited to have Lumineers placed on several of my teeth a few months back, but now they keep falling off. I’ve had to go back to my dentist to have same tooth re-bonded three times and this time I accidentally swallowed the veneer. When I asked my dentist what I should do, he suggested traditional porcelain veneers – to the tune of $1200 per tooth! It took me a long time just to save up for the Lumineers, and now he wants me to hand over even more money? What can I do? — Bradee in Tennessee

Bradee,
It sounds like your Lumineers aren’t giving you much to smile about these days… and it probably doesn’t make you feel any better to know that there are many people who have had similar experiences. Today, Lumineers are one of the most marketed brands of ultra-thin porcelain veneers. Because they are promoted it as being “no-prep” and easy to place, many dentists believe they can deliver an aesthetically pleasing product with a good outcome. Unfortunately, that isn’t always the case because much like traditional porcelain veneers, Lumineers require a true cosmetic dentist who not only has an artistic eye, but uses high quality materials. Seeking an opinion of another true cosmetic dentist would be a good idea in your case. If, after that, you decide to stick with your current dentist and do the porcelain veneers, see if he will credit what you paid for the Lumineers toward the new procedure. If he wants you to truly be happy, he will do all he can to help make your situation right.

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.

Unhappy with my porcelain veneers… shouldn’t my dentist be required to fix them?

Posted on by smiles4u.

I am wondering what I should about the porcelain veneers I recently had placed… I am so unhappy with them. I can see two problems with them: 1) my canine teeth look crooked and 2) I noticed a little line above my left front tooth and wonder if it is my natural tooth surface showing through. When I went back to my dentist with my concerns, he refused to do anything about the line because he said it was barely noticeable. I spent so much money and now I am afraid that area might decay. I chose porcelain veneers because I had old bonding that needed to be replaced, but now I am just as insecure with my smile as I was before. Is it really not a big deal and I am just being difficult? What should I do? — Lizzi in Atlanta

Lizzi,
It sounds like you have a couple of things going on here. To address the issue of your dissatisfaction with how your smile looks, it is quite disappointing that your dentist didn’t do a better job of letting you see what your smile was going to look like before permanently bonding it. Good cosmetic dentists want to always make sure you see exactly how your porcelain veneers will look, and will even let another family member or a friend look at them with you. They may even offer a beautiful smile guarantee because their first priority is making sure you absolutely love your new smile.

As a patient, you have a right to ask him to re-do what you don’t like… particularly the crooked canine teeth. As far as the line at your gumline, unless there is a groove or ledge that could “catch” decay, you tooth is not going to be vulnerable, so he does have a point there.

The other issue at hand is the difference between a true cosmetic dentist and a general dentist who “likes” to do cosmetic dentistry. A good cosmetic dentist understands: 1) that he or she is not just treating a patient, they are treating the self image of the patient, and 2) if the patient is unhappy, he or she has failed. Good cosmetic dentists will want you to leave the office absolutely loving your smile, and if you don’t they will make any and all adjustment needed to achieve that end.

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