Porcelain Veneers & Mouthwash

I have porcelain veneers that I love. I’m mixing up a homemade mouthwash to help care for them, but wanted to run the ingredients by you first:

8 oz. Boiled water (I also filter my water)
8 oz. Hydrogen Peroxide
1 T. Sea Salt

Do you see anything harmful about this?

Carmella

Dear Carmella,

porcelain veneer being placed on a tooth

I am glad that you love your porcelain veneers and want to take good care of them. While nothing in the DIY mouthwash you listed will harm the porcelain veneers directly, there will be a separate issue.

Hydrogen peroxide releases oxygen. This will kill bad bacteria that leads to gum disease, but it will also kill good bacteria that helps your mouth. If you use this regularly, it will lead to candida growth and an oral yeast infection. Using a peroxide rinse every once in a while is fine, though.

In most cases, you don’t need a mouthwash to take care of your porcelain veneers. Regular brushing and flossing should do it. If you want a special toothpaste to help keep them white, then I would recommend Supersmile Toothpaste. This is specially designed for cosmetic dental work.

Some patients, however, really feel they need a mouthwash. If you are in that category, the most important thing is making sure that there is NO alcohol in the ingredients.

If there is, the alcohol will soften the bonding and cause ditching and staining around the edges. Using an alcohol-free mouthwash will prevent that.

This blog is brought to you by Boston Cosmetic Dentist Dr. Randall Burba, an AACD Accredited Dentist.

5 Ways to Avoid Regrets about Getting Porcelain Veneers

Are you thinking about getting porcelain veneers but concerned about what can be done if you don’t like them? Consider four things you can do to avoid disappointment.

Ways to Get Porcelain Veneers Right the First Time

1. Find a few cosmetic dentists

Photo of a single porcelain veneer held by dental forceps.
Porcelain veneer

A true cosmetic dentist has received post-graduate training in dental aesthetics. Advanced training helps dentists learn which techniques and tools will produce the results you want. An accredited cosmetic dentist has proven his or her skill by passing exams and submitting multiple patient cases that demonstrate artistic talent and understanding of what’s required to create a beautiful smile.

2. View the dentist’s smile gallery

A smile gallery features before-and-after photos of the dentist’s own patients. Take note of photos of patients who have received porcelain veneers. Do the patients’ teeth look natural, or do they look pasty, bulky, off-centered, too short, or too long?

3. Schedule consultations

Most dentists offer complimentary consultations for smile makeovers. You can schedule consultations with two or three dentists. You’ll have time to talk with each dentist about your smile goals and the options he or she recommends for achieving your perfect smile.

4. Learn about the dentist’s process

The dentist should readily explain to you what he or she does to design a smile with porcelain veneers that you will love. Some common processes include:

  • Discussing your goals for you smile
  • Showing you photos of smile designs to help you make decisions about the look of your own smile
  • Providing a digital model of your smile
  • Using a variety of high-quality veneers
  • Making a wax model of your smile designs
  • Providing temporary veneers for you to wear and see how they will look and feel
  • Temporarily bonding the porcelain veneers on your teeth so you can examine them before they are permanently bonded

5. Don’t rush

The success of your smile makeover with porcelain veneers is impacted by the skill and artistic talent of the cosmetic dentist you choose. Take time in the selection process. After the veneers are bonded to teeth, if you are unhappy with the results, you will have the start the process all over again.

But if you follow the steps for finding a good cosmetic dentist, you’re highly likely to get results that you’ll love.

This post is sponsored by the Salem, MA dentists at Burba Dental. Dr. Randall Burba is one of a few Massachusetts dentists who are accredited by the American Academy of Cosmetic Dentistry.

I Can’t Afford The Repair for my Chipped Tooth

`I chipped a front left tooth. My dentist suggested two Lumineers to ensure they match but they cost so much money. I would literally have to take out a loan. I’m hoping there may be another cheaper solution and my dentist was just trying to give me the Porsche type of solution.

Jenna

Dear Jenna,

Your dentist certainly suggested the most expensive treatment, but I wouldn’t exactly call it the Porsche. Lumineers is a brand of porcelain veneers that are often marketed to inexperienced cosmetic dentists as being easy to place. I’m afraid your dentist likely falls into this category for a couple of reasons. The first is the treatment he is suggesting for this repair. The second is the fact that he needs to do two veneers to get them to match. A skilled cosmetic dentist can match a single tooth with a single veneer.

The one good thing working in his favor is he didn’t suggest a dental crown as a solution, which would require healthy tooth structure to be ground down. I have actually seen some suggest this.

The Best Solution for a Chipped Tooth

If you have a chipped tooth, the standard solution is dental bonding. However, I wouldn’t try to force or pressure your dentist into doing this. Tooth bonding is an advanced cosmetic procedure that has to be done freehand.

My suggestion is you find a dentist who already has cosmetic expertise to do this repair for you. The best cosmetic dentists are AACD accredited.

This doesn’t mean you have to switch dentists permanently. You can just go to the cosmetic dentist for the bonding and stay with your dentist for everything else.

Teeth Whitening and Dental Bonding

Dental bonding can blend in perfectly with the remainder of your teeth when done well. However, once it is bonded on, no changes can be made. If you are considering getting your teeth whitened in the near future, it will save you money to do it before your bonding is done.

If you wait and do it after, your natural tooth structure will whiten, but the bonding will stay the same color. To get it to match, you will need to replace the bonding.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

Dental Implants with Diabetes

I have type 1 diabetes and want to get a dental implant for a tooth I lost. I asked my dentist and he said I am not a candidate because of my diabetes. Is there any chance I can do some special extra procedure or something to make this possible?

Benny

Dear Benny,

Having diabetes doesn’t preclude you from getting dental implants. It does, however, make you high risk. My guess is your dentist told you that because he is not comfortable placing dental implants. Given your situation, he felt even less comfortable.

I would see a dentist with significant training in dental implants. Additionally, they’d need to have a great deal of experience with a success rate of at least 98%. No one will have a 100% success rate. Like any medical procedure, some times everything can be done perfectly but the body rejects it.

Your diagnostics will be especially important to give you the best chance of success. Don’t skimp on any of them or go to a dentist who tries to cut any corners for you.

Some dentists do the surgery and the implant. Others will refer you to an oral surgeon. If whoever you see refers you out for the surgery, make certain it is the dentist who decides on the placement of the implant, not the oral surgeon.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.