Tag Archives: AACD accredited dentist

Best Way to Fix My Nephews Teeth

My nephew wants to be an actor but his teeth are pretty crooked, at least in my opinion. He is about to graduate from high school. I want to get his teeth repaired for him as his graduation present so he can pursue his dream of being an actor. I spoke to one dentist who suggested Lumineers, but I’m a little concerned about this option. It doesn’t have the best reviews. Plus, from what I hear they will only last about 15 years. Should I look for something more permanent?

Aunt Mary

Dear Aunt Mary,

Clear Invisalgin Aligner
Invisalign’s aligners are invisible, even at a conversational distance.

If only everyone had an aunt like you! What a great way to help your nephew. I’m actually very glad you wrote because I want to make sure your money is well spent and not wasted on such a kind gift.

With how you described your concerns with your nephew’s smile, you have two options. Let’s start with the one your dentist recommended— Lumineers.

Option One: Porcelain Veneers

Lumineers is one brand of porcelain veneers and you’re wise to be concerned about the reviews you’ve read. It is highly marketed to inexperienced cosmetic dentists as being easy to place. The company claims it doesn’t require any tooth preparation (which is what they say makes it easy). In most cases, that makes the teeth look bulky.

A secondary problem is the company which makes Lumineers requires dentists to use their lab, which isn’t known for its beautiful work. Because of that, most expert cosmetic dentists prefer other brands of porcelain veneers.

If you decide to go the route of porcelain veneers, make sure you take your nephew to an AACD accredited dentist. These are the top cosmetic dentists in the country. They’ll know which brand will work best for your nephew’s smile goals and will create a gorgeous smile for him.

As far as the longevity of porcelain veneers. A lot of that depends on how well cared for they are. If they are not taken care of, they will only last around five years. If they are cared for diligently, they can last 20+ years.

However, you have a second option, which costs significantly less.

Option Two: Invisalign and Teeth Whitening

If all he really needs is orthodontics, I would suggest you go this route. With Invisalign, he can straighten his teeth without anyone knowing in half the time of traditional braces. Instead of metal wires and brackets, these use clear aligners. A sophisticated software program plans out his treatment then produces the aligners which he’ll switch out every two weeks.

Additionally, if his teeth need whitening, the aligners can double as teeth whitening trays which will allow him to straighten and whiten his teeth at the same time.

I hope this helps.
This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Root Canal or Dental Bonding

I went to an endodontist for what I thought was a dental emergency. My tooth is darker. He said the tooth is still viable and likely doesn’t have to a root canal treatment. In that case, I think I could just get dental bonding done to make it look better. My endodontist said I’d have to get several teeth bonded for it to match. I’m not sure I want to do that if I will need a root canal in the near future. What do you think?

Trisha

Dear Trisha,

Illustration of an abscessed tooth

If he’s telling you the tooth is viable and saying you don’t “have to” have a root canal treatment, then you don’t have a tooth infection and don’t require a root canal. You either need one or you don’t. Saying you don’t have to have one is misleading. My guess is you have a cracked tooth. Doing a root canal treatment won’t help that.

If you want to treat the color, dental bonding or a porcelain veneer can do that. As to your dentist’s suggestion that you’d have to have several teeth done in order for them to match, that is only true if you go to an inexperienced cosmetic dentist. An expert cosmetic dentist can match a single tooth.

Finding that Expert Cosmetic Dentist

Very few dentists are skilled in cosmetic dentistry. The best have reached accreditation with the American Academy of Cosmetic Dentistry. To reach that level, they have to pass stringent exams as well provide visual evidence of their artistry in a large number of cases they’ve completed.

If I needed cosmetic work done on a visible tooth, I would go to an AACD accredited dentist. You are assured a beautiful result.

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

Best Brand of Porcelain Veneers

I just had my teeth whitened and then got in an accident which has caused me to need repairs on several teeth. I’m considering getting porcelain veneers but want to know which brand is the best before I invest. What is the best at this point and time?

Larry

Dear Larry,

A single porcelain veneer being placed

It is great that you want to do research before investing in your smile makeover. You never want to go into any dental procedure without understanding what you’re getting into and whether or not your dentist is qualified.

However, I want to change your tactic. There really isn’t a best brand of porcelain veneers. They each have unique properties with different strengths and weaknesses. However, it is the dentist which makes the difference.

Think of it as an art form. If you commissioned an oil painting, you’d research the artist, not the paint. This is the same thing with smile makeovers. Two different dentists can do the same smile makeover with the same materials and come up with totally different results.

Finding the Best Cosmetic Dentist

Cosmetic dentistry isn’t a recognized specialty. That means any general dentist can call themselves a cosmetic dentist regardless of their skill level. This makes it hard for patients to know whether or not they’re getting an artistic dentist or a dabbler.

Because of that, the American Academy of Cosmetic Dentistry began an accreditation program. This process tests dentists for both their technical knowledge as well as their artistic ability. They have to pass exams as well as demonstrate their artistry by providing visual evidence on a large number of cases they’ve done.

Becoming accredited takes years of training. Those who attain accreditation are among the top 1% of dentists in the country. They can give you a stunning smile makeover. In fact, most of them have a beautiful smile guarantee.

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

Were Porcelain Veneers the Wrong Option?

I have teeth which are too short. I’d recently read an interview about a celebrity who used to have the same problem. She got porcelain veneers on her teeth and now her smile is gorgeous. I told my dentist I wanted him to give me her smile, but it turned out horribly. Did I misunderstand what she had done? Were porcelain veneers the wrong option for me?

Kylie L.

Dear Kylie,

A single porcelain veneer being placed

Porcelain veneers are a great solution for what you were concerned about. They can change just about anything wrong with a smile. They can make short teeth longer, as you needed. In addition to the length of your teeth, they can change the width, the shape, the color, and create a character.

The problem likely lies in the skill set of your dentist. Not every dentist has invested a lot of time into learning how to do smile makeovers. Given that it is not something taught in dental school, the additional post-doctoral training is a must.

Even those who have invested in the training have varying levels of skill and even greater variety in artistry. If you’re unhappy with the results of your case, you can ask him to re-do it. However, even if he is willing, you may not get any better results. He’s limited by his capabilities or lack thereof.

I’d ask for a refund or at least a partial refund and then go to an expert cosmetic dentist to have the case done the way you’d dreamed.

Finding the Right Dentist to Create Your Porcelain Veneers

You want a dentist with more than just technical knowledge. You want an artist; someone who can truly design a stunning smile that blows you away. You should be so thrilled with your smile makeover you can’t stop smiling to show it off. You should feel like a new woman with renewed confidence.

So, where do you find a dentist like this? The easiest way is to go to aacd.com and click on find a cosmetic dentist. Then, make sure you check that you’re looking for an accredited dentist.

AACD accredited dentists are the top cosmetic dentists in the world. They will give you a stunning smile. Additionally, almost every one of them has a beautiful smile guarantee.

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

My Mouth Is Sinking In

I need some advice. You can barely see my front teeth when I smile. It makes it look like I don’t have any and is embarrassing. I do have jaw pain which I wear a night guard for. My face feels more comfortable and natural when I wear it. But, most of the time, my jaw tightens and I have trouble forming certain letter sounds. My dentist suggested porcelain veneers but I wanted to get a second opinion. What do you think?

Pamela

Dear Pamela,

A Chart showing how joints muscles and teeth all work together in TMJ

I’m concerned by some things I’m hearing. I think you need a different dentist. While it is true that getting porcelain veneers can give you a gorgeous smile, it will not help the root of your problem. In fact, it’s likely to make it worse, specifically your jaw pain and issues with pronunciation. You may actually end up with a locked jaw.

Go see a dentist with a lot of training and experience in TMJ Disorder. You’re probably thinking, “Great, that’s not a specialty. How do I find one of those?” Well, I’m glad you asked. You can look on their website or ask their staff where they received their TMJ training. If they only mention their dental school, that’s insufficient. Here are some great institutions. I’d want them to list at least one of them:

  • The Pankey Institute
  • Dawson Academy
  • Spear Education
  • The Las Vegas Institute for Advanced Dental Studies

It sounds like this has happened over time, which may mean you’ve worn your teeth down causing them to overclose. If that’s the case, then it’s very likely you’ll need a full mouth reconstruction. Picking the right dentist for that is just as important as finding an expert in TMJ Treatment.

You want to have a functional smile, but one you’ll also be proud to show everyone. In your place, I’d start by finding an expert TMJ Dentist, but then also see if they’re an expert cosmetic dentist. It is possible to get both. For cosmetic dentistry, the ideal is to get a dentist who has attained accreditation with the American Academy of Cosmetic Dentistry.

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

Does Cosmetic Dentistry have to be a Fortune or a Failure?

Several years ago, I had four dental crowns placed on my front teeth. I decided it was time to upgrade my smile and had a consult with my dentist. I told him I wanted something which would improve my smile but not cost a fortune. He suggested teeth whitening. I went ahead with that. The rest of my teeth look great, but the crowns now look dingy compared to the rest of them. I don’t know what went wrong, but my dentist said it was probably time to replace them anyway. When he did the temporaries, I realized that the crowns would be ugly. I didn’t want that either, it’d be no better than leaving them as is, but without the extra cost. I decided just to get a consult from one of those touted cosmetic dentists. He agreed the crowns needed to be redone, but insists I need work on eight teeth because of the width of my smile. That will be quite a pretty penny. Do I have to spend a fortune or be left with an ugly smile?

Andrea

Dear Andrea,

Woman giving thumbs up in a dental chair
If you want to have a smile in the dental chair you need to choose the best dentist

You’re in a bit of a tough spot and it’s all because your family dentist didn’t know (and apparently still doesn’t) know a thing about cosmetic dentistry. He should have told you that the teeth whitening procedure you had done would bleach your teeth but have zero effect on your crowns.

However, you were smart to not go through with his re-do of your crowns. His cosmetic skills are non-existent and you’re talking about your front teeth. You want the best cosmetic dentist you can find. The dentist who’s telling you that eight crowns are necessary is likely trying to give you a perfect smile. If you have a wide smile, eight porcelain veneers are common. Sometimes, even ten are necessary.

However, you don’t have to have all eight done. If you’re happy with the color and shape of the two teeth adjacent to either side of your four front teeth, then you can just get four all-porcelain crowns to go with them. A great cosmetic dentist can make your smile look stunning even with those limitations.

Finding the Best Cosmetic Dentist

You may have to find a different cosmetic dentist than the one insisting on eight teeth. Some will only do the ideal. However, you can find incredible cosmetic dentists who will work within your desired smile.

My recommendation is for you to look at two different online resources. The first is the American Academy of Cosmetic Dentistry’s website (aacd.com). The second is mynewsmile.com. Both of these will recommend the best of the best cosmetic dentists in your area. If you use the AACD site, make certain you check that you want an accredited dentist or an accredited fellow. Those are the best.

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

What if You Hate Your Smile Makeover?

I’ve always hated my smile and am considering getting a smile makeover. However, my husband mentioned something that gave me pause. He asked me what happens if I spend all that money and hate my smile makeover? It’s a valid question. He’s not just asking because he doesn’t want to spend the money. Do you have an answer for that? Does it vary from dentist to dentist?

Brittany

Dear Brittany,

Pretty brunette with a beautiful smile
Can a beautiful smile be guaranteed?

Your husband asks a great question, one I wish more patients would ask before investing in their smile makeover. The answer varies from dentist to dentist. But, that being said, there is a “right” answer your dentist should be giving you. If they don’t give the right answer, go elsewhere.

A smile makeover is a work of art. Therefore, the first thing you should do is make sure you’re getting an artist to do it. If you were going to commission a portrait, I’m sure you’d check out the reputation and skills of the artist first. Please do the same with your cosmetic dentist.

Ideally, you’d want a dentist who’s reached accreditation level with the American Academy of Cosmetic Dentistry. AACD accredited dentists have guaranteed technical skill and artistic prowess. You will get a stunning smile through them.

However, just because something is stunning, doesn’t mean it’s what YOU dreamed of.

What You Should Expect From a Cosmetic Dentist

Your cosmetic dentist should sit down with you and have a consultation about what is your dream smile. You can bring pictures or discuss the character you’re going for. For instance, do you want a sporty smile, an authoritative smile, a youthful smile? All of these are formed with different shapes.

He or she should also let you test drive your porcelain veneers after they’re created using a try in paste. You should get to look at them in several types of lighting and also have your family and/or friends look at them. If you LOVE them (and I mean really love them) great. If not, your cosmetic dentist should be willing to go back to the drawing board.

Most skilled cosmetic dentists call this a beautiful smile guarantee. If they don’t offer one, walk away. Once you’re satisfied, then and only then should you allow him to permanently bond them on.

I hope this helps! Enjoy your new smile. It will bring with it amazing doses of confidence.

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

Can Dentures Be Attractive?

Everyone I know who have dentures have an ugly smile. I’m losing my teeth and need to replace them. I am going to save up for dental implants, but in the meantime I need dentures. I don’t want an ugly smile. Is there a way to get attractive, normal looking dentures?

Kevin

Dear Kevin,

Mature couple smiling
You can have a gorgeous smile no matter what your age!

Yes, you can certainly have an attractive smile with dentures. It’s not the procedure which makes the difference in appearance, but the dentist. In order to have a natural and attractive smile, you need to see a cosmetic dentist with a lot of expertise.

There are different levels of artistry in cosmetic dentists, just like there are better and worse painters and sculptors. Any art is a skill which takes both technical skill, natural talent, and lots of practice. So, how do you find such a dentist?

I suggest you look for a dentist who has reached accreditation level with the American Academy of Cosmetic Dentistry. AACD accredited dentists are in the top 1% of expert cosmetic dentists in the world.

Transitioning from Dentures to Dental Implants

I’m sure your dentist has explained the dangers of dentures to you and that’s why you’re saving up for dental implants. One thing you could do starting out is to get snap-on dentures. This can be done with as few as two dental implants and will at least get you started.

Make sure that whoever you go to for your dentures also has some expertise in dental implants as well, especially because you’re going to be transitioning. They can do your snap-on dentures or even complete removable dentures in a way that will make the process easier.

The Danger of Dentures

In case your dentist didn’t explain why implants are the better option I’m going to put it here for you and for the benefit of others. Once you remove your teeth, your body will begin reabsorbing the minerals in your jawbone to use elsewhere throughout your body. This causes your jawbone to begin shrinking. Eventually, you won’t have enough jawbone left to even retain your dentures, making it nearly impossible for you to eat. This process is known as facial collapse.

Dental implants prevent facial collapse because the root form tricks your body into thinking you still have natural teeth there and it leaves the mineral in place, saving your jaw bone structure.

This blog is brought to you by Dr. Randall Burba.

Replacing all Crowns because of One?

I had crowns placed on all my front teeth about 17 years ago. Since then, my dentist passed away. I’ve been happy with his replacement, up until now. One of my porcelain crowns started to feel loose. I looked at it closely and there’s a dark spot on the top edge. I went to see the dentist. He said there’s decay at the edge and the crown needs to be replaced. But, (and here’s the catch) he says I have to replace all of them if I want them to match. That’s a LOT of money. Is that really necessary or can I wait until they need replacing individually?

Mara Lynn

Dear Mara Lynn,

Side by Side images of dental crowns done by two different cosmetic dentists on the same smile. One is ugly. One is beautiful

Believe it or not, the images above are of the same smile. In both pictures the patient had dental crowns placed. The only difference was the quality of the cosmetic dentist she used. I’m guessing your current dentist is more like the one on the left. He’s not a cosmetic-oriented practice, therefore his skill is limited.

It sounds like the margins on your porcelain crown opened, leaving a little ledge ideal for the development of decay. At the very least, the one with the decay needs to be replaced.

When your current dentist says your crowns won’t match if he doesn’t re-do all of them at the same time, he not lying to you. He’s admitting the limitations of his skill. In this case, you have two choices.

Choosing a Cosmetic Dentist to Re-do Your Smile

  • Just replace the crowns as needed to save money.

You’ll definitely need a new cosmetic dentist in order to do it this way. A good cosmetic dentist CAN just match one crown to the rest of your teeth. They won’t need to do the entire arch. The first thing I’d do, though, is check all the crowns for suspicious marks and open margins. You’ll want to replace any of those at this go-round before they turn into decay. After that, it’s fine to just change them as you need to.

  • Replace them all at once to save time

Even though this is what your dentist suggested, he did it for the wrong reasons— to cover his lack of cosmetic skill. Because of that, I’m not sure you’d be happy with his results. I believe you’d be better served with another dentist in this case as well.

The top cosmetic dentists in the country are those who’ve reached the accreditation level of the American Academy of Cosmetic Dentistry (AACD). AACD accredited dentists create beautiful smiles. In fact, most of them even have a beautiful smile guarantee.

On a side note, you’ll be much more comfortable using sedation dentistry to have that much work done in one sitting. You can simply go to sleep (if you want to) and when you wake up all the work is done.

This blog is brought to you by Dr. Randall Burba.

Press-on Veneers versus Cosmetic Dentist

I don’t have a very good cosmetic dentist. He’s great for a lot of general dental work, but even he admits his cosmetic work needs work of a different kind. I appreciate his honesty but it leaves me in kind of a bind. I want to get porcelain veneers. He said he’s fine with me going to another, more experienced cosmetic dentist for that particular procedure. He even recommended someone he said was AACD accredited. He said that’s a huge deal. Not sure why. Anyway, I went to the AACD guy and had a free consultation. He was nice and I could tell by his picture gallery of patients that he does great work, but his prices were through the roof. Today I saw this website for press-on porcelain veneers. The pictures looked pretty to me and they were A LOT less expensive than the guy my dentist recommended. Do you know about these press ons? Are they really as good as the ones by a cosmetic dentist?

Veronica M.

Dear Veronica,

A single porcelain veneer being held up by a dental instrument

First, I really appreciate the honesty of your dentist. Some, less caring practitioners might be tempted to just do their “best” porcelain veneers knowing they’d be subpar but wanting the practice or the money. Instead, he was forthright and even suggested another, more qualified, dentist.

Not just that, he was careful to recommend an accredited dentist with the American Academy of Cosmetic Dentistry (AACD). These are the top 1% of cosmetic dentists in the world. Yes, their prices are sometimes a bit higher (though not always). That’s usually because they’re so skilled and artistic that they’re in high demand with patients wanting cosmetic procedures, such as porcelain veneers. In fact, there are people who travel across the country or even from other countries to have their work done by them.

If you went to one of them you would definitely get a stunning smile. Probably every one of them has some form of a beautiful smile guarantee.

Porcelain Veneers versus Press-on Veneers

The press-on veneers you saw on that website are completely different from the veneers you’d get from a skilled, artistic cosmetic dentist. They’re more similar to what you’d get with a snap-on smile. They’re made from a composite resin and just press over your teeth temporarily. While they may look great for a photo shoot, they do not look nearly as stunning or natural in person.

Because the press-ons fit over your teeth, instead of being custom made and bonded to your teeth, they tend to come off a bit bulky and a little long. It can make it difficult for patients to speak when they’re in.

There are some procedures you can shop around and cut corners on. Teeth whitening is one example. It doesn’t really matter which dentist does that procedure. It’s fairly straightforward. Going for the cheapest dentist, in that case, will do no harm. Veneers are different. They require expertise in both technique and artistry.

If you want a true smile makeover, it’s an investment that will last a lifetime, giving you stronger confidence than you’d imagine.

This blog is brought to you by Dr. Randall Burba.