Tag Archives: AACD accredited dentists

Dentist wants to CROWN a Chipped Tooth!

I fell on some ice and chipped my tooth. I wanted to repair it but my dentist said the best repair would be a crown. I know he’s not big on cosmetic dentistry, but I was hoping for something that wouldn’t grind the whole tooth. Aren’t there some cosmetic options?

May

Dear May,

before and after a chipped tooth is repaired

I’m sure your dentist is a decent general dentist and is giving you the best service he can provide for you. Unfortunately, he not the best dentist for you in this particular situation. Yes, there are cosmetic solutions to this which are much simpler. The ideal one is much more affordable than a crown too.

However, I don’t recommend you force his hand on this. If he isn’t familiar and experienced in cosmetic dentistry you will not like the results you get. Many people use one dentist for their general dental work and one for their cosmetic work.

Fixing a Chipped Tooth

The standard repair for a chipped tooth is to have dental bonding done on it. This uses a composite resin that the dentist will sculpt onto the tooth freehand. It does require an artistic cosmetic dentist. As you don’t have one, I’m going to tell you how to find the best cosmetic dentist in your area.

I mean if you’re going to do a cosmetic procedure, you may as well go to the person who can not only do it well, they do an awesome job. My suggestion is you get an AACD accredited dentist. These dentists have gone through stringent oral and written exams as well as demonstrated their artistic ability on a large number of cases.

Any of them could not only fix your chipped tooth, but they could also give you a stunning smile makeover with porcelain veneers.

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

Dental Implants Turned My Gums Gray

I’m worried something is seriously wrong. I had two dental implants placed on my front teeth. They’ve been on for a few months now. While I sort of like how the implant crowns look, the surrounding gums have turned gray. Are the implants causing an infection? Will I lose the implants?

Melissa

Dear Melissa,

illustration of a dental implant

The good news is that you’re probably not dealing with an infection. If you were, there would be a fever and pain involved, neither of which did you mention. More likely, the titanium from your dental implants is showing through your gums. This could be from one of two reasons or a combination of both.

You probably have thin gum tissue which contributes to it. The placement of the implants is also a big factor. If your dentist isn’t experienced in placing dental implants, he may have placed them without factoring in the depth of your gum tissue. I suspect that’s the issue. Another reason I’m wondering about the skill of your implant dentist is your disappointment with the look of the crowns. But, first, let’s talk about your options for your gray gums.

Obviously, your first option is to live with it. If it’s not visible when you smile, that may be acceptable to you. If the gums are visible, then you won’t want to leave them. In that case, you’ll need to have them re-done. If it turns out they weren’t properly placed for the thinness of your gums, you could get at least a partial refund. A second opinion by an expert implant dentist can tell you that.

When you have them replaced, you can either get titanium implants again or you can get Zirconia Implants. These are white and more easily masked. These are also great for people who have severe metal allergies because they are metal-free.

Can Dental Implant Crowns be Beautiful?

When you’re talking about getting restorations on your front teeth, it especially important you find a skilled and artistic cosmetic dentist. Ideally, you’d want an AACD accredited dentist. They’re the cream of the crop when it comes to cosmetic dentistry. But, very few dentists are accredited so you may not find one at a reasonable distance from you. In that case, look on the mynewsmile.com website.

They only recommend the best cosmetic dentists. Many of them are on their way to accreditation, which is a lengthy process. If a dentist is on their list, they’ll give you a beautiful smile.

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

BEST Dentist to Fix Meth Mouth

My daughter has come a long way. When she was 14 she ran away. She came back this year at 19-years-old. I barely recognized her. She was too thin and completely strung out on drugs. She could barely talk. I couldn’t believe this was the same little girl who used to cuddle in my lap while I read Little House on the Praire books to her. We took her back in. She was addicted to meth but once she could communicate told us she’d do anything to get her life together and she meant it. She’s completely off drugs. She got her G.E.D. and is preparing to go to a local university. I’m super proud of her. One of the things which still embarrasses her and I’m afraid will hurt her employment opportunities is her teeth. She has what I now know as meth mouth. I want to fix her teeth so she can feel confident when she smiles. But, I understand this is a gargantuan task that requires more than your average family dentist. How do I go about finding the best dentist to give her the beautiful smile she deserves?

Linda

Dear Linda,

A pretty blonde with a pretty smile.
The best cosmetic dentists create beautiful smiles

What a great moment that must have been to get your little girl back. It reminds me of the prodigal son in the Bible. It sounds like you have good reason to be proud of the changes she’s made. None of that could have been easy for either of you. I’m sure just her coming off the meth was a torture you’d never want to experience again.

It’s good that you recognize this is above the abilities of most dentists. These type of smile makeovers require immense skill and artistry. You need not just one of the best dentists. You need the best of the best. My suggestion would be to find a dentist who’s reached accreditation level with the American Academy of Cosmetic Dentistry. AACD Dentists are among the top 1% of dentists in the country. They’ll be able to give your daughter a stunning smile.

It’s likely they’ll do a combination of teeth whitening, porcelain veneers, and porcelain crowns. Many of them even have a beautiful smile guarantee, so you’ll be sure to get the smile you want.

I’m glad you guys are getting your daughter back.

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

Is a Cracked Porcelain Crown a Dental Emergency?

I had several porcelain crowns placed on my front teeth. They’ve served me well for over fifteen years. One has always had a minor defect you couldn’t see just by looking. My dentist told me about it and offered to do a different crown, but she did say that even our natural teeth have minor defects and it shouldn’t be a problem. I appreciated her honesty and her willingness to make an entire new one. I didn’t feel that was necessary and their longevity has born that out. Today, however, I noticed I can both see and feel the defect. I’m sure it needs to be replaced at this point, I’m just wondering if it is a dental emergency or I can wait. The original dentist has since retired and her replacement and I are just getting to know one another so I don’t yet have the same confidence in her.

Lindsey

Dear Lindsey,

A Dental Crown being Placed

It sounds like you and your old dentist had a wonderful doctor-patient relationship. It’s certainly hard to lose a trusted caregiver. Hopefully, her replacement will end up being equally honest and skilled. While this change in your dental crown isn’t necessarily a dental emergency, I don’t want you to get too comfortable and let this slide. You do need to be seen.

The fact that you can now see and feel the defect tells me it’s cracked. It will at some point completely break. Those type of things inevitably happen at the worst possible moments, like when you’re on vacation or out to dinner. It’s much better for you to get this dealt with well before it can become an emergency issue. Plus, it will give you peace of mind knowing it’s no longer at risk of breaking.

Who Should Replace Your Dental Crown?

You’re not familiar with your new dentist yet, so before you allow her to replace your porcelain crown, you will need to research her cosmetic skill. At the very least check out her smile gallery. It’s a collection of before and after pictures of cosmetic work she’s done. You can click here to look at Dr. Burba’s work to get an idea of the type of quality you want. These are front teeth so you want them to be beautiful when you smile.

Some dentists would try to persuade you to replace all the crowns so as to make them easier to match. That’s usually a sign they’re not top-notch cosmetic dentists. The crowns are aging, so if you want to go ahead and replace all of them, that’s fine. But, you mentioned they’re still in good shape. In that case, you really only have to replace the broken one.

Replacing a single crown to your remaining teeth takes an expert cosmetic dentist. I’d suggest you look for a dentist who’s reached accreditation level with the American Academy of Cosmetic Dentistry. AACD accredited dentists are experts in their field both in technical skill and artistry. They’ll match your crown perfectly.

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

How Do I Find the Best Dentist?

I’ve recently moved and need to find a new dentist. I’ve been to the same one most of my adult life so it feels weird switching. How do I find the best one available?

Burt

Dear Burt,

Woman giving thumbs up in a dental chair
The Best Dentists Leave Us with Smiles

Wouldn’t it be great if there was some independent, objective measurement to tell us who the best dentists were? Unfortunately, especially when it comes to general dental care, there isn’t. That doesn’t mean I can’t give you some guidelines to help you find the best dentist for your particular needs.

The first thing to ask yourself is what type of services do you need? Are you strictly and nuts and bolts guy who just wants his teeth cleaned and maintained as necessary? Or maybe you also want some cosmetic work done? Once that’s decided, it gets a little easier.

Finding the Best General Dentist

For the basics, I’d simply do an internet search for dentists in your area. Then I’d take two additional steps.

  • Check their reviews.

You’ll want a dentist people enjoy seeing. One who makes them feel like family instead of just someone they need to get in and out of the dental chair. Reviews are generally written by those who are thrilled with the service they’ve received or hated it. Either one should give you the information you need.

  • Check their passion

Each state has a requirement for how many continuing education hours a dentist has to do to keep their license. You want a dentist who not only keeps up with the developments in his field but has a passion for it. Make sure they go above and beyond what is required. They shouldn’t be offended to answer a question on how many continuing hours they do.

Finding the Best Cosmetic Dentist

It’s a little easier to find the best cosmetic dentist. Because there isn’t a cosmetic dentistry specialty, there used to be no way for patients to know who would give them a gorgeous smile makeover with porcelain veneers and who would give them a cosmetic horror story.

Fortunately, the American Academy of Cosmetic Dentistry stepped in and created an accreditation program. This tests dentist both with written and oral exams gauging their technical knowledge. Then, it requires them to provide visual evidence of a large number of cosmetic procedures they’ve done to ensure they not only have technical skill but artistry as well.

If a dentist is AACD accredited, that means you will get a stunning smile. In fact, most of them have a beautiful smile guarantee.

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

How Do I Find the Best Dentist to Fix a Cosmetic Tooth Disaster?

Help! I spent half my savings on a smile makeover and it’s a disaster. My dentist suggested Lumineers because my teeth wouldn’t need to be shaved. I thought that would be better for my teeth. What he didn’t tell me was how bulky they’d look. I feel like I have the smile of a donkey. Plus, the color isn’t anything like I expected. They look opaque to me instead of translucent. Can this be fixed? How do I find the best dentist to fix them?

Lucinda C.

Dear Lucinda,

A single porcelain veneer being held up by a dental instrument
Finding the Best Dentist for a Smile Makeover

These type of tragedies are way too common. A patient spends a lot of money to get a beautiful smile only to end up with a disaster that was worse than their natural teeth were to begin with. Most patients tend to leave it to their regular family dentist to do their smile makeover out of a sense of loyalty.

Unfortunately, unless your family dentist has invested extensive time and training in developing their technique and artistry for creating gorgeous smiles with porcelain veneers, the results are rarely what you’d expect and often disappointing.

Lumineers are often marketed to inexperienced cosmetic dentists as being easy to place because they’re considered “no-prep”. Well, you’ve seen what no prep can sometimes end up looking like.

Finding the Best Dentist to Fix Your Cosmetic Disaster

First, your dentist should not have permanently bonded your Lumineers on without letting you see what they looked like with a temporary try-in paste. The fact that he did and they look so unacceptable to you, you have the right to ask for a refund. Then it becomes a matter of finding the right dentist to give you a stunning smile.

The easiest way is to find a cosmetic dentist who’s reached accreditation level with the American Academy of Cosmetic Dentistry (AACD). These are the best cosmetic dentists in the country. Not every area has them. However, it’s worth it to do a little traveling to get the best. There are some cosmetic clients who fly across the country to get their cosmetic work done. But, I realize not everyone is living on a celebrity’s budget.

If you don’t have one at a reasonable distance, look on the mynewsmile.com website. Some dentists are in the process of reaching accreditation level and are equally skilled. This site checks out the technical and artistic skill of the dentist before allowing them to list on their site. No one can simply purchase their way to the list.

I hope this helps!

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

Need Invisalign to Save My Marriage

Help me! I totally blew it at Christmas, apparently. I thought I was listening and being attentive. She’s always complaining about how we have the worst vacuum ever. So, I spent more money than I thought you should on a vacuum. Pro tip: That’s not a good Christmas gift. I wasn’t aware that things you have to have anyway to keep the house clean doesn’t count. She’s been mad at me since Christmas morning. In my defense, I have noticed she is vacuuming more, even if she’s glaring at me while doing it. I’m determined to make it up to her on Valentine’s Day. She also always talks about wanting a smile makeover. So, I thought I’d get her a gift certificate for Invisalign and teeth whitening. I went to see her dentist at lunch today to order it (see I’m actually a month ahead of the game), but he said no. She has to be there for an exam to know the cost. How can I surprise her like that? Will all dentists feel that way?

Dennis (the gift menace)

Dear Dennis,

A woman putting in her Invisalign aligners in two stacked images

I love how much you’re trying. You’re absolutely listening, so she can’t fault you for that. I think you’ll be able to get her that mini smile makeover you’re hoping to. Before we do that I want to make sure you know a distinction. When your wife says smile makeover, she could be referring to Invisalign and teeth whitening. Many people get beautiful smile makeovers from these two products.

Be aware, though, most people are referring to getting a smile makeover with porcelain veneers. Either way, I’d make sure you do some digging to see which she means as you’re trying to make something up to her she was unhappy about.

What’s the Smile Makeover Difference between Invisalign and Porcelain Veneers

With Invisalign, her teeth will be gently and precisely shifted to a correct position wearing a series of aligners. The image at the top of this post shows a woman placing an Invisalign aligner on her teeth.

A single porcelain veneer being held up by a dental instrumentWith porcelain veneers, her teeth can be made to look straight even when they’re not using thin wafers of porcelain an expert cosmetic dentist designs. You can see an image of a single porcelain veneer directly above. These can also change the shape, size, and color of her teeth. This is the smile makeover most celebrities get when they’re going for that “Hollywood Smile.”

Can You Pre-purchase Invisalign Ahead of Time?

My suggestion, if you want to get an Invisalign Gift Certificate is to talk to the dentist again asking what the minimum cost would be. If he knows your wife’s teeth at all, he can probably give a semi-educated guess. Then purchase a gift certificate for that amount. Let him know after her exam and treatment plan is designed, you’ll make up any cost difference.

If it turns out porcelain veneers is what she was after, the dentist you choose to do this is the most important decision you’ll make in this procedure. You really want her to go to a dentist who’s reached accreditation level with the American Academy of Cosmetic Dentistry. Those are the dentists which can give her a stunning smile. Be aware, this procedure is much more pricey than Invisalign. But, you get way more for your buck at the same time. The aacd.com website can help you locate one near your area.

This blog is brought to you by American Academy of Cosmetic Dentistry Accredited Dentist Dr. Randall Burba.

Problem with my porcelain veneers

I’m not sure what to do. I got these porcelain veneers. I told the dentist exactly what I wanted, but for some reason what came back wasn’t even close. I told him I did not like them, but he said they’d be much better than what I chose.  He feels like he’s the expert and knows what I need better than I do.  I thought cosmetic dentistry was about what I wanted?

Amelia L. – Little Rock, AR

Amelia,

I don’t know how else to say this, but you need a different dentist. You’re right. Cosmetic dentistry is about what you want.  I highly suggest you find a dentist who is better qualified. Ideally, you’d want one who is AACD accredited. It would be worth a drive if you could only find one in the next city.

It sounds like your dentist is more of a general dentist than a cosmetic dentist. In dental school we’re taught that we know better than the patient. However, those who study cosmetic dentistry, post graduate know it is all about how the patient feels about their smile.

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