Tag Archives: AACD accredited dentists

What If Dentures are my Only Option?

I’m in a pickle. I’ve had four pregnancies in six years which kept me vomiting every day, multiple times a day. Then, when I was done with that, I was diagnosed with cancer. My teeth are an absolute wreck as a result. Many of them are literally crumbling. I think the only thing I can afford is dentures. I’m about to completely lose it. I keep hearing dentists say dentures are the worst thing I can do but I’m not sure I have a choice. I’ve no money left and am still paying off tens of thousands of dollars for my treatments.

Emily

Dear Emily,

An illustration of both a denture and a dental implant

You have been through a lot and I don’t want you to beat yourself up. Sometimes, our health (even the health of our teeth) are beyond our control. In your case, I’m going to make a couple of suggestions to see if we can help you get the health you need for your jaw as well as a beautiful smile.

You mentioned dentists have warned you against dentures. The reason for that is the danger of facial collapse. Your jawbone slowly shrinks. Eventually, there is not enough money to even keep your dentures in place. The upper dentures are held in by suction, so those are a bit safer. The bottom ones just sit on the ridge of your jawbone.

If at all possible, I am going to suggest you get snap-on dentures on your bottom arch. This can place as few as two dental implants into your jawbone and keep your dentures from falling out. Plus, it will preserve the bone where ever you have an implant. From there, you can save up for other implants as you are able.

Getting Beautiful Dentures

Regardless of the type of your tooth replacement option, you want to make certain, the dentist who prepares them will create a beautiful smile for you. This is one of the few upsides for your particular situation. After years of damage to your teeth, you can now have the smile of your dreams.

Not all cosmetic dentists are equal in skill. It’s not a recognized specialty by the American Dental Association, so it is up to the dentist how much time and training he or she invests in learning how to make beautiful smile makeovers. There are two sources where you can find dentists capable of giving you a gorgeous smile.

The first is the American Academy of Cosmetic Dentistry website. They have a link where you can find a cosmetic dentist. When you list your area, make sure you check that you’re looking for an accredited dentist. These are the ones with expertise and artistry. The second source is mynewsmile.com. They also have a “Find a Cosmetic Dentist” link. Not all of them are accredited. However, each one of them has been screened for their technical and artistic skill.

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

Does it matter who does your crowns?

I have been diagnosed with TMJ Disorder. My dentist said he’d like to do what he calls a full-mouth reconstruction to repair it. As he explained it, that means crowns on every tooth. I’ve had a single crown done before. Does it matter that I’m getting all crowned for a TMJ problem? Does that require a specialist?

Sara

Dear Sara,

Woman giving thumbs up in a dental chair
How do you know if you have the best dentist for your needs?

One of the problems patients in your situation run into is there aren’t recognized specialties in either TMJ, recognstructive, or cosmetic dentistry. All of those of important areas of knowledge and skill for a dentist to do a full-mouth reconstruction.

This is a serious procedure which costs a great deal of money. While some pretty severe cases of TMJ Disorder do require drastic treatments, I always recommend you get a second opinion from a dentist with a lot of TMJ training before moving forward to see if this is really what you need.

Finding the Best Dentist for a Full-Mouth Reconstruction

As I mentioned earlier, the best dentists for a full-mouth reconstruction have expertise in TMJ, occlusion and restoration, as well as cosmetic work.

The occlusion, TMJ, and restoration is to make sure the bite is technically correct. You need the bite to line up correctly in order to help aide in the healing of your TMJ disorder. Look for dentists who’ve studied these type of topics at one of the following school:

  • The Dawson Academy
  • The Las Vegas Institute of Advanced Dental Studies
  • The Kois Center

There are other great ones as well, but these are three of the best.

The cosmetic work is important so you’ll have a smile you’re proud of. In reality, it’s a great opportunity to get a stunning smile. If you are looking for the top of the line cosmetic dentists, you want to find a dentist who’s reached accreditation with the American Academy of Cosmetic Dentists. They are in the top 1% of cosmetic dentistry in the country.

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

No-Prep or Traditional Veneers

I’m getting a smile makeover for the start of the new year. It was one of my Christmas presents. I’ve been doing some research and I just can’t make the final decision between Lumineers or traditional porcelain veneers. I like the idea of no-prep, but the reviews have been mixed with some people saying their smile ended up looking bulky. Do you have any advice for me?

Elaina

Dear Elaina,

A single porcelain veneer being held up by a dental instrument

How great that you received such an incredible Christmas gift. You must have been a very good girl this year. It is also nice that you are trying to research ahead of time to get the best option for a beautiful smile.

I’m going to shift your question a bit to give the important answer. A great cosmetic dentist can create a gorgeous smile for you no matter what type of materials he is working with. That is one of the reasons the reviews are so mixed on the Lumineers brand. The ones who’ve had their teeth end up looking bulky are the ones who didn’t go to a top-of-the-line cosmetic dentist.

Whenever you’re talking about creating a piece of art, the artist you choose matters. While porcelain veneers, whether traditional or no-prep, can give you a stunning smile. The right dentist has to be doing it.

So, how do you find this magic dentist?

Finding the Right Dentist for Your Porcelain Veneers

You’ll want a dentist who has not only invested a significant amount of time training in cosmetic dentistry and smile design, but one who has a natural or trained artistic eye as well.

You could spend countless hours researching each cosmetic dentist in your area one by one, or you can utilize one of two great resources. The first is the American Academy of Cosmetic Dentistry (AACD). They have an accreditation program which helps patients find the best of the best.

You’ll simply need to go to their site (aacd.com), click on find a cosmetic dentist, then input your area. Be sure to check the box that says you’re looking for an accredited dentist. That is very important.

Sometimes it’s hard to find an AACD accredited dentist in some areas. These are among the top 1% of cosmetic dentists. The accreditation process takes a long time. If you don’t see one in a reasonable traveling distance to your home, check out mynewsmile.com.

This site screens cosmetic dentists who wish to be listed for both technical skill and artistry in their work. They also have a find a cosmetic dentist button. While many they list are accredited, others are highly skilled cosmetic dentists in the midst of the accreditation process and can give you an equally gorgeous smile.

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

Is it Too Late to Get a Pretty Smile?

I’ve had dentures for years. They have always looked fake but I knew they would be because they were dentures. Last week a friend of mine I hadn’t seen in a few years came to town and we had lunch together. Her smile was gorgeous. I couldn’t believe it. She said she got dental implants. I didn’t even know those existed. Is it too late for me to get them?

Mandy

Dear Mandy,

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

It’s never too late for a pretty smile. You should know that, with a great cosmetic dentist, you could have had a beautiful smile with dentures as well. It’s not the procedure in this case. It’s the dentist. However, you can’t change the past.

Dentures or Dental Implants

Truthfully, dental implants are by far the best choice when it comes to replacing their teeth. First, they’re permanently implanted so they’re completely secure. It’s like having healthy, natural teeth back in your mouth. You can eat whatever you want and brush and floss like you do with natural teeth.

They have a more important function, though. You’ve probably noticed your dentures don’t fit the same way they used to when you first received them. That’s because your jaw is shrinking. When your teeth were removed, your body recognized that and started resorbing the minerals in your jawbone to use elsewhere.

It won’t be long before you won’t be able to keep your dentures in place. This is known as facial collapse. Dental implants prevent that. The prosthetic roots placed into your jawbone tricks your body into thinking your natural teeth are still there and, as a result, leaves your jawbone intact.

If you decide to get dental implants, you’ll likely find you no longer have enough jawbone left to support them. However, that doesn’t mean you can’t get them. It means you’ll have to have an additional procedure first, called bone grafting.

Bone grafting is a simple, outpatient procedure. This will build up the bone structure so that your jawbone will be able to retain the implants.

Getting Beautiful Results No Matter What Procedure You Choose

As I mentioned above, the most important decision is to find a highly skilled and artistic cosmetic dentist. They can create something stunning that you’ll be proud to share with the world. You’ll never feel like you have an ugly smile again.

The easiest way to find one of those is to go to the website of the American Academy of Cosmetic Dentistry (aacd.com). They have a “find a cosmetic dentist” link. However, to get one with the expertise you need, you need to check that you want an accredited dentist, not just a member.

After you find a great cosmetic dentist, see which of them have experience with dental implants. You’ll want one with post-doctoral training in restorative dentistry.

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

Why Your Cosmetic Dentist Matters

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

I recently read on Dr. Hall’s blog about a woman who was having a full-mouth reconstruction. Yes, this is mostly for function, however, it’s important it looks good as well. This poor woman had so many problems. Her dentist made the top teeth darker than the bottom, they weren’t the color she wanted (he told her she picked the wrong color), then one of the teeth were sharp.

When she mentioned that, he essentially said she’s too demanding and he can’t help her. She had the choice between having horrible teeth bonded on or leaving without teeth. She asked him to use a temporary bonding and he refused.

This is a horrific situation. If you want to read her complete post, you can here. However, the more important thing is knowing how to not end up in that type of situation to begin with.

Getting an Expert Cosmetic Dentist

This man wasn’t a true cosmetic dentist. I know that not just by his obvious lack of skill, but also by the manner in which he responded to her about the color as well as her dissatisfaction.

A true cosmetic dentist would have always deferred to the patient’s desires. Not only that, a temporary try-in paste is an automatic given.

If you’re looking for a great cosmetic dentist, your best bet would be to go the American Academy of Cosmetic Dentistry website (aacd.com). They have a “find a cosmetic dentist” link. Now, here’s the thing. Any dentist can become a member of the AACD. What you want is someone who is accredited by them.

Accreditation is only achieved after passing both oral and written exams, as well as proving the artistry of their work. They have to turn in photographic evidence of a large number of cosmetic cases they’ve done.

If you want to avoid a situation like the one I mentioned, make sure you get an accredited dentist. Dentists who are accredited are the top cosmetic dentists in the country. They could give you a gorgeous smile makeover.

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

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┬ásome 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.