Tag Archives: AACD accredited

My Porcelain Veneer is Crooked

I’m not sure if you can help me but I’ll try anyway. I had bonding done on a front tooth that was chipped. That chip wasn’t that big. It kind of worn out after quite a few years. My new dentist said it can’t be replaced and I’ll need to have a dental crown placed. I wasn’t keen on that. Like I said, it’s just a small chip. Instead, we compromised on a porcelain veneer, but when he put it on it was crooked. Now he says because it’s bonded there’s nothing I can do about it. Is he right? I can’t go around with a crooked front tooth.

Denise H.

Dear Denise,

A single porcelain veneer being held up by a dental instrument

I’m concerned about the quality or honesty of the dentist you’re going to. First, there was no reason why he couldn’t have re-bonded your tooth. I have no idea why he told you that unless there’s something else going on that you haven’t mentioned. This is one reason I am questioning his honesty.

I’m thrilled you decided not to get a dental crown for the tooth. That would have been a massive overtreatment, costing you healthy tooth structure. I understand why you compromised on a porcelain veneer, which is a little better. However, it’s obvious your dentist didn’t have the skill or it would not have been improperly bonded. At the very least, without replacing it, he should have offered you a refund. it’s unbelievable to me he’s expecting you to go about with a crooked veneer.

In fact, it’s unethical. This doesn’t meet the minimum standards of treatment. At some point, because of how it’s placed, it will break off.

Who Should Do Your Porcelain Veneer?

You’re in a bind now. Here’s what I’d recommend. Go to a good cosmetic dentist and have them give a second opinion. I’m pretty sure they would tell your dentist it’s unsatisfactory. A dentist will sometimes listen to a peer where they wouldn’t listen to a patient. They’ll give you a refund so as to not look bad.

Then, you can go to another dentist to have it replaced. Finding an expert cosmetic dentist is a matter of knowing what resources to find. First, look for a dentist accredited with the American Academy of Cosmetic Dentistry (AACD).

If you live in an area where there isn’t one within a reasonable drive, your next step is to look on the mynewsmile.com website. They recommend highly qualified and artistic cosmetic dentists by area. You’ll be safe getting a dentist who can give you a great veneer. In fact, they’ll give you a gorgeous smile.

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

Dentist Said I’m Too Old for Dental Implants?

I’m a little distressed and hoping my dentist is mistaken. He’s been my dentist for years, but sometimes I get the impression he doesn’t exactly “keep up” with the developments in his field. I’ve had dentures for 25 years. Back then I’d never even heard about dental implants. My dentures never really looked natural, but it’s getting impossible to keep them in even though I completely replaced them a few years ago. To top it off, now my face is smushing around them. I asked my dentist about dental implants and all he said was, “Not at your age.” I’m sick of dentures. Is there any way for a mature woman to get implants?

Sarah L.

Dear Sarah,

dental implants anchoring dentures

I’m sorry your dentist gave you the impression that your age would preclude you from getting dental implants. If you’re in good health otherwise, there isn’t really a reason why you can’t have them. Though, the length of time you’ve had dentures will require you to have another procedure done ahead of time in order to make them viable.

When your teeth were removed, your body started reabsorbing the minerals in your jawbone to use elsewhere throughout your body. While great for other aspects of your body, it’s a horror for your jawbone. This is why your dentures no longer fit and why your face has scrunched up around them. This is known as facial collapse.

Dental Implants are a Great Solution

Fortunately, there’s an easy solution to that bone loss. Bone grafting can now be done as a one-day procedure. Once you have enough jawbone again, you’ll be good to go to get dental implants. The best part is, with implants in your jaw, you won’t have to worry about losing any more jawbone.

Now, I want you to know your dentures could have been made to look beautiful and natural, though you’d still have the same problem with the bone loss. What the dentures look like is really down to the cosmetic abilities of the dentist. It sounds like your dentist isn’t very artistic.

Unfortunately, you won’t get any better results from him next time, unless he’s done extensive training since then. If you want a beautiful smile, you need to find a different dentist to do these implants.

Who Should Do Your Dental Implants?

There are two things which need to factor into who you go to for this procedure.

1. Technical skill. They’ll need extensive training in the implant procedure. You want to make sure they’ve done post-graduate training.

2. Cosmetic Ability. If they get the implants right, that’s great, but you won’t like your smile much if he doesn’t make the implant crowns beautiful. The most artistic dentists are AACD accredited. In fact, many of them have a beautiful smile guarantee.

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

How Do I Know If My Dentist Is the Best for My Smile Makeover?

I’m worried I should go to a different dentist for my smile makeover. He’s a really nice man, but when I suggested I get porcelain veneers he said that crowns would be a better option. I told him I didn’t want to grind my teeth down when they’re healthy. He said he was willing to get certified to place Lumineers for me. He’s super sweet and I love that he’s willing to learn something to help me but I’m not sure I want to be his first case, especially because this will essentially wipe out my life savings. What do you think?

Carrie E.

Dear Carrie,

Woman with beautiful smile

Your gut instinct is right. It does sound like you have a very caring dentist, but he won’t be the best dentist for your smile makeover. You need someone who’s had significant training and skill in cosmetic dental work. It takes a lot of training and artistry. It doesn’t mean you have to switch dentists altogether. Just for your smile makeover. You can still see your regular dentist for everything else.

Look for a dentist in your area who is accredited with the American Academy of Cosmetic Dentistry (AACD). These are the dentists who have the skill you need to create a gorgeous smile. In fact, most of them have a beautiful smile guarantee.

The Best Way to Care for Your New Smile

Now one thing to understand is your dentist won’t know the right way to care for your new smile after you finally get it. The important thing will be to make sure they don’t use anything like a prophy jet or other power jet to clean your teeth. That will remove the glaze from your porcelain veneers and they’ll quickly become ruined.

He sounds like a responsible dentist. It might not be a bad idea for him to learn about how to properly care for them for your further cleanings and check-ups. I bet he’d be willing to do that, especially because he offered to get certified in Lumineers for you.

By the way, tell him if he’s truly interested in learning about placing porcelain, not to waste his time with the Lumineers seminar. He’d be better off learning about true aesthetic dentistry at somewhere like LVI. Obviously, he’d probably take that better from a peer than a patient, so feel free to show him this post.

Best of luck with your smile makeover.
This blog is brought to you by Dr. Randall Burba.

How to Find the Best Dentist When You Move

We’re moving across the country. We’ve had a fantastic dentist all of our lives. It’s sad to me that we have to leave the clinic. I’m pretty sure we’ve had the best dentist in our state. Is there an easy way to locate the best dentist in our new state?

Emily P.

Dear Emily,

Best Dentist in Boston

I’ll give you some tips to narrow down your dentist choices. The first thing you need to do is decide what services are important to you. For instance, if you’ll want someone who focuses only on general dental services you’ll go one route. But, if you are interested in cosmetic dental services there will be additional things to look for.

I’m going to go on the assumption you’re looking for a good cosmetic dentist because those are harder to find. There is no recognized specialty for cosmetic dentistry so every cosmetic dentist is just a general dentist who offers cosmetic procedures. As with any art based skill, there are a large variety of skills among the artists.

Because it’s extremely difficult for patients to know ahead of time which dentists are skilled at creating beautiful smiles and which are really bad at it, the American Academy of Cosmetic Dentistry (AACD) developed an accreditation program. Those cosmetic dentists which reach accreditation are among the most skilled, artistic dentists in the world. If getting a smile makeover is important to you, you’ll want an AACD accredited dentist.

Now, you likely fell in love with your dentist because of his personality. He showed interest and care about your family. It won’t do you any good if your dentist is artistic, but a total jerk. So, once you’ve found an AACD accredited dentist in your area, look at their smile gallery to be certain you like the results they get. You’ll also want to make sure they have some form of beautiful smile guarantee. Then, go onto sites like Google Review or Yelp! and read reviews patients have given them. You want to make sure they’re good with patients.

If you take these steps, you’re very likely to find at least one of the best dentists in your new area. If cosmetic work isn’t important to you, then just look at reviews to make sure they’re friendly and do work that holds up.

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

Who’s the Best Dentist for a Recovering Bulimic?

I’ve struggled with bulimia for years and am finally on the road to recovery. It’s been hard but I’m doing much better recently.  One of the things I’m doing is trying to repair some of the damage my purging has caused. My teeth are in bad shape and I caused it. I need to find the right type of dentist for this. I don’t want one who’s going to make me feel any worse than I already do.

Meredith G.

Dear Meredith,

Wow! You’re a strong woman. I’m proud of the dynamic recovery you’ve made thus far. I appreciate the steps you’re trying to take. You’re also wise to try to find the best type of dentist for this situation.

You’ll want to work with an expert cosmetic dentist. They have the experience in working with bulimic patients. Plus, you’ll be certain whatever work they do will be beautiful.  The last thing you need at this stage of your recovery is shoddy work which makes you feel worse about yourself.

The dentist will want to look at the damage to the back of your teeth. Your purging causes a lot of acid to attack the back of your teeth. It may be that will cause you to need some all-porcelain crowns, but don’t worry. A good cosmetic dentist will make them stunning.

Your best bet is to get an accredited dentist with the American Academy of Cosmetic Dentistry (AACD).  They’re the top cosmetic dentists in the country and will give you a smile you will be unbelievably proud to share with people.

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

How Do You Avoid a Smile Makeover Disaster?

My friend Cecilia just spent thousands of dollars on a “smile makeover” and it’s awful. The teeth are thick and bulky. They look opaque. In all honesty, she went from having an okay, but not beautiful smile to having horse teeth. I didn’t even have to tell her it was bad. She burst into tears the minute she walked through my door. I told her to ask for a refund or to have it re-done, but she said the dentist thinks it’s beautiful and the problem is in her mind. If I go with her and tell the dentist I agree with her will it help? I was planning on having my own smile makeover. I still want to do it but would love to know how to avoid my friend’s issue. Any tips?

Lucy S. – Seattle

Lucy,

I can tell you right away what went wrong with your friend’s makeover. She went to a family dentist who doesn’t have a great deal of training or experience with cosmetic dentistry. Based on the description you gave of your friend’s new smile, it sounds like her dentist placed Lumineers on her teeth. That wouldn’t surprise me because they’re often marketed to inexperienced cosmetic dentists as being easy to place. Unfortunately, horse teeth are usually what you end up with when someone without skill places them.  They’re just a brand of porcelain veneers. A brand most cosmetic dentists don’t prefer.

I don’t think you going and telling the dentist he did a bad job is going to change his mind. Your best bet is to have her go to an expert cosmetic dentist and have THAT  dentist tell him it was a bad job. An expert cosmetic dentist would never be satisfied with a case in which the patient is dissatisfied. Ever. However, a family dentist, who doesn’t do much cosmetic work will be more interested in what his peers think. If colleague thinks his work is subpar, he won’t want to look bad by not re-doing it.

So, your friend’s problem is how to find an expert cosmetic dentist.  This is your issue too, because you want a gorgeous smile makeover when you decide to go forward with yours. You want to go to an AACD accredited dentist. The AACD is the American Academy of Cosmetic Dentistry. Now bear in mind any dentist can become a member of the AACD, but accreditation has to be earned. Only the top cosmetic dentists reach this level. If you get a smile makeover by them, you’re pretty much guaranteed a gorgeous smile. In fact, many highly skilled cosmetic dentists (like Dr. Burba) have a beautiful smile guarantee.

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

Can My Crown Be Changed to Match the Veneers?

I got porcelain veneers. There was one tooth that already had  crown, so that one had to have a new crown placed. I was worried I wouldn’t get a good smile, because my underlying teeth, the inner layer is darker than most peoples. At least that’s what my dentist told me.  The veneers look fine. Much better than I expected, but the crown doesn’t match. It’s whiter than the veneers next to it. Is there a way to make them match?

Lillith B. – Ohio

Hi Lillith,

I’m glad you’re happy with your porcelain veneers. They can really remake a smile. When the underlying are darker, it can get a little trickier. But, that doesn’t mean it can’t be done. It just has to be done by an expert cosmetic dentist. It sounds to me like you have a good family dentist who does cosmetic work, but maybe hasn’t studied the advanced aspects of it.

To be a great cosmetic dentist takes a lot of post-graduate training. Porcelain veneers are thing. Porcelain is naturally translucent, just like your natural tooth enamel, which makes it an excellent dental material. However, porcelain veneers are significantly thicker than veneers. If the underlying teeth are dark, as yours are, that dark color is going to shine through the porcelain veneers much more than it would with the crown.

One of the ways to get around this is for the dentist to add an opaquer to the teeth before sending your case off to the lab. It takes quite a bit of skill on the part of the dentist, so not many can do it. If I were in your place, I’d look for a dentist who is accredited with the American Academy of Cosmetic Dentistry (AACD).

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

A question about dental accreditation

It seems like there are some cosmetic dentists who are accredited and some who aren’t. Why is that and what is the difference?

Burke I.- Detroit, MI

Burke,

You have asked one of the most important questions there is regarding cosmetic dentistry.  Most people don’t know that cosmetic dentistry is a completely unregulated field. That means any general dentist can learn a few cosmetic procedures and call themselves a cosmetic dentist. Even the standard for acceptable care in cosmetic dentistry is really low. For instance, as long as your cosmetic work is functional, it is considered acceptable, regardless of how unattractive you may feel it to be.

This lack of regulation is a problem. Very few “cosmetic” dentists are skilled enough to create a truly beautiful smile. It takes a significant amount of post-graduate training to be able to adequately do cosmetic procedures. So, knowing this, how can you know if a cosmetic dentist is really qualified?  That is where accreditation comes in.

The American Academy of Cosmetic Dentistry (AACD) has an accreditation program. Dentists are not required to participate in the program. Those that do have to pass a stringent written exam, as well as a clinical exam where they have to give five case samples of their work. Only about 1-2% of dentists in the world acheive this level of qualification. You can be certain that if a dentist is AACD accredited, you are in fantastic hands.

You may be interested in learning about our porcelain veneers cosmetic procedure.

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

Congratulations to Dr. Arthur Chal

As we mention on this website, Dr. Burba is accredited with the American Academy of Cosmetic Dentistry. The AACD accreditation program is made possible by the dedicated service of a number of volunteers who serve as examiners, evaluating the cosmetic dentistry of their peers. These expert cosmetic dentists donate their time and expertise to help advance the cause of promoting quality cosmetic dentistry.

We wanted to give acknowledgement to one of those dedicated professionals, Dr. Arthur Chal, who was recognized recently for 16 years of service as an accreditation examiner for the AACD. This is the longest tenure of any member of this examining board, and represents a tremendous commitment to the profession.

Congratulations, and thank you for your service, Dr. Chal.

This blog is sponsored by AACD Accredited cosmetic dentist Dr. Randall Burba.

Implant crown too dark

I just got two dental implants for some teeth that got knocked out. The first time the crowns came in, I told him I thought the crowns were too dark. He told me he thought they looked fine. I told him I’d give it 24 hours, but if I didn’t like it then, I wanted him to send it back to the lab, especially because he had me go the lab personally so they could match my teeth. I did end up having him send them back. I even went back to the lab and showed them what I was unhappy with. The second pair came back worse than the first. My dentist feels I am being too picky, but said he’d be willing to send it back again. I’m the one who is hesitating now. Is it the lab that is the problem? Should I ask to switch labs?

Deanna K.- Parkhill, KS

Deanna,

The problem isn’t the lab, it is your dentist. There are bad labs, but expert cosmetic dentists know who they are and don’t use them. The fact that your dentist sent you to the lab is a big warning sign to me. Cosmetic dentists know much more about color matching than lab technicians. It is the dentist that should be giving detailed instructions to the lab about how to produce the look you are looking for.

Only a small percentage of dentists have the skill to be truly artistic with cosmetic work.  I’m guessing you spent a small fortune to get this work done. You should definitely get two crowns you’re proud to wear. I suggest you look for someone in your area who is accredited with the American Academy of Cosmetic Dentistry (AACD). There is a difference between membership and accreditation. Matching the porcelain crowns for your dental implants will be no problem at all for with that level of expertise. If there is no one close that is accredited, contact me again and I’ll try to help you locate someone qualified in your area.

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