Tag Archives: Best dentist in Boston

Lumineers for Sensitive Teeth

I have very sensitive teeth and I can’t figure out why. It’s been causing me to lose a lot of weight. I can’t eat. It’s too painful. My dentist suggested we place Lumineers on my teeth to cover them. Will that help with the sensitivity?

Madison.

Dear Madison,

A single porcelain veneer being placed

Yes, getting a smile makeover can help with the sensitivity. However, before you do that, it is important you isolate the cause. Here are just a few things which could be giving you the problem:

  • Tooth decay. Though, if you’ve been having regular checkups, that should already have been eliminated.
  • Leaky fillings which need to be replaced.
  • You grind or clench your teeth. This can happen without you knowing it while you are sleeping.

There are other causes as well. The key is to evaluate why.

A Smile Makeover

I’m concerned your dentist immediately jumped to Lumineers. This is a brand of porcelain veneers often marketed to inexperienced dentists as being easy to place. That isn’t always the case. Plus, there is a lot more to a beautiful smile than the bonding procedure.

If you’re going to invest in a smile makeover, you’ll want to do it right with a dentist who has both the technical skill and artistry to do it well. There isn’t a recognized specialty in cosmetic dentistry. Any general dentist is allowed to do it. It’s also up to them how much training they get. Unfortunately, it is not a skill taught in dental school. Dentists have to take the initiative to get the training needed in a post-doctoral setting.

If I were investing in a new smile, I’d want the best dentist to do it. Dentists who’ve reached accreditation with the American Academy of Cosmetic Dentistry are the top of their field. They can provide a stunning smile for you. The kind you see the Hollywood celebrities get. I will tell you, they will likely suggest a completely different brand of porcelain veneers than what your family dentist suggested. Lumineers aren’t known for their beauty.

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

Can’t Afford the Number of Implants My Dentist Requires

I am losing my teeth and wanted to get implant-supported dentures. My dentist is insisting I get twelve, six per arch. He says it is the only way they will be completely stable. If I can’t afford that am I stuck with regular removable dentures?

Daisy

Dear Daisy,

illustration of snap on dentures

I’m sorry he’s pressuring you. While it is true that the more dental implants you use to anchor the dentures, they more secure they’ll be. However, implant overdentures can be done with four implants per arch and give you both security from them slipping as well as protection from facial collapse.

If that is out of reach financially, you still have options before having to revert to complete removable dentures.

You could get snap-on dentures, which can use as few as two implants. They will move, but won’t fall out on you. They also give you some protection from facial collapse where the two implants are. This may get you started and you can save up for full implant-supported dentures as you are able.

It doesn’t sound like this is the best dentist for your situation. Some dentists will only do the ideal treatment, not caring about the hardship it puts on their patients who may not have a budget that can accommodate the ideal. In your place, I’d look for a more compassionate dentist.

He was ethically obligated to give you all your options, even if he wasn’t willing to perform them. This also bothers me. As he may not be willing to do the procedure you need for your financial constraints, this is the perfect time for you to find another dentist.

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.

Best dental treatment for a chipped tooth

If you have chipped a tooth, what’s the best dental treatment for restoring it?

Examination

A chipped tooth needs to be examined first to determine the extent of the damage. The location of the chip and the extent of the damage  in your tooth affect which dental treatment options will give you the best results.

Treatment options

Minor chip

A minor chip at a corner of the tooth can be quickly restored. If the piece of the tooth that chipped off is saved, it might be possible to bond it onto the tooth.

If the chipped portion is not available, it can be filled in and beautifully concealed with dental bonding. A skilled cosmetic dentist will give you the best results. He or she has a variety of shades of composite that can be mixed and manipulated to create a lifelike appearance that matches the color and translucency of the damaged tooth.

The restoration is usually completed in one visit—provided there is no internal damage to the tooth. Dental bonding stains over time and may need to be removed and reapplied.

Some patients choose to conceal a chipped tooth with a porcelain veneer, but this treatment is more expensive than dental bonding, more invasive, and requires light preparation, or shaving of your tooth, to help the veneer fit properly and prevent it from looking bulky.

Severe chip

If there is a severe chip in a molar tooth, it may need to be protected with a dental crown.

An extensive chip can affect the pulp of a tooth. When the pulp is damaged, the tooth can become infected and the infection can spread. In this case, a root canal treatment is needed.

When a tooth is weakened by a crack or fracture, it’s important to get treatment for it right away. The force of biting or chewing over time can cause the crack or fracture to get worse.

Find an experienced cosmetic dentist to restore the tooth. He or she will let you know your options for restoring your tooth. As the photos below show, you can find if you find one of the best cosmetic dentists in your area, bonding will be so beautifully done that you won’t be able to tell your tooth was ever chipped.

This post is sponsored by the dentists of Burba Dental in Salem, MA.

Affordable full-mouth reconstruction

I never was able to go to the dentist as a child. My parents never had the money. I used to resent them for that. But, I had saved up money to go to the dentist and now I understand. This dentist told me I need a lot of work and suggested what he called a full-mouth reconstruction. This is way beyond anything I can afford. In fact, it costs more than all the cars I’ve owned put together. Is there an affordable way to get this done?

Keith

Dear Keith,

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

Dear Keith,

Our parent’s actions often seem more understandable as we age, however, avoiding the dentist altogether is never recommended. It will actually end up costing you more money in the long run, something your parents just may not have understood.

That being said, I don’t think this is the best dentist for you to be seeing. He’s jumping a lot of guns. I don’t know if he’s doing that because he’s lazy or because he is trying to milk you for as much as he can. Either way, you want a different dentist.

A full-mouth reconstruction means grinding down all of your teeth and placing dental crowns on all of them. This can only be done by the top 1-2% of dentists in the country.

It takes advanced training in both restorative dentistry and aesthetics. Not many dentists have this. If it’s done incorrectly, it can completely destroy your bite, leading to severe TMJ problems.

Find a Dentist Willing to Work Hard

What you need instead is a dentist willing to work hard to preserve as much of your healthy teeth as he can while taking care of the issues that have further and need treatment.

Affording this is easier too. You simply have the dentist list out everything that needs to be done to your teeth without wasting unnecessary structure.

Ask him to list it out from most urgent to least. This way you can do what’s known as phased treatment. You work on the urgent things so you don’t end up with a dental emergency, then slowly (as you are able) get the next thing done.

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 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.

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.

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.

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.

Which Dentists Should Do Smile Makeovers?

I’ve been going to the same dentist for years. He’s always been good to my family. I’ve noticed lately he’s been promoting the fact that he does smile makeovers with something called porcelain veneers. I thought that was just for cosmetic dentists. Can regular dentists do them too? I was thinking of getting one myself.

Maxine

Dear Maxine,

Woman with beautiful smile
Finding the Best Dentist for Your Smile Makeover

You’ve brought up a very common misconception when it comes to cosmetic dentistry. There isn’t a recognized specialty to become a Cosmetic Dentist like you’d find with an oral surgeon or a pediatric dentist. A cosmetic dentist is simply a general dentist who also does cosmetic procedures.

Because there’s no standard in study for that area of dentistry, you can imagine the results vary widely from dentist to dentist. So while any dentist is allowed to do a smile makeover, it doesn’t mean they should.

One dentist may simply take a short seminar on how to place Lumineers and start offering that service to patients, marketing himself as Lumineers certified; while another dentist will spend years developing his artistry and skills with placing porcelain veneers investing money and time at advanced post-graduate dental training centers.

When it comes to a smile makeover, you definitely want the later dentist. So, how does a patient go about finding the best dentist for their cosmetic work? Do they interview the dentist about their hours? How many hours is enough? Should they ask to see their smile gallery? Fortunately, there is an organization who’s done all that work for you.

Finding the Best Dentist for a Smile Makeover

The American Academy of Cosmetic Dentistry (AACD) started an accreditation program for just this purpose. While any dentist can become a member of the AACD, it takes a great deal of technical knowledge and a demonstration of artistry on a wide variety of cosmetic cases to receive accreditation.

In your place, I would simply ask your dentist if he’s AACD accredited. They’re among the top cosmetic dentists in the world. If I were paying the kind of money a great smile makeover costs, I’d want to make sure I get the most stunning smile possible. Fortunately, most expert cosmetic dentists offer a beautiful smile guarantee, so you don’t have to worry about becoming another cosmetic dentistry horror story.

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