Tag Archives: Las Vegas Institute for Advanced Dental Studies

Can a Dental Crown Cause TMJ

I’ve had a problem over the last month of my jaw aching, especially in the morning. I’ve been under some stress and have caught myself tensing my jaw some throughout the day. Then, I got a dental crown. It’s made the pain so much worse. I went back to the dentist…several times. He’s adjusted it several times, but the pain never seems to go away now, plus, it’s always hitting my other teeth before the others. Could this be causing TMJ?

Beatrice

Dear Beatrice,

Woman holding her jaw in pain

Yes, a poorly placed crown can certainly cause or exacerbate existing TMJ problems. There is a lot that goes into understanding how the bite should go together. Some dentists invest more time and training in that area than others. You may have a dentist who doesn’t invest much in it.

The fact that your teeth are not meeting uniformly is a cause of concern and he should know that. Some dentists who have trouble getting it right will just adjust and adjust until the patient is too embarrassed to keep complaining and drop it. This needs to be fixed.

The fact that your jaw had already had some minor pain and you’d noticed some clenching during the day worries me too. If you notice clenching during the day, you almost certainly are doing it at night as well. You should be wearing a nightguard. They’re custom fit to your bite and comfortable. Their function is to protect your teeth and jaw from the pressures of clenching and grinding.

Finding a TMJ Dentist

It doesn’t sound like your dentist is going to deal with this properly, so you need to see one who understands TMJ. While there isn’t a recognized TMJ Specialty, there are ways to know if a dentist has a good knowledge of the condition.

You’ll want to especially look at their post-graduate training. Don’t feel weird asking them about it. It’s important knowledge for you in choosing the right dentist. For instance, Dr. Stanley Burba invested significant training on TMJ Disorder. He’s studied at both the Spear Institute and the Dawson Academy.

Some other great centers are the Kois Center and the Las Vegas Institute for Advanced Dental Studies (LVI). If a dentist has trained at any of these institutes, they’re sure to be able to help you.

Additionally, if it turns out that your dental crown isn’t properly placed the new dentist can help you get a refund from your current dentist.

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.

Can You Get Dental Implants With Low Sinuses?

I’ve been told I have low sinuses. Am I able to get dental implants?

Mark S. – Utah

Mark,

If you’re othewise a decent candidate for dental implants, then I’ll say, yes, you can get dental implants with low sinuses–with a couple of qualifiers.

  1. Depending on how low they are, you may have to get a sinus lift and some bone grafting done.  I would really get this looked at. It’s not a step you’ll want to skip if it’s necessary.
  2. You’ll want to get a dentist with advanced dental implant training. Any dentist can place these. But, any dentist can perforate your sinuses too. There are plenty of dental implant horror stories out there. That will mean a trashed procedure and lots of pain, along with a likely infection for you.  Some training institutes you can look for are: LVI (The Las Vegas Institute for Advanced Dental Studies), The Kois Center, The Dawson Center. There are others as well, just make sure they have the training necessary to do this properly.

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