Tag Archives: mynewsmile.com

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.

Why Are My Gums Bleeding After Porcelain Veneers?

I’m a little concerned. Around six months ago I had porcelain veneers done. My gums were irritated from the beginning. I called the office. They said it is normal to have a little irritation after dental work and it should resolve itself. Then a month or two later the gums started bleeding when I brush. Not every time I brush, but enough that I wondered what’s going on. Now I went in for my six-month check-up and the hygienist said I’m not brushing and flossing well enough because I’m developing gum disease. I was horrified. I always am so careful about my oral care and have never had a problem before. Is this a common side-effect from porcelain veneers? My dentist said no, but I didn’t have any issues until I had them placed.

Carina

Dear Carina,

A single porcelain veneer being placed

It’s not a side-effect of porcelain veneers, but like you said, it’s rather suspicious it started when you had them placed. I have an inkling of what may be going on here. Is it possible your dentist is a family dentist who doesn’t do cosmetic work as a large portion of his practice?

My guess is your dentist isn’t a skilled cosmetic dentist and maybe just dabbles. With your gums being affected, it sounds like your dentist didn’t get the veneers flush against your teeth. When that happens, it’s what’s known as bulky margins.

What this does is create a tiny “shelf” at the top of your veneers, which allows for food and other bacteria to get trapped there. This is what is probably what is irritating your gums and leading to the bleeding and gum disease.

Who Should Replace Your Porcelain Veneers?

Here’s what I’m going to recommend in your place:

First, you have a great case for a full refund. In your case, I wouldn’t consider developing gum disease a functional case, which is the standard for whether or not you’d get a refund. If he gives you a problem about that you can get a second opinion from another dentist. Tell him what’s going on with your gums without making a comment about bulky margins. If he or she gives you that diagnosis as well, then the dentist will be more likely to refund you. Dentists have pride and don’t want to look bad in front of their peers.

One tip. Don’t tell the second opinion dentist who placed them, just in case they’re buddies. If he asks, tell him you just want an unbiased opinion and would prefer he not know. He should be fine with that.

Once you’ve gotten your refund, you need to go to a different dentist to replace them. Ideally, you’d want to go to a dentist who’s reached accreditation level with the American Academy of Cosmetic Dentistry. AACD accredited dentists are in the top 1% of cosmetic dentists in the country.

I wouldn’t be surprised if when you had your new case made that you found the end result to be much more beautiful. In fact, most expert cosmetic dentists have a beautiful smile guarantee.

If there’s not an accredited dentist within a reasonable distance from your home, you can go to the mynewsmile.com website. They recommend expert cosmetic dentists by zip code. Not all of them are accredited, but every one of them are skilled and artistic enough to give you the stunning smile you deserve.

This blog is brought to you by Salem, MA Cosmetic 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.

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.

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.

Invisalign or Porcelain Veneers

I went to my dentist to discuss a potential cosmetic change. I want to whiten and brighten my teeth and I have mildly crooked front tooth. I thought I’d get porcelain veneers, but my dentist is suggesting invisalign first and then porcelain veneers. Porcelain veneers are so expensive, I was hoping not to have to add any additional expense.  Is it normal to do invisalign and porcelain veneers?

Paige W. – New Mexico

Paige,

Hmmm…this is answer can only be considered in light of the fact that I haven’t actually seen your case.

What I can tell you is that, generally speaking, dentists either do invisalign or porcelain veneers.  My recommendation would be to get a second opinion from an expert cosmetic dentist.

See if there’s anyone in your area (it’s worth a drive too) that is accredited from the American Academy of Cosmetic Dentistry. You can also check the mynewsmile.com website. They have recommendation for artistic cosmetic dentists.

You have a few options. First, is porcelain veneers. When done properly, veneers can make crooked teeth appear straight. They’re a good options, especially if you want to change anything else about your teeth, such as their shape.

But, if you are happy with the shape of your teeth and just want to brighten and straighten them, then you might just want invisalign with teeth whitening, instead of porcelain veneers.

This blog is brought to you by Randall Burba.

Dry mouth from Vivaneers

I have a good dentist, whom I have always trusted. This is the first time I have had a problem with any of his work.  I wanted to re-do my smile, so I got six vivaneers on my top and bottom teeth. They are really bulky. Much bulkier than I ever expected. I’m really disappointed in appearance. Not only are they bulky, but the pointy teeth are now rounded. I think that looks weird. However, my biggest problem is now I have dry mouth. I don’t know why and neither does my dentist. He’s called the lab to see if they know, but I haven’t heard back.  I’m starting to lose faith in him, so I thought I’d check with you.  My sister lives in your area and she told me your office are cosmetic experts.

THanks for the help. Mark L.- Ohio

Mark,

I suspect this is the first time you’ve had cosmetic work done by this dentist. Someone can be excellent general dentists, but horrible cosmetic dentists. Vivaneers are a brand of porcelain veneers that are similar to Lumineers. Both are advertised as a no-prep technique, which make general dentists feel comfortable placing them. Unfortunately, when they are placed without any prep they tend to be bulky.

Regarding your dry mouth, first I must say that there is no way for me to give any definitive answer you would need to be examined. However, I can make some deductions. There is nothing in porcelain veneers and their applications that can react in a way that would cause dry mouth.

However, it is possible that because your veneers are so bulky you may be having trouble getting them closed all the way and are now breathing out of your mouth. This will cause dry mouth. It probably won’t get any better.

If that is the case, I would suggest that you get your porcelain veneers re-done. However, don’t go to this dentist. I’m sure he is an excellent general dentist and you would be wise to keep going to him for your general work. For your cosmetic work, you really need to see an expert cosmetic dentist. First, see if there is someone in your area who is accredited with the American Academy of Cosmetic Dentistry (AACD). Note that I said accredited and not just a member. If there isn’t one without driving distance, then you can look on the mynewsmile.com website to see who they recommend within your driving area. Either group of dentists will serve you very well.

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