Tag Archives: porcelain veneers

Worried This Dentist Can’t Do Porcelain Veneers

I had some dental bonding on my front teeth that needed to be replaced. I had since moved and am going to a new dentist. I thought the new bonding would look like the original, but they actually looked awful. The dentist felt she could do a prettier smile if we did porcelain veneers. I thought that would be okay. I’m in the temporaries right now. They have a hump on the top which worries me. Is it supposed to be like that? I saw a picture of some Dura-Thin veneers and they didn’t seem to have that hump. What do you think?

Olivia

Dear Olivia,

A single porcelain veneer being placed

I can understand your concern. To answer you question bluntly, no it is not good for your porcelain veneers to have a hump. It is not just visually unattractive , but it is hygienically dangerous. The hump will trap bacteria and plaque. That will lead to gum inflammation, decay, or even gum disease. Your dentist should know that.

Another thing which worries me is that she couldn’t get the dental bonding to look good. An artistic cosmetic dentist could get DuraThin, bonding, or any other brand of porcelain veneers to give you a gorgeous smile makeover.

You’ve got two choices here. You can tell her you’d like to transfer your case to another dentist and then have a cosmetic dentist with more expertise and artistry. Your second option to give her a chance to get it right.

If you decide to give her a chance, here is wha tyou need to make sure happens. First, she needs to let you see the permanent porcelain veneers in your mouth BEFORE permanently bonding them on. She can do that using a temporary try-in paste. If you don’t love them, and I mean really love them, then she shouldn’t bond them in.

Don’t let her try to tell you they will look better after they are bonded on. They won’t. Also, don’t let her tell you they can be adjusted after they are bonded on. They can’t. If she can’t get it right, then you really do need to switch.

Finding an Expert Cosmetic Dentist

There isn’t a recognized cosmetic dentistry specialty, which makes it hard for patients to know which dentists have done post-doctoral training and which haven’t. Additionally, not every dentist has the artistry necessary.

One way to be certain you can find a great cosmetic dentist is to look for one who is AACD accredited. These dentists have passed stringent exams as well as having to submit a large number of cases they’ve done for visual inspection of both their technical expertise and artistry.

Any dentist who passes accreditation has years of experience and can create stunning smiles. That’s who I would go to if you switched.

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

Her Dentist is Incompetent or Dishonest

I need some advice. I have horrible dry mouth which is wreaking havoc on my daily life. I’m constantly drinking water, which means I’m also constantly in the bathroom. In addition to that, my teeth are getting super yellow. I have one crown and two porcelain veneers. When I talked to my dentist, he suggested replacing all those teeth, plus the remainder of them with crowns. He said a full-mouth reconstruction will take care of my aging restorations as well as whiten my smile. This seems pretty aggressive and I have no idea if it will also fix my dry mouth. What do you think?

Katherine

Dear Katherine,

image advising she stop with this dentist

I do not want you to see this dentist again. Either he is either incompetent or dishonest. This is a massive overtreatment. A full-mouth reconstruction is for the most severe of cases. This is not the treatment you need. So, why is he recommending it? Let’s start with the whitening of your teeth. This would bring your dentist a few hundred dollars. With a full-mouth reconstruction, he can bring in between 30-60 thousand. Which one do you think is the better moneymaker for him? To me, this speaks to dishonesty.

Now let’s talk about those two porcelain veneers. He wants to replace these with dental crowns? That can only be because he doesn’t know how to do veneers well enough. So, instead of sending you to a dentist who knows what they’re doing, he hides the fact he doesn’t do that particular procedure and suggests something more aggressive. The best dentists try to save as much tooth structure as possible. Your dentist is more interested in his reputation and his bottom line.

Now, let’s talk about that full-mouth reconstruction. This is one of the most advanced procedures a dentist can do. My gut tells me your dentist doesn’t have the training or skills to pull this off. Not only can it give you permanent dry mouth, but he could also throw off your bite so significantly you are in constant pain with TMJ disorder.

My very strong recommendation is you find a different dentist. In your case, one with great skills and cosmetic dentistry. Look for an AACD accredited dentist. They will whiten your teeth and replace your porcelain veneers and dental crown in a way that is beautiful and blends seamlessly.

About the dry mouth. This will be detrimental to your oral health, which you already know. I’d like you to talk to your medical doctor. It’s possible he has you on some medication which is causing this. If that’s not it, he or she can do some investigating to figure out what is the true cause and hopefully get you some relief.

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

A Collapsed Bite

I need some help and advice. My “smile” is a disaster. When my mouth is relaxed, you can’t see my teeth at all. When I’m smiling, it takes an extraordinary effort to get my teeth to show. I am a grinder and have jaw pain. To help with that, I wear a nightguard. When I’m wearing that, it helps. Would investing in porcelain veneers help with this situation?

Ben

Dear Ben,

A man in pain needs to see a Salem Emergency Dentist

I am glad you are writing before making any decisions. What you are dealing with requires a dentist with advanced training. The wrong, inexperienced dentist can absolutely destroy your bite. I haven’t examined you, but based on what you’re describing you are dealing with both a collapsed bite and TMJ Disorder.

Opening your bite would be the solution. Porcelain veneers aren’t going to help without doing that first. Once that is done, you may not even need the veneers. However, this has to be done very carefully. You’ll need a dentist with extensive experience in doing a full-mouth reconstruction.

The thing which is most important for you to know is that it needs to be done first with temporaries. Before any permanent restorations are placed. Do not allow anyone to permanently bond anything onto your teeth until the provisionals are successful. So, what will successful mean?

  • You are completely out of pain.
  • You can see your upper teeth normally.
  • You absolutely LOVE how your smile looks.
  • You have no speech problems.

To get that combination will require a very special dentist, but they are out there. First, look for their restorative dentistry training. This has to be post-doctoral training. You want them to have had training in one of these schools: L.D. Pankey Institute and the Dawson Academy in Florida, and the Las Vegas Institute for Advanced Dental Studies.

Additionally, we want to make certain they can create a beautiful smile. I would look for an AACD accredited dentist. These dentists are proven in both their technical skill and as well as their artistic ability. Finding a dentist with these combined qualifications, you’ll go from having a smile you can’t show to one you are thrilled to share.

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

Best Way to Fix My Nephews Teeth

My nephew wants to be an actor but his teeth are pretty crooked, at least in my opinion. He is about to graduate from high school. I want to get his teeth repaired for him as his graduation present so he can pursue his dream of being an actor. I spoke to one dentist who suggested Lumineers, but I’m a little concerned about this option. It doesn’t have the best reviews. Plus, from what I hear they will only last about 15 years. Should I look for something more permanent?

Aunt Mary

Dear Aunt Mary,

Clear Invisalgin Aligner
Invisalign’s aligners are invisible, even at a conversational distance.

If only everyone had an aunt like you! What a great way to help your nephew. I’m actually very glad you wrote because I want to make sure your money is well spent and not wasted on such a kind gift.

With how you described your concerns with your nephew’s smile, you have two options. Let’s start with the one your dentist recommended— Lumineers.

Option One: Porcelain Veneers

Lumineers is one brand of porcelain veneers and you’re wise to be concerned about the reviews you’ve read. It is highly marketed to inexperienced cosmetic dentists as being easy to place. The company claims it doesn’t require any tooth preparation (which is what they say makes it easy). In most cases, that makes the teeth look bulky.

A secondary problem is the company which makes Lumineers requires dentists to use their lab, which isn’t known for its beautiful work. Because of that, most expert cosmetic dentists prefer other brands of porcelain veneers.

If you decide to go the route of porcelain veneers, make sure you take your nephew to an AACD accredited dentist. These are the top cosmetic dentists in the country. They’ll know which brand will work best for your nephew’s smile goals and will create a gorgeous smile for him.

As far as the longevity of porcelain veneers. A lot of that depends on how well cared for they are. If they are not taken care of, they will only last around five years. If they are cared for diligently, they can last 20+ years.

However, you have a second option, which costs significantly less.

Option Two: Invisalign and Teeth Whitening

If all he really needs is orthodontics, I would suggest you go this route. With Invisalign, he can straighten his teeth without anyone knowing in half the time of traditional braces. Instead of metal wires and brackets, these use clear aligners. A sophisticated software program plans out his treatment then produces the aligners which he’ll switch out every two weeks.

Additionally, if his teeth need whitening, the aligners can double as teeth whitening trays which will allow him to straighten and whiten his teeth at the same time.

I hope this helps.
This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Root Canal or Dental Bonding

I went to an endodontist for what I thought was a dental emergency. My tooth is darker. He said the tooth is still viable and likely doesn’t have to a root canal treatment. In that case, I think I could just get dental bonding done to make it look better. My endodontist said I’d have to get several teeth bonded for it to match. I’m not sure I want to do that if I will need a root canal in the near future. What do you think?

Trisha

Dear Trisha,

Illustration of an abscessed tooth

If he’s telling you the tooth is viable and saying you don’t “have to” have a root canal treatment, then you don’t have a tooth infection and don’t require a root canal. You either need one or you don’t. Saying you don’t have to have one is misleading. My guess is you have a cracked tooth. Doing a root canal treatment won’t help that.

If you want to treat the color, dental bonding or a porcelain veneer can do that. As to your dentist’s suggestion that you’d have to have several teeth done in order for them to match, that is only true if you go to an inexperienced cosmetic dentist. An expert cosmetic dentist can match a single tooth.

Finding that Expert Cosmetic Dentist

Very few dentists are skilled in cosmetic dentistry. The best have reached accreditation with the American Academy of Cosmetic Dentistry. To reach that level, they have to pass stringent exams as well provide visual evidence of their artistry in a large number of cases they’ve completed.

If I needed cosmetic work done on a visible tooth, I would go to an AACD accredited dentist. You are assured a beautiful result.

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

Do You Really Need an Expert Cosmetic Dentist?

I keep hearing how important it is to see an expert cosmetic dentist if you want a smile makeover. What I don’t understand is why. Don’t they just send out the work to be done at a lab? If so, wouldn’t the lab be the most important part of your smile makeover?

Landon

Dear Landon,

Photo of a single porcelain veneer held by dental forceps.
Porcelain veneer

You’ve asked an important question. A lot of people think of it with the analogy of it doesn’t really matter which gallery you purchase the art if the artist who does great work. That works for art. But, a dentist isn’t a gallery. Think of it more like it’s the doctor who determines your illness and what medicine will cure it, not the pharmacy where he sends the order.

The lab needs the right prescription to do that work. The truth is no matter how good the lab and ceramist are, they cannot work around a bad dentist. The foundation for the beauty of a smile makeover is in the hands of the dentist, not the ceramist. It’s the dentist who has to give the shade map of the final result, the surface texture, the degree of translucency, as well as a mock-up of the final result. The dentist has to approve what the ceramist does to ensure they followed his directions.

Even if a bad dentist uses a good lab, the results won’t be what you were hoping for. Always choose the dentist. Let the dentist choose the lab. The best dentists usually have an almost symbiotic relationship with their ceramist anyway.

Finding the Best Cosmetic Dentist

Because there isn’t a recognized specialty in cosmetic dentistry, it is hard for patients to recognize who has the skills to give them a beautiful smile. The American Academy of Cosmetic Dentistry recognized that problem. As a result, they started an accreditation program with a two-fold purpose. One is to help train dentists in the art of cosmetic work. The other is to have a recognition system to help patients know who has what it takes.

The best dentists have reached accreditation. These are the top 1% of dentists in the country. Any one of them can give you a stunning smile. Most smile makeovers are done using porcelain veneers. You’ll find these dentists will often have a beautiful smile guarantee.

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

Blacklisted by Best Dentist

I’m afraid I’ve been blacklisted by the best dentist in the area. He came highly recommended by several of my friends. They’ve all been to him for various cosmetic procedures, from whitening through veneers, and everyone says such wonderful things about him. Maybe I built him up too much in my mind, but I recently went in for a consultation about having my teeth fixed up a bit. I have some awkward spacing and one tooth is a little twisted. I wanted to have them straightened out and whitened. Everything seemed fine. I met him and thought he was fantastic. He talked up veneers and I felt great. But, then his assistant came in after and gave me the estimate—it was thousands more than I could afford. I asked if there were alternative solutions and the girl huffed at me a bit and then went and got the dentist. He came back and basically told me that if I didn’t want to do it his way, I shouldn’t be in his office.

I was devastated. I really thought this guy would be great, but I can’t afford to go through with the treatment and my friends keep asking me when I’m going in to see him. I have absolute faith in his capabilities, I just wish he’d work with me on treatment. Is there any way to salvage this?

Thanks,

Anonymous In MA

Dear Anonymous,

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

Let’s be realistic for a moment here. If he was the best dentist, would he be treating you this way? The answer is no.

He’s Not Taking Good Care of You

Perhaps he has amazing artistic skill and can craft beautiful smiles, but that’s only half the battle. Being able to make patients feel comfortable and helping them get around their barriers is equally important. In your case, cost is a barrier.

A good dentist would understand this and pitch solutions that work within your limitations. Perhaps you might be better getting six porcelain veneers instead of two or four. Maybe that is the best way to improve your smile. At the same time, maybe two will provide you with adequate results and be a bit more affordable. Or, perhaps Invisalign combined with teeth whitening is a better option for your budget. There are always multiple approaches. If he isn’t willing to explore them with you, he’s not doing you justice.

You Can Find a Better Dentist

Go have a consultation with another dentist and be upfront about your budget from the onset. A great dentist will go over your options with you. For what it’s worth, you don’t have to explain to your friends why you’re seeing someone else. The prior office has an obligation to keep your information confidential, so unless you tell your friends why you left, they never need to know.

This blog is sponsored by Salem Dentist Dr. Burba.

A Collapse Bite Requires You Choose Your Dentist Carefully

My smile humiliates me. I have to work extraordinarily hard for people to see my teeth. It looks unnatural. Plus, my jaw hurts. My dentist has me wear a night guard for that. It does help and my lips and teeth look more natural when I do. I think it may be that my teeth aren’t big enough. In that case, would porcelain veneers help?

Mary

Dear Mary,

Woman covering her mouth

Based on what you’ve mentioned, it sounds like you have a combination of a collapsed bite along with TMJ issues. If that is the case, porcelain veneers aren’t your solution. However, I do have one for you.

I’m actually relieved you wrote before moving forward. There are too many times we hear from people only after a dentist without the requisite training completely destroyed their bite.

In order to fix what is going on, they will have to open your bite with dental crowns. It will have to be done carefully and methodically with a dentist who knows how to do a full-mouth reconstruction. It will take restoring your bite with provisional restorations first.

This is necessary so that it is reversible until the provisionals are successful. This will mean you are completely out of pain, your upper teeth show normally, you have no speech difficulties, and you are pleased with the appearance of your new smile.

This is a tall order and there are only a small minority of dentists who are able to accomplish this. You’ll want someone who has done extensive post-doctoral work at one of these institutions:

  • L.D. Pankey Institute
  • The Dawson Academy
  • The Las Vegas Institute for Advanced Dental Studies

These are the top schools for this sort of procedural training. Anything less and you’ll end up with an even more serious problem than you are facing now. The good news is, those dentists are out there. You have hope.

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

Notches & Erosion at gumline

I have notches on my teeth at the gumline a type of erosion from brushing too hard. I’m thinking of getting porcelain veneers as a means of covering it. As long as I don’t brush too hard, they should be fine, right?

Lisa

Dear Lisa,

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

I’m glad you wrote. It’s true that we used to think the kind of erosion of teeth you’re dealing with was caused by brushing too hard. We no longer believe that to be the case.

While it is still believed to wear away your gums, the notches and erosion on your teeth are now believed to be caused by bruxism. This is when you clench and grind your teeth. So, let’s see if I can’t help you with both issues.

Porcelain Veneers

Yes, you could get porcelain veneers and it will cover those notches. Whether or not you get a gorgeous smile with those veneers depends on the dentist who creates the smile.

Smile makeovers aren’t taught in dental school. It’s something a dentist will choose to study afterward if they’re interested. Some invest more in time and training than others. Some have an artistic eye and some don’t.

If you want a gorgeous smile, you need to look for an expert cosmetic dentist. Go to the website of the American Academy of Cosmetic Dentistry (aacd.com) and do a search for an accredited dentist in a realistic distance from you. AACD accredited dentists are of the highest caliber.

Bruxism and TMJ

Bruxism is biting stress on your teeth. When you grind your teeth or even clench them, it causes stress at the neck of the tooth leading to the problems you currently have, as well as weakening and cracking them. It will also lead to problems with your temporomandibular joint causing TMJ Disorder.

Even if you get porcelain veneers, this will need to be dealt with. You will continue with this habit without realizing it. Most people do it in their sleep. My suggestion is you see a TMJ dentist and get fitted for a nightguard as soon as your porcelain veneers are bonded.

If you’re not getting your smile makeover right away, be sure to get the nightguard now so you don’t do any further damage to your teeth.

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.