Tag Archives: smile makeover disasters

Can Porcelain Veneers Cause a Lisp?

I have had the absolute worst luck with my smile makeover. I’m on dentist number three. Here’s what happened.
Dentist #1: The porcelain veneers literally crumbled and fell off. I got a refund.
Dentist #2: They fractured the very next day. I got a refund.
Dentist #3: They seem too long and I’ve started to lisp as a result. The dentist insists that my lisp isn’t from the porcelain veneers, but I never had one before. Can porcelain veneers cause a lisp?

Samantha

Dear Samantha,

A dental tool holding up a porcelain veneer

Man, you have had the worst luck with “cosmetic” dentists. This is a great illustration of a point we’ve tried to warn patients about. Most dentists cannot do cosmetic dental work. Because there is not a recognized specialty in cosmetic dentistry any dentist can do cosmetic work. However, that doesn’t mean they have developed the skills to do them. For instance, smile makeovers such as you’d get with porcelain veneers are not taught in dental school.

The result is what you’ve experienced. They dabble. Dabblers create cosmetic dentistry horror stories. You’ve had the misfortune of three of them. Truthfully, there are a small percentage of dentists who’ve truly invested in learning how to do cosmetic dental work.

The easiest way for a patient to find those is to either find a dentist who has reached accreditation with the American Academy of Cosmetic Dentistry or who are listed on mynewsmile.com. AACD accredited dentists passed exams to show their technical knowledge and have presented a large number of cases they personally did to show they have the artistry required to do great work. The mynewsmile.com website doesn’t something similar. While they don’t give the dentists exams, they do verify that they have done significant post-doctoral studies in cosmetic work. They also have to provide visual evidence of their artistic skill in doing a smile makeover.

As for your porcelain veneers, yes, they are very likely the cause of your lisp. Both when veneers are too long and when they are too thick, it will result in speech problems. You need to get a refund from dentist number three.

Moving forward, I want you to find a recommended dentist from one of the sites I mentioned. If you go to aacd.com, make sure you look for an accredited dentist. That is different from being a member. Anyone on mynewsmile will be a good choice.

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.

Can a Cosmetic Dentistry Disaster Be Fixed?

I spent a small fortune on a smile makeover. The “teeth” aren’t nearly as white as I wanted. My dentist says it’s because they need to look natural. They’re also a little wider than I expected. One of them keeps falling off. I’ve had my dentist put it back on three times, which he has done without charging me. But, he’s getting tired of it because the last time he casually mentioned that it’s a tooth that didn’t need much work and probably doesn’t need the veneer anyway.  I don’t think he wants to keep putting it back on. I don’t know what I’m doing to keep knocking it off. Can this be fixed?

Stacey L. – Virginia

Stacey,

He said what!? Seriously?  Believe me, you’re not the problem. This dentist is.  I’m sure he’s a fine family dentist. He’s just not the best dentist for your in this situation. Though not a recognized specialty, cosmetic dentistry is an entirely different beast than general dentistry.

To do it well requires significant post-graduate training and an artistic eye. Some things can’t be taught. Ideally, you’ll want a dentist is who is accredited with the American Academy of Cosmetic Dentistry (AACD). That’s more than just a membership. These dentists are among the top cosmetic dentists in the world.

You’re not the problem with this porcelain veneer falling off. He is.  He’s not bonding it properly. Yet another evidence he doesn’t have the skill required here. And to answer your question, yes, it can be fixed, just not by this dentist. If it falls off again, don’t go to him. Go to a qualified, skilled cosmetic dentist to get a second opinion on your case. It’s possible you can get a refund and have it done by someone who can give you a stunning smile. One that is as brilliantly white as you dreamed.

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

I’m Terrified of Becoming A Horror Story

I had a friend get a horrible…and I mean horrible smile makeover. She spent thousands of dollars and her orignal smile, which did need lots of work, was better than what this quack gave her.  Believe it or not, I’m now considering getting my own smile makeover. That being said, I don’t want to end up with a disaster. Is there a way to separate the pretenders from the real deal?

Jamie W. – New York

Jamie,

That’s probably one of the most important questions you can ask before embarking on your own smile makeover (as well as your hard earned money). You want to find the best dentist possible, especially since cosmetic dentistry isn’t a recognized specialty. Any general dentist can learn a procedure or two (regardless of their skill level) and call themselves a cosmetic dentist.

In fact, the American Academy of Cosmetic Dentistry  (AACD) was started in part to help potential cosmetic dentistry patients with just that question.

Their goal was to create an accreditation process, so that patients could locate highly skilled cosmetic dentists.

If I were in your position, I would go to a dentist who is accredited with the AACD.  Accreditation is different than membership.  You can just join to be a member. To become accredited, you must demostrate both technical skill and artistic beauty in your work. It’s a long process and very few dentists reach that level, but it will be worth worth your time and money to seek one out.

You’ll end up with a stunningly gorgeous smile you can’t help but show off.

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