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Archives for November 2024

Can a Dentist Repair My Chipped Dental Crowns?

Posted on by AllSmiles.

I got four new crowns in 2020. I fell at work two weeks ago, and two crowns chipped. Now the metal is showing through. My dentist said she needs to replace the crowns because she can’t repair them. I got a second opinion from another dentist who said the same. Is replacing the crowns my only option? Thanks. Aaron from Chicago

 

Aaron,

The dentists you spoke with may have suggested replacing your crowns because they may not have the specialized skills to repair them with composite bonding, especially when hiding the metal underneath. Understandably, emergency appointments don’t always allow for extensive dental work.

A skilled cosmetic dentist, however, can restore your crowns using a more advanced technique:

  • Etching the Metal: A small sandblaster creates a rough surface on the metal, which helps the bonding agent adhere.
  • Etching the Porcelain: The broken edges of the porcelain are etched using either a sandblaster or hydrofluoric acid to improve the bond with the composite material.
  • Applying a Bonding Agent: A silane coupling agent creates a strong bond between the porcelain and the composite.
  • Adding an Opaquer: An opaquer is applied to the metal to mask its appearance and allow the composite to blend seamlessly with the porcelain.
  • Bonding the Composite: A shade-matched composite material is bonded to the crowns, restoring their original appearance.

Cosmetic dentists prioritize the aesthetic outcome of dental treatments. That’s why they typically avoid using metal-based crowns on visible teeth. If your current dentist placed these crowns, they may not have the expertise to achieve a natural-looking result with ceramic restorations.

While a skilled cosmetic dentist can restore your crowns, remember that all dental restorations will eventually age. When it’s time for new crowns, consider all-ceramic options for a more natural and long-lasting result.

To find a qualified cosmetic dentist, look for professionals who have completed advanced training in cosmetic dentistry. Schedule consultations with two or three dentists to discuss your options and get a second opinion.

 

The Monroe, Louisiana, dentists at Bayou Dental Group sponsor this post. Please read how Dr. Finley and his team strive to offer some of the best dental care in Monroe.

Will My Dentist Need to Replace New Veneers That Are Too Short?

Posted on by AllSmiles.

My dentist placed four porcelain veneers and a dental crown last week. My temporary veneers were too long, so I asked for the final ones to be shorter. The veneers are too short. I should have asked for more time to look at them before my dentist bonded them. Also, one incisor veneer is smaller than the other. I am self-conscious about my smile. Is it possible to fix the veneers, or would my dentist have to redo them? Thanks. Lucas from TX

 

Lucas,

Yes, it is possible to redo porcelain veneers that are too small. This is the only way to extend their length. While it may be more time-consuming for your dentist, it’s essential to insist on this correction.

You invested in porcelain veneers to achieve the beautiful smile that you deserve. Given the significant cost of this procedure, it’s reasonable to expect a result that you’re delighted with. The two lateral incisors should have a similar appearance without being identical. They should complement each other and not draw unwanted attention.

It’s understandable that a general dentist, who may not specialize in cosmetic dentistry, might rush through the process. On the other hand, a dedicated cosmetic dentist prioritizes patient satisfaction and typically allows ample time for you to review the veneers before permanently bonding them. If you can persuade your dentist to redo the veneers, emphasize that you want to examine the final veneers before your dentist bonds them thoroughly.

The Monroe, Louisiana, dentists at Bayou Dental Group sponsor this post. Please read how Dr. Finley and his team strive to offer some of the best dental care in Monroe.

 

Can I Trust My Dentist’s Quick Diagnosis?

Posted on by AllSmiles.

My lower left second molar has a large filling that’s super sensitive to heat, cold, and even air. I told my dentist about it, and she quickly blew air on a few spots and slathered on some desensitizing stuff. Without looking at it properly, she suggested pulling the nerve if it didn’t stop hurting. I’m baffled – how can she diagnose something that quickly?

I’m wearing braces, and I wonder if that could be causing the sensitivity. Or maybe there’s a hole or weak spot in the filling itself.

My dentist seems really rushed and impersonal. She doesn’t explain what she’s doing or ask if I have questions. It’s frustrating. – Thank you. Dawn from NU

 

Dawn,

If your tooth is sensitive to air, it probably means there’s an exposed part of the tooth. A desensitizing agent can often reduce sensitivity.

If the pain from the air is quick and goes away fast, it might just be a temporary nerve issue. However, if the pain persists, the nerve may be damaged beyond repair, and you might need a root canal.

Dentists can also check for sensitivity with heat, hold, or electrical impulses.

While your braces could make your tooth sensitive, it’s more likely the filling. If the filling does not fit right or leaks, that can cause sensitivity.

If you’re worried about your dentist’s demeanor, talk to her. Don’t be afraid to ask questions or ask for more info. A good dentist builds trust and talks openly with their patients. You might want a second opinion if she doesn’t listen to your concerns.

The Monroe, Louisiana, dentists at Bayou Dental Group sponsor this post. Please read how Dr. Finley and his team strive to offer some of the best dental care in Monroe.

Will Porcelain Veneers Stay Attached to Front Teeth That Have Fillings?

Posted on by AllSmiles.

I am considering getting eight to ten porcelain veneers for my upper teeth. I have a broad smile and want it to look natural. I have fillings on my center front teeth. Will the veneers stay attached to the fillings? – Thanks. Dianna from TX

Dianna,

The bonding material that a cosmetic dentist uses to bond porcelain veneers to your teeth is compatible with tooth filling. The bonding will adhere to the fillings, forming a solid x. The fillings will not interfere with the stability of your porcelain veneers.

When seeking cosmetic dentistry treatment, especially porcelain veneers, we recommend looking for an advanced cosmetic dentist (preferably accredited by the American Academy of Cosmetic Dentistry or the American Academy of  Esthetic Dentistry). Dentists with extensive post-graduate training in cosmetic dentistry and artistic talent give their patients beautiful, natural-looking smiles.

Search online for accredited cosmetic dentists or those with extensive post-graduate training. Look for the smile gallery on each dentist’s website and examine porcelain veneers cases. Check online reviews for comments about a dentist’s work with porcelain veneers. Schedule consultations with a few dentists to compare the results they achieve and discuss your treatment options.

 

David Finley, DDS, a Monroe, Louisiana, accredited cosmetic dentist and Academy of General Dentistry Fellow, sponsors this post. Read about what Dr. Finley and his team do to provide some of the best dental care in Monroe.

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