Tag Archives: Phoenix Dentist

Lumineers

Are lumineers a good option for your teeth?

Many dental professionals have differing opinions regarding Lumineers. Below is a breakdown of information to aid you in determining if they are the best dental option for you.

How do Lumineers work?

Just like Nike is a brand of shoes and Pepsi is a brand of soda, Lumineers is a brand of veneers. And, just like Pepsi and Nike, there are other brands of incredibly thin veneers, as well as unbranded options.

Ultra-thin veneers improve smiles in many ways

  • More vivid and uniform tooth coloring
  • Repair chips
  • Close gaps
  • Creates a celebrity-like smile

No-prep or low-prep option
Porcelain veneers are traditionally used to create a celebrity-like smile. In these veneers, a porcelain layer is applied to the front of the tooth, and around the sides and biting surface. A small portion of the tooth’s structure will need to be removed anywhere where the porcelain is, in order for the shell to fit naturally and create a uniform look. If a tooth is unstraight, or sticks out further than its neighbor teeth, more of the tooth’s structure may be taken off, in order for it to look straight once the veneer is on. Not all patients need such changes though, and for these cases, the ultrathin option is ideal. The are approximately as thick as a fingernail, and some of the brands claim that no prepping or removing of the tooth’s structure is necessary with the veneer be placed on top. However, this is rarely the case, as additional bulk is created, as well as an unnatural look, resulting in unhappy patients. Therefore, dentists tend to use the ultra-thin veneers as a low-prep alternative.

Do Lumineers harm your teeth?

Whether it be traditional, low-prep, or no-prep option, placing veneers will permanently alter the structure of a tooth. Even the no-prep alternative roughens the surface of the tooth to allow the veneer shell to adhere. Because the change to the tooth is permanent with any of these options, there will always need to be a covering on that tooth.

Ultra-thin veneers are a safe option

The ultra-thin veneers are an approach that is minimally invasive, yet can yield significant results. They are the effective choice when a smile makeover is desired, but teeth are not in need of extensive alterations. However, they are not always the most appropriate option for every scenario. For some people that are not a candidate for the ultra-thin option, the traditional porcelain veneers are a good alternative. A small amount of enamel is removed in both situations.

This article is brought to you by Phoenix Lumineer dentist, Dr. Hillary Peck.

Pediatric Dentistry, Uncategorized

How to prepare for a child’s first dental appointment

We have scheduled our 5 year old son for his first dental visit. He is very shy and quite apprehensive to people he isn’t comfortable around. Are there are specific ways we can prepare him so he will not be afraid?

Thank you,
Brooke

Dear Brooke,
It can definitely be stressful to take your child to the dentist for his or her first time. However, there are many things you can do to make the experience a fun and teachable one. The biggest thing to remember is that if you are stressed or anxious, he will feel that. Try not to say things like, “Don’t be afraid,” “It’s not scary,” or “It won’t hurt,” when you discuss the dental appointment. Be sure to remember that any negative dental experiences you have had are your experiences and not necessarily indicative of the type of experience he will have. Talk about the appointment like it is a natural thing for him to do, but show excitement about it being his first appointment, like you would his first haircut. It is a great idea to let him come along with you to one of your appointments, so he can become familiar with the office, the staff, and the routine. If this is not an option, or you are using a new office, call ahead to to find out what you can expect, or visit the office’s website, in order to talk with him about it. Read books about going to the dentist, or watch cartoons. You could also role play at home, first with you playing the dentist role, then switch and let your son be the dentist. But, again, the most important component in this is to build-up the experience as a positive one.

It is also a good idea to try to schedule a morning appointment, so he can be well-rested and have had a good breakfast beforehand. Be sure to arrive to your appointment somewhat early, to allow your son a chance to become used to the office. If, by chance, your office does not allow parents to accompany children to the exam room, you should be aware beforehand to decrease his anxiety about this. However, if you are able to go back, snap a photo of her being a good patient and cooperating.

Many offices give children toothbrushes and other goodies such as balloons or tokens when they are finished. If the dental office does not provide these, it’s a great idea to have a toothbrush and small toy or reward to give him at the end of the appointment. You just want to be sure to reinforce the good behavior.

Also, please remember, if the visit is not as positive as you hoped for, and practiced for, don’t fret. Many children take time to become comfortable to new places and things. It will be good to have already been in the office and provided the experience. Then, try again after a few months. Good luck!

This post is sponsored by the office of Phoenix pediatric dentist, Dr. Hillary Peck.

Pediatric Dentistry

Should I see a pediatric dentist for my child’s loose tooth?

My elementary school-aged son has had loose front-teeth for a couple of months now. He complains that they hurt and give her trouble when he eats and applies pressure on them from his tongue. When I look at them, I can see them moving around and that they are very loose, so I can tell they are ready to come out. However, he will not let me near him in order to extract them myself, nor will he pull them out himself. I know a pediatric dentist could remedy the issue quickly and easily but am not sure this is something for which they see patients? I know they will pull teeth that need to be pulled, but will they remove a tooth that is basically hanging by a thread?

Thanks,
Dan

Dear Dan,

The ligaments which hold a tooth in place are just like a rubber band. They will stretch out but then tighten back up, causing the process of losing a baby tooth to be quite a process. It appears that your son could be experiencing this to some extent, which could be why it is taking the tooth longer to fall out on its own than you might be used to.

It’s generally a good idea to let baby teeth do their thing until they fall out naturally. Attempting to pull a baby tooth prematurely not only hurts the child but can cause unnecessary trauma to the area. The baby tooth also helps keep the space open for the adult tooth to come in.

If the tooth is bothering your child, seeing a pediatric dentist would not be a bad idea. He or she can assess the situation and ensure nothing out of the ordinary is happening or causing the delay. If the dentist determines that the baby tooth will not come out on its own, he or she may suggest extraction as a solution. But, if you think your son will oppose a dentist, as he does when you try to touch the tooth, it may be better to wait it out and let nature take its course.

This content is brought to you by office of Phoenix pediatric dentist, Dr. Hillary Peck.

Affordable Dentist

An affordable dentist experimented on my tooth

I am embarrassed to admit that I answered an ad for an affordable dentist for a crown procedure at a reduced rate. The dentist claimed he recently got a machine that would make the crowns in-house. He wanted some patients with whom he could try out his machine. I’ve been in need of a crown procedure for quite some time, but couldn’t afford the cost I’d been quoted from other dentists. The low cost appealed to me and I answered the ad. During the five hours I was in his office the dentist had several issues with his machine, not to mention the crowns would not fit right. After he made some adjustments with my tooth, and the machine, the crown finally fit.

This procedure took place two days ago and my entire mouth is in pain, in particular, my tooth. Is it possible that the dentist caused permanent damage? If so, will I have to eat the cost, since he disclosed that this was a learning procedure up front?

Thank you,
Jason

Dear Jason,

You’ve had quite the experience. Regardless, you should be sure the dentist knows you are in pain. When teeth are manipulated as much as yours were, they experience irritation. If it’s just a basic irritation, the pain should subside in a few days. An over-the-counter anti-inflammatory, like ibuprofen, should help you with the pain.

If the pain does not subside and improve on its own, it could mean the decay grew, in which case you would need a root canal as soon as possible. This could also be the case if your tooth experienced trauma during the procedure.

Regardless of the dentist claiming to be an affordable dentist, or saying that he was using the procedure to learn, he is responsible. If he is an ethical dental professional, he will want to be aware of the problems you are experiencing and fix them. If he refuses to fix the situation, you will need to see another dental professional about the issues you are having.

For future dental procedures, you may want to seek out dentists who provide quality care, and then look for financing options that fit into your budget, like spreading out treatment costs, utilizing insurance benefits, or financing treatment.

Good luck to you!

This blog post is provided by Phoenix affordable dentist, Dr. Hillary Peck.

Phoenix Dentist

Do I Need a Mercury-free Dentist to Remove One Filling?

I have a silver filling I want to get rid of. I asked my dentist and he said the panic about silver fillings is overblown and I’m safer leaving them in. I don’t want to leave it in. Do I need to switch dentists or is he right about it being unsafe to remove?

Megan

Dear Megan,

Left: silver amalgam filling Right: mercury-free composite filling

If a dentist doesn’t know how to do a sanitary amalgam removal, then yes, you’re better off leaving them in. However, you don’t have to if you truly don’t want to. Especially if they’re getting old, you’re much better off removing it before it starts to leak.

There are dentists who will know how to remove them safely. I’d look for a mercury-free dentist in your place. They’ll know how to keep you from inhaling any mercury vapors or swallowing any bits of mercury. Aside from a stopper dam, they’ll need a fan and cold water to keep the mercury from melting.

Once you remove the silver fillings, you can replace them with white composite fillings. These are actually better for your teeth than their silver predecessor anyway.

If you’re happy with your dentist, you can just go to another one for this removal and replacement. However, if you and your dentist tend to disagree in treatment philosophy, you could use this as an opportunity to find another dentist.

Look at the website of some local dentists. Make sure they’re mercury-free. It’s also good to see if they offer other services you may be interested in. For instance, if you’re looking for services such as teeth whitening, make sure you can get that as well.

Then, when you have a list of possibilities, be certain to check out their reviews. Many people leave reviews on sites such as Google or Yelp!

This will tell you if they do quality work and whether or not they have a good chairside manner and patients enjoy working with them.

Best of luck to you.
This blog is brought to you by Phoenix Affordable Dentists Drs. Kevin and Hillary Peck.

Affordable Dentist

Poor Man’s Smile Makeover

I wanted to get a smile makeover because my teeth are so stained. Plus, I have a tiny gap between the two front teeth. I looked at porcelain veneers, but they were way out of my budget. Is there a way to get my smile more attractive without losing my home?

Lexie

Dear Lexie,

Dollar sign hatched from an egg
There are always affordable alternatives.

I’m a firm believer in the fact that there’s always an affordable dental alternative. You’re right that porcelain veneers are a tad on the expensive side. However, that doesn’t mean you are trapped with a smile you’re not proud of. Based on what you described, you’re a good candidate for two procedures which can repair both of those problems. These can make your smile look beautiful.

I’d start by getting your teeth whitened. This is probably the most affordable procedure you can do for your smile with amazing results. It will take years off your appearance in one fell swoop.

In addition to that, there’s an easy solution for your tooth gap. Dental bonding uses a composite resin to fill in the gap. A cosmetic dentist will hand sculpt the new inner edges of your teeth in a way that they meet perfectly.

It’s important you whiten your teeth first. Once the resin is molded and dried, the color cannot be changed. That’s why you’ll want your teeth the color you’ll want permanently so your dentist can match the resin to it.

What You Want in an Affordable Dentist

I don’t want you to confuse a cheap dentist with an affordable dentist. A cheap dentist will cut corners, which rarely works out well for the patient. An affordable dentist will still do quality work but find other ways to save you money.

Generally, they’ll try to keep their fees reasonable, but often they also offer payment plans. They can do that with either an in-house payment plan or through Care Credit.

You also want a dentist who tells you all of your alternative treatment plans. Just like there was a more affordable option for your smile makeover, your dentist should give you all your options. It’s the only ethical way to handle things.

One other suggestion. You should always check reviews of every medical practitioner before you see them. It’s always wise to learn from the experiences of others.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

Affordable Dentist

Dentist “Bait and Switched” Me with Prices

I had was diagnosed with a cavity two months ago. They said it was small enough we could just watch it for now because I told them I didn’t have much money. But, a few days ago it started hurting. Because I already knew the problem I just called around to a few dentists who advertised as affordable to see what their prices were. This one dentist was significantly cheaper than the rest so I booked with him. Then, when I get there he says the decay is too extensive and he’ll have to do a crown. That is way more money than I’d planned for. I left without having the work done. Should I get a second opinion? Do you think I’m being bait and switched?

Bruce

Dear Bruce,

Dollar sign hatched from an egg
Cheap does not always equal affordable.

There are a few things going on here. First, is financial. You need an affordable dentist who’s willing to work with you on payments. But, you’re making a common mistake in equating affordable with cheap. There are good dentists who find ways to be affordable but probably aren’t the cheapest. Then, there are dentists who quote cheap prices, but end up costing you more money because either their skill or the quality of their materials are sub-par.

It’s also possible, the dentist wasn’t trying to pull one over on you. The original diagnosis was a couple of months ago. That, combined with the fact that the tooth starting hurting, tells me the decay has spread. Once decay gets to a certain point a filling isn’t enough and a crown becomes necessary. If it blows up into an infection, you’ll need a root canal treatment as well.

Get a Second Opinion from Another Affordable Dentist

It’s okay to trust your gut. If you truly feel like this guy was trying to pull one over on you then you should get a second opinion. You can bring your x-rays from your previous appointment for the second dentist to examine which will save you on additional x-rays.

Remember, cheap doesn’t mean affordable. Look for dentists who offer payment plans and phased treatment options. But, check their reviews to make sure they have a good reputation.

This blog is brought to you by Drs. Kevin and Hillary Peck.

Pediatric Dentistry

Pediatric Dentist Missed Long Coming Cavity

My son has a bit of trouble at the pediatric dentist’s office. We’ve only been twice, but both times they were unable to get x-rays on him. The exam and cleanings seem to go fine. The x-rays scare him. Both times, they’ve sent us on our way saying everything looked fine. Then, two days after our last appointment, he came to my room crying with a toothache and massive fever. I gave him some pain reliever and called the pediatric dentist. They weren’t open, so I called my dentist who agreed to see him. Thankfully, because he turned out to have a massive tooth infection on his back molar. My dentist was able to give him an x-ray without any problem. The decay was so bad he couldn’t save the tooth, which worries me because it was a molar. He gave him some dental sedation and extracted the molar right there. He said that cavity was a long time coming. How did the pediatric dentist miss it?

Lucy

Dear Lucy,

A child holding a teddy bear at the pediatric dentists office

It’s hard to say why the pediatric dentist missed it. I’m curious as to what your dentist did differently than your pediatric dentist which helped your son feel comfortable with the x-rays. It sounds like your family dentist is good with children. If you’re not satisfied with your current pediatric dentist you may consider you and your son going to the same practice. It’s perfectly fine for general dentists to treat children if they’re good with them.

I’m glad your dentist was able to deal with the infection so quickly. That could have turned out horribly if it spread further. You’re right it’s a shame that the molar couldn’t be saved. Hopefully, your dentist placed a space maintainer there for him. Otherwise, your son’s teeth will shift and cause crowding in his teeth. That will mean expensive orthodontics. You definitely don’t want to deal with that.

Effective Pediatric Dental Care

You’re wise to take your son to the dentist regularly. Too many parents wait until there’s a dental emergency to bring their children to the dentist. That makes their first experience a negative one, which often leads to dental anxiety.

It sounds like he responded well to dental sedation for the extraction. That’s good news too. The goal in pediatric care, along with good oral health, is to feel positive about the dentist.

Hopefully, this infection hasn’t completely thrown him off and he can enjoy going again.

This blog is brought to you by Phoenix Dentists Drs. Kevin and Hillary Peck.

Lumineers

Dentist Stained My Lumineers

I’m a little upset but don’t know how to proceed. I asked my dentist for a cosmetic dentist recommendation. He said every dentist is a cosmetic dentist and he can do whatever I need. I told him I wanted a smile makeover. He told me about his certification in Lumineers. I was relieved to know he was certified so I agreed to let him do it. We discussed that I wanted my front teeth lengthened and to have all of them made as white as they can. He seemed fine with everything I’d mentioned. But, when he put the Lumineers on, I was so disappointed. First, they looked bulky. I’m not sure why because these were supposed to be ultra-thin. That’s one of the reasons he recommended them. But, the worst was the color. I told him I wanted it very white, but it wasn’t. I asked him why and he said for any smile makeover to look natural, he insisted their needs to be some natural staining. Is there any way to whiten these?

Jean M.

Dear Jean,

A dental tool holding up a single Lumineer

While there isn’t a cosmetic dentistry specialty, that doesn’t mean that every dentist is a cosmetic dentist. Every dentist is allowed to practice cosmetic dentistry. But, not every dentist is skilled in the art. And believe me, it is an art.

Certification in Lumineers sounds much more impressive than it is in reality. To receive certification they just have to attend a seminar. That’s it. There’s no examination of skill at all. None. Your dentist is what I’d call either a beginner cosmetic dentist or a dabbler. You asked about a smile makeover. He just got certified and decided this was a good chance to hone his skills and practice.

The problem is, he still has a general dentist’s mindset. In dental school, we’re taught we know better than the patient. We understand more about the science than you do. The problem is, if he’d studied cosmetic dentistry (which all has to be done post-graduate) he’d know that cosmetic dentistry is an art form. And art is in the beauty of the beholder. The beholder, in this case, is YOU. You decided what is a beautiful smile. If you want white teeth. You get them. If you want crooked teeth (and we’ve had requests like that) you get them.

He doesn’t understand that so he assumed he knew better than you and put a stain on them. If you’d wanted stained teeth, why get a smile makeover?

What do Do From Here About Your Lumineers

Unfortunately, teeth whitening only works on natural tooth structure. It will not whiten your Lumineers. The only way to fix this is to have the case re-done. You have a decent case for a full refund because he didn’t create the Lumineers you’d paid for.

In your case, I’d ask for a full refund from your dentist explaining he didn’t give you what you’d agreed on. Then go to a different cosmetic dentist. Look at their “brag book” to make sure you like the results they get before committing.

You’ll probably find that better cosmetic dentists tend to avoid the Lumineers brand. Even though they’re ultra-thin, the results tend to be bulky without tooth preparation and their lab isn’t known to be artistic. They’ll likely suggest a different brand of porcelain veneers. This is one case where I wouldn’t argue. If they’ve studied the craft as they should, they’d know which brands will have the nuances you want for your new smile.

This blog is brought to you by Drs. Kevin and Hillary Peck.

Affordable Dentist

Is Affordable Dentist Dragging Out Procedures for Money?

My teeth are in bad shape. I decided to finally take steps to improve them. I don’t have a ton of money because I’m a single mom. I did some research to find an affordable dentist who had good reviews. My only question is he’s been having me come in for almost two years at least once a month. Yet, the only improvement I’m seeing is my teeth are a bit whiter. Nothing else has been done. I still have crooked teeth. I still have two chipped teeth. He knows I want to improve those things but keeps telling me we have “other priorities”. Shouldn’t I be seeing more results by now? Is he dragging this out to just make money?

Lacey Q.

Dear Lacey,

A smiling blonde with a beautiful smile

Did your dentist mention to you why he has you coming in so often? The only thing I can think of which warrants that many appointments would be advanced periodontal disease. If that’s your situation then your dentist really can’t do anything else until that is cured. If that isn’t brought under control you can actually lose your teeth.

All that being said, two years is a very long time for that to take with as often as you’ve been coming in for treatments. I’m going to recommend you get a second opinion. I’m not saying your affordable dentist is dragging things out to make up profits, but it is an unusual amount of time.

Affordable Dental Makeovers

When people think of a smile makeover, usually it’s porcelain veneers they’re talking about. However, that is a pricey procedure and not for someone on a tight budget. That doesn’t mean you can’t have a gorgeous smile. There are affordable cosmetic procedures you can have done.

But, first things first, make certain your gum disease is under control. If you get orthodontics done before that, you risk your teeth coming loose.

As an adult, you’ll want to use Invisalign for your “braces”. This will allow you to straighten your teeth without anyone knowing. Additionally, the aligners can double as teeth whitening trays which saves you even more money.

That brings us to the teeth whitening. It’s an affordable procedure which can single-handedly make you look years younger.

Once that’s completed, a good cosmetic dentist can give you dental bonding to repair your chipped teeth. You’ll have a stunning smile you can be proud of…all on a budget.

This blog is brought to you by Drs. Kevin and Hillary Peck.