Tag Archives: Porcelain Crowns

When Do You Leave a Pediatric Dentist?

Everyone’s saying my daughter needs to move away from a pediatric dentist. But, we have a good relationship with our pediatric dentist. He lets parents come back into the operatory which helps me feel safe about her being treated. I’m not sure I want to let my sixteen-year-old loose with an adult dentist who may or may not allow me back with her. When do we have to leave?

Sandra Q.

Dear Sandra,

Child with Pediatric Dentist

There isn’t a universal rule for when your child, son or daughter, should switch. Each pediatric dental office usually has their own policy. I’d talk to them and see what their policy is.

One thing I don’t want you worrying about is the safety of your daughter with dentists. I know there have been some stories in the news that would make any parent nervous, but those are very rare indeed. If you’re afraid, many general dentists will also let parents back into the operatory. When you’re calling around, simply ask them.

Are General Dentists Qualified to Treat Children?

If you’re looking for a sort of transitional period, there are general dentists who treat children. They’re perfectly qualified. All of them did a pediatric rotation during dental school. They just didn’t do the extra time to specialize in it. By the time they’re sixteen, you rarely have to worry about something coming up totally pediatric related that they’ll need to give you a specialist recommendation.

In fact, their jaws are developing more into an adult’s, so things like crowns and composite fillings may be better suited to an “adult” dentist. Teenagers also start getting interested in procedures such as teeth whitening, which most pediatric dentists don’t offer. Be aware, though, that their bite is still developing so don’t listen to a dentist who suggests that they’re ready for something like porcelain veneers.

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

Why Doesn’t My Dentist Consider My Broken Crown an Emergency?

I was flossing my teeth and my temporary crown broke. My dentist has an emergency line. I called him and told him what happened. I wanted to come in right then,, but he said to come in the morning and he’d try to work me in. Why doesn’t he consider it an emergency?

Katie S.

Dear Katie,

If you had some other symptoms, such as pain, swelling, or a fever then it would be a true dental emergency. I wouldn’t be too upset at your dentist. He is having you come in first thing in the morning. They’ll make you a priority. They do understand how important it is and will place a new temporary.

It’s not uncommon for a temporary crown to break. They aren’t as strong as their permanent replacements. Now, if your dentist would have said see you in a week, then I would have said he’s being neglectful. Seeing you first thing in the morning sounds like he cares.

I know you’re worried. It’s scary being the patient and having something not go according to plan. But, just sleeping overnight won’t damage the natural tooth which is there. Your dentist wouldn’t put you at risk.

Just don’t take any unnecessary risks like eating on the damaged tooth.

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



Why won’t my insurance cover all porcelain crowns?

I wanted to get an all porcelain crown, especially because it is on my front tooth, but my insurance will only cover metal based ones. Do you know why?

Sara L. – Kentucky


Insurance companies generally only want to pay for the bare bones treatment. In your case, that will mean a crown with a metal foundation. That doesn’t mean you can’t get the crown you want.

Your dentist will likely let you upgrade to the all-porcelain crown and just charge you the difference from your insurance. If he’s an affordable dentist, then he (or she) will have payment plan options for you.

Good luck with your crown. And, you’re right, on a front tooth you’ll want an all-porcelain crown. It will be much more natural looking.

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

Fixing mis-shapen teeth

My teeth are shaped kind of funny. If I got dental crowns on them, would it fix them?

Andrew- Kentucky


Have you considered getting Lumineers? They are able to change the shape color and size of your teeth. The reason I am suggesting those instead of dental crowns is because of the amount of tooth structure that is required to be removed for crowns.

When you get dental crowns, your teeth have to be ground down quite a bit to make room for the crowns. With Lumineers, you only have to shave just a minimal amount of tooth structure.

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

Brown Stains from Perioplus

My dentist prescribe perioplex to me after a recent oral surgery. However, I’ve noticed my teeth are starting to stain brown. Is this from the perioplus?

Sandy M.- Oklahoma


I did some quick research and I suspect the Perioplex is the cause of your staining. It is a good antibacterial agent, but contains chlorhexidine, which can stain your teeth. Another prescription that contains chlorhexidine is Peridex.  Don’t despair though (or stop using it) because there is a solution.

I would order the toothpaste Supersmile. It contains an enzyme that breaks down the protein pellicle on your teeth. You’ll soon have your white smile back.

Supersmile is also a great toothpaste to use on cosmetic dental work, such as porcelain crowns and porcelain veneers.

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



Why am I drooling?

I recently got a snake bite piercing. Since then I’ve been drooling like nuts. Is this from the piercing? I’ve never drooled before.

Kevin B.- Pine Bluff, AR


It is very likely the drooling is a result of the snake bite piercing. Here’s why. Any type of oral piercing will stimulate your salivary glands. This can lead to excessive drooling. This is a common risk factor with oral piercings.

You may also want to look out for some of these other possible risk factors:

  • Tooth & Gum Irritations: Depending on the positioning of the piercing, it could wear down the enamel on your teeth. You will also need to be proactive with your oral hygiene because if it rubs against your gums it will not only cause irritation, but could lead to gum recession and periodontal disease.
  • Bacterial Infections: Though inflammation is normal after an oral piercing, it should go down within a few days. If it doesn’t,  you need to be seen by a doctor. The ADA (American Dental Association) have documented an increased risk for bacterial infections in those with oral piercings. It is not just from transference during the procedure, but rather because our mouths are loaded with bacteria.  When you introduce a new open area, you increase the opportunities for the bacteria to spread.
  • Allergic reaction: Many people are allergic to various types of metals. If you’re having any type of reaction such as itching, redness, burning, swelling, or rash, see your doctor immediately. Allergies are serious and need to be dealt with.
  • Speech impediments: If the piercing keeps you from closing your lips completely,that will lead to speech impediments.
You may also be interested in learning about porcelain crowns.

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


Help for a bulimic

I’ve been getting treatment for bulimia and I have realized how bad my teeth have gotten because of it. Is there anything I can do to fix the damage I’ve done?

Name Withheld

The first thing I recommend is going to see your dentist. The acid from your purging is what causes the erosion on your teeth. I would drink a lot of water to help neutralize any residual acid.

Bulimia can also cause your mouth to dry out. This can lead to tooth decay, because the minerals and enzymes in our saliva helps to fight the bacteria in our mouth. Chewing on a sugarless gum will help promote saliva production.

Your dentist may also recommend a fluoride treatment. Depending on the condition of your teeth, it may be wise to get porcelain crowns placed on them. Please be aware that this does not completely protect them from purging. There is always some space that can allow the acid through.

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


Do I have to have an extraction?

My upper left molar that we thought needed to be capped because part of it was missing is really starting to radiate pain. The only time I get relief is when I drink something cold. Am I making a mistake just getting it capped? Should I get it extracted?

Julia R.- New Jersey


Whether or not you get your tooth extracted is up to you. However, have you looked into saving the tooth? I tend to try to save a tooth whenever possible. Your dentist should give you the pros and cons of every option.

Generally when cold makes tooth pain go away, it is a sign that the tooth is dying inside and needs a root canal treatment. If you did that, you can take care of the pain, get a dental crown, and save your tooth.

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

Whitening a porcelain Crown

If I  have a porcelain crown on one of my front teeth can I still whiten my teeth?

Sandra W. from Alabama


You can have your teeth whitened even with a porcelain crown, however you need to be aware that it will NOT whiten the crown at all. You will want your teeth the same color. The best way to handle this, is to do teeth whitening first. Then, have your crown re-done with the lab matching the porcelain to your new level of whiteness.

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