All posts by ectree

How Can I Make My Lumineers Last Longer?

Hi there,

I want a new smile, and am interested in getting porcelain veneers. My cosmetic dentist works with Lumineers, so I was thinking of getting them. However, I want my smile makeover to last a long time. What can I do to make sure my Lumineers last 15-20 years?

Sidney, from Amarillo, TX

 

Hi Sidney,

It is good that your dentist is comfortable working with Lumineers. The first step to making sure your cosmetic dental work lasts a long time is choosing an expert cosmetic dentist. Lumineers are a type of ultra-thin porcelain, but they are placed directly over your natural teeth with no preparation. For this reason, Lumineers can look bulky or unnatural if not placed with skill and care.

You can keep your oral hygiene routine the same at home, as neither tooth brushes, tooth paste, nor mouth wash can harm porcelain. Keep up with your regular dental appointments to prevent gum disease. Also, be sure to let your oral hygienist know you have veneers, to avoid any harsh tools that can leave scratches.

Porcelain may be durable but it can be stained. Coffee and red wine are major culprits, as can be tobacco use. Try to use a straw when drinking coffee or red wine in order to minimize contact with your teeth.

Lumineers can also be ground down like your natural teeth, so make your dentist aware if you grind your teeth. A night guard will take the pressure off your veneers at night, and can prevent any fracturing.

This blog post is brought to you by Phoenix  Dentist, Dr. Hillary Peck, of Peck Family Dentistry.

 

Is a Pediatric Dentist or General Dentist Better for a Special Needs Teen?

Hi,

I recently became a foster parent to a teen with special needs. He just wants to be treated like everyone else, so I’m not sure which dentist to take him to. he’s not a child, so he may balk at a pediatric dentist, but I think they may be more patient with him. I’m worried he may be nervous if I take him to a general dentist’s office, and the staff may not be used to treating patients like him.

Which should I go to? Any advice?

Elizabeth, from Raleigh, NC

 

Hi Elizabeth,

Your worries are valid and echo a lot of concerns shared by parents of special needs children and teens.

Either dentist will be able to accommodate your teen. A pediatric dentist is a dentist who has had additional post-graduate education pertaining specifically to children’s oral needs. Be sure to check your prospective dentist’s credentials, and feel free to call the dentist’s office with questions. Most pediatric dental offices will treat toddlers or young children in addition to teens. Dr. Peck in Phoenix, AZ has dental tips for parents on her website for what parents can expect for children at the dentist.

However, you should involve him in the decision-making process. Ask him where he would like to go, and check websites together. To make him feel more comfortable, see if you can schedule a walk-through of the office prior to your appointment, so he knows what to expect. If you have a dentist’s appointment coming up, invite him along to show him its no big deal. Little things like these can make a big difference when it comes to your child’s treatment.

This blog post is brought to you by Phoenix pediatric dentist, Dr. Hillary Peck, of Peck Family Dentistry.

Is My Root Canal Linked to My Cancer?

Hi there,

I am in remission from a bout with cancer, and trying desperately to stay that way. I recently learned that getting root canals can be linked to cancer. A documentary I saw recommended extraction instead of saving the tooth via root canal treatment. I had a root canal about 10 years ago, and am now terrified it may cause my cancer to come back. Will  a dentist be willing to remove the tooth? Should I have opted for an extraction over a root canal back then? Honestly, I would feel better with it out at this point.

Zarya, from St. Petersburg, FL

 

Hi Zarya,

You probably could find a dentist to remove the tooth. However, the dentist would likely be doing it to calm your nerves, not because it is  a cancerous ticking time bomb. A general dentist can do the procedure, or you can look for a holistic dentist in your area. A holistic dentist takes your entire body’s health into consideration when recommending treatment.

The documentary you saw may have been focused more on fear-mongering than accuracy. As you probably learned,  teeth requiring root canals have bacteria present. A root canal removes the bacteria, and seals the tooth, so it cannot become filled with bacteria again. More recent studies show that patients who receive root canals are healthier, and even at a lower risk of cancers. The documentary you saw likely referenced an old, outdated study that has not been replicated, yet is still causing panic and worry.

Good oral health is linked to good heart health, so taking care of your teeth is necessary to a healthy body. Being concerned about your oral health is important to keeping your body healthy. However, you do not need to worry so much. Your past root canal did not cause your cancer, nor will it cause it to come back. Getting it extracted is up to you and your dentist.

This blog post is brought to you by Scottsdale dentist and root canal provider, Dr. Hillary Peck, of Peck Family Dentistry.

 

Why Doesn’t My Crown Match?

Hello there,

I had a discolored front tooth, so my dentist made me a porcelain crown. It’s well made, but it’s an unnatural color.  I’m not happy with it, but it’s already cemented into my mouth. My dentist is willing to redo the crown, but should I go see my same dentist? Or try to find someone who specializes in crowns? I went to my family dentist because I thought it was most affordable, but I’m worried I should have gone to a cosmetic dentist in the first place.

Larry, from Rome, NY

Hello Larry,

If cost is that much of a factor, and you are willing to give your dentist another chance, stay with your current dentist. He sounds like he is willing to work with you so you can get a crown that matches your teeth. However, if you want a perfect-looking crown, you should look into starting over with a cosmetic dentist.

Your dentist sounds like he realizes he made a mistake with your crown, and is trying to make it right. Matching a crown to the front teeth takes a lot of skill. After each try-in, it must be sent back to the lab before a successful color match can be made. Even a skilled dentist or ceramist will take several tries before they can make a natural-looking match.

Your dentist was likely inexperienced in making natural-looking crowns. He may not have known how much time or effort it would take to make a crown for a front tooth.

A sign of an inexperienced dentist is when they ask to crown both front teeth, in order to ensure a color match. While this is one way to make sure the shades match, it does add an expense to the crown procedure .

One suggestion you can make to your dentist is to ask him to take photos of your smile using a high-tech intra-oral camera. This can help him get the most natural looking colors to match your future crown. Make sure the  pictures of your smile are taken under natural lighting can help your dentist match your crown to your natural tooth’s color. If he lacks the skill, the technology, or is unwilling to try, your best bet would be to go to a different cosmetic dentist and start over.

This blog post is brought to you by Scottsdale affordable dentist, Dr. Hillary Peck, of Peck Family Dentistry

 

 

 

 

Can’t Afford to Get Infected Tooth Removed

Hello,

I think I have a dental emergency. One of my teeth is throbbing with pain. I think I need a root canal, however, I cannot afford one. Should I wait to see a dentist when I can, or go see an emergency dentist immediately? It is really painful, I’m not sure how much longer I can deal with the swelling.

Mallick, from Trenton, New Jersey

 

Hi Mallick,

If it is swelling that much, you need immediate assistance. If you cannot go see your dentist, you will need to see someone who can do your root canal. If you cannot afford this, you will need to go see an emergency dentist.

If you do not see an emergency dentist for the infection, you run the risk of the infection spreading. An oral infection can spread to the heart or brain, and once it does, it can cause severe consequences and even death.

Also, do not take antibiotics without a treatment plan. The overuse of antibiotics can cause side effects, such as leading to treatment-resistant infections. Once the infection can no longer be treated with antibiotics, it will become more dangerous and more difficult to eradicate.

This blog post is brought to you by Phoenix emergency dentist, Dr. Hillary Peck, of Peck Family Dentistry.

Pros and Cons to Lumineers

Hi,

I am interested in getting Lumineers. Should I? Or would I be better off getting something else instead?

Jodie, from Chicago, Illinois

 

Hi Jodie,

Lumineers are a brand of ultra-thin porcelain veneers. They can easily fix minor dental flaws by being cemented over your natural tooth.

This article will highlight the pros and cons of whether Lumineers are right for you. Be sure to talk over your options with your dentist prior to getting any cosmetic dental work.

Pros of Lumineers

One major reason Lumineers are popular is because they are a no-prep veneer, meaning your tooth’s surface does not need preparing or roughening before the Lumineer is cemented in. Due to the lack of prep, Lumineers are a conservative option for a smile makeover.

Veneers are a good option if you suffer from teeth that are crooked, cracked, discolored, or came in incorrectly. Porcelain veneers can easily fix these problems.

If your smile is in need of a whitening boost but you’re tired of whitening your teeth, or needs to be evened out, porcelain veneers are a non-invasive option for a smile makeover.

Cons of Lumineers

For extensive, restorative dental work, porcelain veneers may not be the best option.

Another thing to be careful of is the dentist placing your Lumineers. Due to the no-prep nature of the procedure, Lumineers are placed over your natural teeth. In the wrong the hands, Lumineers can appear bulky if placed by an inexperienced cosmetic dentist.

If you want your Lumineers to look like the marketing materials, be sure to check a potential dentist’s smile gallery before agreeing to any work. If you find a dentist you want to work with who is not comfortable working with Lumineers, you may want to opt for a different material for your smile makeover.

This blog post is brought to you by Phoenix Lumineers provider, Dr. Hillary Peck, of Peck Family Dentistry.

 

Should I Seek a Second Opinion on my Porcelain Veneers?

Hello there,

I was interested in getting a dentist to do a smile makeover over some of my upper teeth. Initially I considered braces or orthodontic treatment, because my teeth were not aligned and there was some crowding. My dentist encouraged me to consider porcelain veneers instead, as they could fix my teeth’s problems much faster than orthodontics.

He examined my teeth, and quoted me an amount that included shaving and shaping my teeth,  as well as the porcelain work. It was nearly $10,000! After I got over the sticker shock, he said that price did not include any root canals, which I would also need.

Should I get a second opinion from another cosmetic dentist? Or is this a normal price everywhere?  Should I get Lumineers instead to make the price cheaper? I knew cosmetic work would be expensive, but I need something more affordable than $10,000!

Luna, from Tonawanda, New York

 

Hi Luna,

The art of the smile makeover is not taught in dental school. Dentists are taught to be pragmatic and functional, to fix problems rather than create artistic solutions. Granted, the higher the sticker price does not always mean the best quality. A lot of research should go into selecting a cosmetic dentist for a smile makeover.

Lumineers are sometimes cheaper because they do not require prep, such as shaping or shaving. However, Lumineers take a special amount of skill to place; in the wrong hands, they can look bulky. If your dentist is not comfortable with Lumineers, do not push them. You may save a few dollars, but if the dentist is working outside their comfort zone, the resulting work may not be the highest quality.

You may be better off looking at smile galleries on local cosmetic dentists’ web pages to find someone you like. The final result is more important than price, and getting work done correctly the first time will save you money in the long run.

This blog post is brought to you by Phoenix Lumineers provider, Dr. Hillary Peck, of Peck Family Dentistry.

What Dental Treatments Do I Need as an Adult?

Hi there,

I keep on top of my dental appointments, going every six months. However, every time I go, my dentist insists on giving me x-rays and bitewings each time I go. I was wondering how often I needed these? My dentist also wants me to get fluoride treatments, but I thought only kids needed those. Do I still need them? I’m on a tight budget and only want to get what is absolutely necessary.

Hannah, from Leeds, United Kingdom

 

Hi Hannah,

There is no negative affect for receiving fluoride treatments as an adult. However if you have had porcelain work done to your teeth, you should be wary of using acidulated fluoride. This strong type of fluoride can damage your veneers or crowns, and make your teeth more susceptible to staining. Be sure to inform your hygienist of any work you’ve had done prior to your cleaning.

Your dentist would recommend these treatments for you if your teeth are in an advanced state of decay. You are correct, mostly children receive fluoride treatments until the age of 14, but some continue longer.

The ADA guidelines recommend a full-mouth x-ray every that show the roots every one to five years. You need bitewings (a set of two to four x-rays taken while you bite down on some film) at least once a year.

Your dentist may have recommended additional x-rays if your teeth have advanced stages of decay. If not, then you can ask your dentist to follow the ADA guidelines. Receiving fewer x-rays will save you some money.

This blog post is brought to you by affordable Scottsdale dentist, Dr. Hillary Peck, of Peck Family Dentistry.

Should I Get Lumineers?

Hello,

I’ve always hated my smile, and am interested in getting veneers to fix it. I’m interested in Lumineers, but I’ve heard they may not be as durable as porcelain veneers. Which would be better? I’m currently saving up for the veneers, so cost is a factor. I want the longest-lasting veneers I can get.

Sydnee, from Richmond, VA

Hi Sydnee,

Lumineers are a brand of porcelain veneer, and porcelain in general is very strong. If a veneer cracks, it’s likely because of poor bonding, rather than the material itself.

Lumineers are thinner than your usual porcelain veneer, but require a skilled dentist to make and place. In the wrong hands, they can look fake. Since they are a no-prep veneer, they can also look bulky if not bonded properly. Be sure to check your cosmetic dentist’s smile gallery first, to see if you like the look of Lumineers.

Before and after photos of smile makeovers are a good way to gauge a potential cosmetic dentist’s skill. Most dentists like their work because they get to fix problems, rather than create beautiful pieces of art. A true cosmetic dentist can combine aesthetics with functionality.

Some cosmetic dentists do not do Lumineers. Apart from requiring high levels of skill to place, they also require a special lab for processing, so some dentists opt not to work with them.  If you go to a cosmetic dentist who does not do Lumineers, it’s best not to press the issue; pushing a dentist to work with a material outside their comfort zone can have disastrous results for your smile.

This blog post is brought to you by Phoenix Lumineers provider, Dr. Hillary Peck. Dr. Peck is a general dentist with years of training in cosmetic dentistry and experience placing Lumineers.

How Expensive is a Pediatric Dentist?

Hi there,

I have a six-year-old daughter and currently take her to see our family dentist. Recently, I was thinking of switching, though. Our family dentist does not seem used to working with such young children. My daughter was chided for fidgeting during her last cleaning. I think seeing a pediatric dentist would be a good change, but I am a single parent on a strict budget. Do pediatric dentists usually charge more, or would the price be the same as a family dentist?

Taylor, from Rochester, NY

 

Hi Taylor,

Pediatric dentists are general dentists who have undergone additional training to hone their skills. Each office sets their own fees. You’ll have to check with pediatric dentists in your area to compare prices.

If you are able to find a pediatric dentist in your insurance network, the price will be about the same. The insurance company dictates the fees that dentists can charge. If the work your child needs is preventative, such as cleanings, your plan should cover it. If you go outside your network, the fees may vary.

You don’t necessarily have to see a pediatric dentist. Many general dentists are comfortable working with children – you just need to find an office that sees a lot of children. This way, you won’t need to worry about higher fees, either.

Call your insurance beforehand. They can let you know pricing if you see a specialist, or even refer you to an in-network pediatric dentist. If you do not have insurance, call individual offices and ask for a price quote on common, preventative services. This way, you can make an informed decision on whether you will stick with your current family dentist.

This blog post is brought to you by Phoenix pediatric dentist, Dr. Hillary Peck.