Peck Family Dentistry Blog

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  • Affordable Full-Mouth Reconstruction?

    I never got to go to the dentist as a child. As a young adult, I couldn’t afford it. Now that I’m in my thirties, I decided to bite the bullet. I wasn’t surprised to be told I needed a lot of work. The dentist said he usually recommends a full-mouth reconstruction. He explained what it was, but the price was well out of my ability. It sounds like something that would really help me though. Is there some way to get an affordable full-mouth reconstruction?

    Elaine

    Dear Elaine,

    A smiling blonde with a beautiful smile

    Even if you had the money for a full-mouth reconstruction, I’d recommend you get a second opinion. There may be a better way to repair your smile without crowning every tooth. That alone will give you more affordable dental care.

    Go to another dentist and ask him to first list out all the work your mouth needs. It’s very likely you have teeth which don’t need work. You didn’t mention having any pain, so it doesn’t sound like you’re losing any teeth and need something like dental implants.

    If it turns out you do need a full-mouth reconstruction, you need to verify the training and credentials your dentist has. This is a serious procedure which is well beyond what a dentist learns in dental school. It requires an advanced knowledge of both aesthetics and reconstructive dentistry. If they don’t get the aesthetics right, your smile will look horrible. If they don’t get the reconstructive done properly, you’ll end up in pain for the rest of your life from a misplaced bite.

    How to Afford Dental Care When You Need a Lot of Work

    It’s hard when you haven’t been able to go to the dentist because of the amount of work you end up needing. It sounds like you’ve been fortunate and haven’t needed any emergency dental care. As I mentioned earlier, you want to preserve as much natural tooth structure as possible.

    When he lists out the work you need, have him list it from most urgent to least. A good dentist will also give you all your alternatives. So if you need a tooth replaced, which I hope you don’t, and the teeth on either side of it need crowns, it would make more sense to get a dental bridge instead of a dental implant. It’s like getting three procedures in one.

    The reason for the list is to allow you to separate out your treatment into affordable bites. Make sure he tells you about any procedures you can double up on to save money.

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

  • What Kind of Dentist Does Teeth Whitening?

    I keep hearing you need a cosmetic dentist for that type of work. Does that include teeth whitening? I have a family dentist and he says he does whitening. Is it safe to use him?

    Bruce

    Dear Bruce,

    A woman and her dentist smiling
    Do You Need a Cosmetic Dentist for Teeth Whitening?

    First, I want to make sure you know there isn’t a recognized specialty in cosmetic dentistry by the American Dental Association. Dentists who call themselves cosmetic dentists, are really just general dentists who do cosmetic procedures in their practice in addition to their general dentistry.

    That being said, some dentists have invested much more time and energy in developing expertise in the field of cosmetics. So, for some procedures, like porcelain veneers, you will want a dentist who’s invested in training and has experience placing them. Also look at their smile gallery to see if you like the type of results they get.

    Does Teeth Whitening Require a Cosmetic Dentist?

    Teeth Whitening is a completely different story. Any general dentist can do it. It doesn’t take artistry, but rather general dental skills. When it comes to whitening your teeth, the role of the dentist is to provide custom fit trays for you to use the whitening gel, as well as monitor the patient’s oral health during the process.

    There are always things which can go wrong, such as gum sensitivity, issues with decay, etc. That’s where his skills as a dentist, much more than a cosmetic dentist, are what you need.

    I hope this helps answer your question. Most patients love teeth whitening and the results they get from it. One word or warning. If you have dental work, such as fillings or porcelain crowns, the whitening gel only works on natural tooth structure. That doesn’t mean you still can’t get your teeth whitened. It just means that (if they’re in a visible part of your smile) you’ll want to replace them after your whitening procedure so your smile will match.

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

  • My Grandmother Said I Have Mr. Ed Teeth

    I just got my teeth re-done with Lumineers and I was really excited about them until my grandmother said I had Mr. Ed teeth. I looked it up. Mr. Ed is a horse! Now I’m no longer sure my teeth are beautiful. Can Lumineers be removed?

    Dana

    Dear Dana,

    A porcelain veneer being placed on a tooth

    I’m very sorry your grandmother caused you to feel insecure about your teeth. I don’t know your grandmother, but it wasn’t a kind thing to say. If you were thrilled with your smile makeover, then maybe there’s absolutely nothing wrong with them and your grandmother is a bit on the mean side. Not all grandmothers are sweet and loving.

    However, it’s a different story if you’re unhappy with your Lumineers. Depending on the dentist and the process he uses, some Lumineers can look bulky. A good cosmetic dentist can do them right. Just look in the mirror and smile. If you love them, they’re fine and it doesn’t matter what your grandma said.

    If You Don’t Like Your Lumineers

    Everyone has different tastes. You’ll never find a smile that everyone thinks is perfect and some people are just plain mean out of jealousy. If you don’t like them, however, that’s a completely different story.

    If your Lumineers are already permanently bonded on, then they can’t just be removed. They can, however, be replaced. A good cosmetic dentist would never leave a patient unhappy with their smile. Usually, they’ll have some form of a beautiful smile guarantee where they’ll try on your new porcelain veneers with a temporary try-in paste. This allows you to see what they look like on your teeth and decide if you’re 100% satisfied before permanently bonding them.

    I hope this helps.

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

  • Affordable Neighborhood Dentist? Where?

    Why does where you live seem to determine how much you have to pay for the dentist? We stretched ourselves financially in order to live in a better neighborhood, but the dentist here is almost double what our old neighborhood dentist cost. I don’t want to have to drive across town into the heart of an area we felt was unsafe in order to get affordable dental care.

    Nora

    Dear Nora,

    Dollar sign hatched from an egg

    It would be nice if the quality of all dentists were reliably equal, but that isn’t the case. The cost of a dentist varies based on several factors, though it is possible to find highly skilled dentists which are affordable, even in better neighborhoods. First, I’ll go over some factors which affect cost.

    Building Costs can Affect the Cost of Dentistry

    You’ve heard the expression, “Location, location, location…” Often offices in better neighborhoods have to pay exorbitant rental costs on their building. It’s hard for them to stay afloat, so their prices are higher so they can stay in business in that area.

    This is one of the reasons Dr. Peck chose a location just outside a more expensive area. This enabled him to keep his costs reasonable for people in more than one type of neighborhood.

    Skill Can Affect the Affordability of Dentistry

    While some dentists do not raise their prices simply because they have exceptional skills, some do. They’ve spent a great deal of money and time furthering both their education and their skills. They need to make up the cost of that education.

    Affordable Dentistry versus Cheap Dentistry

    On the other end of the spectrum, there are dentists who lower their prices significantly just to draw patients in, but the quality of their work isn’t up to snuff. They keep their profits up by purchasing lower quality materials.

    Think of it this way. What’s more affordable, a crown that lasts fifteen years and costs $900.00 or a crown that lasts four years and costs $500.00? Obviously, the cheaper crown ends up costing you significantly more in the long run.

    Ideally, you want to find a dentist who does quality work at a reasonable price. Most dentists will offer some type of payment plan option for work that has a higher cost because of the nature of the procedure.

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

  • Pediatric Dentist Yelled at My Daughter

    My daughter is very inquisitive. I told him this before her appointment. I also told him that if he’d take just a couple of minutes before the appointment and explain what the tools are and what he’s going to do, she’d be fine and quiet. Without that, she’s likely to interrupt, grab, and ask a million questions. Well, guess what? He didn’t listen to me. He seemed rushed, greeted her and went straight into her check-up. She kept reaching around and stopping him to ask questions. He’d tell her to be still which lasted for a bit, but then the questions and reaching would start again. Eventually, he just shouted at her to shut up so he can finish. I don’t know if it was a bad day or what, but now my daughter thinks of the dentist as the “mean man” and doesn’t want to go back. Is there a way to fix this?

    Mad Mom

    Dear Mad Mom,

    Child sitting in Pediatric Dentist chair

    I don’t blame you for being upset. This is a disaster, but I think it can be salvaged. I don’t know if this is regular behavior for your pediatric dentist. It doesn’t sound like you do either. Because you were explaining your daughter’s personality to him it sounds like this may have been a new relationship. The first thing I’d do is check his online reviews. If he’s done this kind of thing before I’m sure someone would have mentioned it. I’d just look for another pediatric dentist in that case. Your daughter doesn’t need a “mean man” for her care.

    If everyone seems to have had a positive experience with him, it’s likely something caused him to have an unbelievably bad day. I’m reminded of that scene in “It’s a Wonderful Life” where the pharmacist was cruel to the boy and it turned out he’d just found out his son had died. We never know what’s going on in a person’s life. If he’s a good man who made a mistake, he likely feels terrible about it. It would be a good opportunity to teach about forgiveness. Of course, he’d need to be willing to apologize to your little girl and tell her he’ll not do that again.

    He’ll also need to be willing to follow your original advice and take her through all the cool tools. In fact, as part of the apology, maybe he can even take her on a little tour of the entire office.

    A Good Pediatric Dentist Leaves a Postive Outlook in Children

    At Peck Family Dentistry, Hillary Peck is fantastic with the children. Even though she’s not a pediatric specialist she loves working with the little ones and always brings them joy. IF it turns out this dentist is a dud, you can look for a general dentist who’s great with kids. Maybe even your dentist so you and your daughter can have a shared experience going to the dentist together.

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

  • Lumineers Destroyed by Dentist

    I got some Lumineers and spent a small fortune. However, it’s been a disaster from the beginning. I was excited after our consultation. He and I spoke quite in-depth with him about what I wanted, including a very white smile. When they were ready to bond on I was quite excited. As soon as I showed up he bonded them on. When I saw them in the mirror, I was devastated. They were stained, which made them look much darker than we’d discussed. I mentioned they weren’t as white as I was expecting but he asked me to give it a few days. I did but was just heartsick about the color. So, then I called him and said I really didn’t like the color. He told me to come in. He took off a layer of the Lumineers to show under the stain which is whiter, but now the veneers are dull looking and uneven. I can’t deal with this and I don’t know what to do. How could any decent cosmetic dentist be happy with a smile they created looking like this?

    Louisa

    Dear Louisa,

    A dental tool holding up a single Lumineer

    I can tell you exactly how this particular dentist is satisfied with the results. He doesn’t understand how cosmetic dentistry works. Truthfully, you have a good case for a refund simply because he bonded them on without letting you look at them first and get your approval. He could actually get in a bit of trouble for that. Patients are supposed to give approval for a procedure before it’s performed.

    Even if you had given permission, based on what you said he did to them after you complained, they are probably ruined. If he’s unwilling to give you a refund just from you asking I’d go to another dentist to get a second opinion. Make sure you go to a decent cosmetic dentist for your second opinion and don’t tell him who did your Lumineers. Tell him you want an unbiased opinion and don’t want to sway his thoughts.

    Are Lumineers Your Best Option

    Lumineers are a brand often marketed to inexperienced cosmetic dentists as being easy to place. While they don’t require tooth preparation (in certain cases) in many cases they do or they’ll end up looking bulky. Plus, as you’ve discovered, being easy to place does not mean they’re easy to design.

    When you have these re-done, and you will need to have them re-done, don’t be surprised if your next cosmetic dentist suggests a different brand of porcelain veneers. The important item isn’t the brand but the skill of the dentist doing your porcelain veneers. It’s perfectly acceptable (in fact it is recommended) to ask to see samples of their work. They should have some type of smile gallery, sort of like a brag book to show you what type of results they get.

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

  • Can’t Afford Dentist With Infected Wisdom Teeth

    What do you do if you have infected wisdom teeth but can’t afford a dentist? I’m in agony. I can’t eat. I can’t sleep.

    Vera

    Dear Vera,

    Woman grabbing her jaw in pain
    Don’t Ignore an Infected Tooth Because of Money

    I know you’re in a great deal of pain so what I’m saying is in the deepest compassion. You cannot afford NOT to deal with this. This infection will spread. Your heart and your brain are very close to your jaw. If the infection spreads to either, it’s life-threatening and can happen so quickly the medical community may not have time to help.

    There are ways to deal with this when you’re broke.

    There are affordable dentists and even oral surgeons who will do the work you need and let you pay them out as you’re able. They know how serious this is and will work with you rather than allow you to put your life at risk.

    If, for some reason, you can’t find a compassionate dentist in your area. There’s something called Care Credit. It’s a medical credit card which has low and even no-interest payment plans.

    Call your doctor and get on some antibiotics. It WILL NOT take care of the infected wisdom teeth. Those need to be extracted. But, it will buy you a little bit of time while you find the care you need. He may even be willing to provide a stronger pain reliever than you can get over-the-counter.

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

  • Dentist Said I Only Have One Option

    Hi, I’m annoyed with my dentist. He’s one of those people who think because he went to dental school I shouldn’t have to many questions and should just do his recommendation. This isn’t working for me. I have a tooth I’m trying to save. If I can’t save it, I want to know what options I have in replacing it. He says I only have one option—dental implants. I’m a believer that there are always options. What are other procedures available in this situation?

    Carl

    Dear Carl,

    There are too many dentists who work that way. Unfortunately, the dental school promotes the attitude that the dentist always knows best. However, we are also taught that we’re ethically bound to give our patients all their options and never move forward with treatment without their express permission. Your dentist seems to have forgotten this. Feel free to show him this post as a simple reminder.

    First, let me say I’m glad you’re trying to save the tooth. It’s always best to preserve as much natural tooth structure as possible. If it doesn’t work out, you have several options:

    Dental Implants

    illustration of a dental implantThis is the option your dentist mentioned. It is at the top of the line, the ideal option. In fact, it’s a lot like having your natural tooth back (when it was healthy). The downsides are the cost and the fact that it requires surgery. The surgery is actually its benefit too. It implants a root form into your jawbone which protects you from losing essential bone structure. Click here to learn more about dental implants.

    Dental Bridge

    Image of a dental bridgeThis is a second good option. It suspends a false tooth between two dental crowns. The downside is it does remove tooth structure from the adjacent teeth to make room for the crown. This makes more sense if those teeth already need crowns. Then you’re getting two for the price of one. The upside is it’s less expensive. Click here to learn more about a dental bridge.

    Removable Partial Denture

    Removable partial dentureThis is my least favorite option, but sometimes it’s all a patient can afford, so I help them make the best of it. It just uses a partial denture and clamps to your teeth. There are various types of clamps, all of which come with ups and downs, as well as varying price tags. Your dentist is obligated to tell you about them if you decide to go that route. The obvious downside to these is they’re not fixed in your mouth and can move around. Plus they put pressure on the teeth to which they’re clamped.

    Have a Frank Discussion with Your Dentist

    It sounds to me like you and your dentist need to have a pow-wow. If he’s not willing to help you navigate these options and give you all their pros and cons, you’re better served by going to a completely different practitioner. I’m sorry he’s making you reach out elsewhere for information. I hope you’re able to save the tooth and won’t have to bother with any of the above, but it’s always good to be prepared just in case.

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

  • Pediatric Dentist Insists on Fluoride Even When Insurance Won’t Cover It

    I’m trying to decide if it’s worth it to get a fluoride treatment every dental visit with our pediatric dentist. They always pressure me too even though our insurance only covers it once a year. Is it really necessary if we use fluoride toothpaste?

    Cathy M.

    Dear Cathy,

    Child sitting in Pediatric Dentist chair

    It’s expensive raising children and I know how important it is to save every dime you can. Though, sometimes spending a little bit of money saves you a lot. Your pediatric dentist is correct, getting a fluoride treatment every time is one way you’ll not only save money, you’ll save them unnecessary dental work in the future.

    I’m glad you use a fluoride toothpaste. Every bit helps. But toothpaste doesn’t contain much. The fluoride your dentist provides is much stronger and is painted on so your child doesn’t ingest it. Fluoride is known to protect against decay and even reverse early decay. That simple procedure is one of the most useful things you can invest in. I would also be sure you get dental sealants as well on their molars.

    The last thing you want is to save $30 on fluoride only to have to spend $200 on a filling. Or, if the cavity grows quickly, needing a pulpotomy (a child’s version of a root canal treatment).

    Preventative dental care is one of the best things you can do for your child.

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

  • Bulky Lumineers are Making it Hard to Talk

    I had Lumineers placed almost two months ago. I got this brand because they’re supposed to be thinner than the others. I can’t imagine how bulky the other brands are. But, my reason for writing you is because I’m having difficulty speaking because of there bulk. My dentist said I’d adapt to it, but I haven’t. What should I do? I sound like a little girl with a lisp.

    Lauren W.

    Dear Lauren,

    A porcelain veneer being placed on a tooth

    Many inexperienced cosmetic dentists end up placing Lumineers because they’re heavily marketed to beginners as being easy to place. They are considered “easy” because they’re ultra-thin and the company says no tooth preparation is necessary. That’s not always true and varies more from case to case than most dentists imagine. As a result of this misconception, many Lumineers cases end up looking (and being) bulky on patients.

    As you’ve discovered, it affects both your appearance and your speech. Many patients have described it as trying to talk with horse teeth.

    If you haven’t adjusted in two months, I can’t imagine you will anytime soon.

    Can Lumineers be Fixed?

    Once any brand of porcelain veneers are bonded on they’re permanent and can’t be “fixed”. The only option you really have is to have them re-done. Because you can’t speak normally, I would think you’re a good candidate for a refund. At the least, you should be able to speak normally.

    Go to your dentist and let them know you haven’t adjusted and still can’t speak. You’ll need a refund in order to have them re-done. He’ll likely offer to re-do them rather than refund your money. It’s up to you whether you’re willing to try that. But, if he doesn’t have the experience and doesn’t know how to prep teeth, you’re not likely to have any better result.

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