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  • 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.

  • Do Dentists Ever Offer Affordable Porcelain Veneers?

    Can you help a gal out? I’ve always been embarrassed about my smile. The two front teeth overlap one another, they’re stained, and two of them are chipped. I’ve been pricing porcelain veneers because I’ve been told they can fix all of those issues at once, but they cost a fortune. Are there dentists who will offer a desperate gal an affordable smile makeover?

    Mindy L.

    Dollar sign hatched from an egg

    I’m sure you’ve heard the phrase, “You get what you pay for.” While it’s not always true, there are certain occasions where it bears more weight. Smile makeovers, especially with porcelain veneers, are one of them. The last thing you want is a slipshod smile. There have been countless smile makeover disasters and I don’t want yours to be one of them.

    With that in mind, I want you to ask yourself if it’s more important to you that you improve your smile affordably or to get porcelain veneers affordably? Based on the issues you described, there is a much more affordable way to repair and improve your smile without the high cost of porcelain veneers.

    Getting an Affordable Smile Makeover

    While veneers are designed for a complete smile makeover, you can get a gorgeous smile without them. Here are three procedures I’m going to recommend to you that combined will still be more affordable for you than what you’re asking for.

    • Invisalign: This straightens your teeth without wire and metal, invisibly. No one will even know you’re wearing them.
    • Teeth whitening: This will take away all the stains that are bothering you. In fact, this alone makes patients look years younger.
    • Dental bonding: Those few chips you mentioned can be easily repaired with dental bonding.

    One important thing to note. Make sure you get the teeth whitening done before getting the bonding placed on the chips. You want the bonding material to match your whiter teeth, not your current stained teeth. Also, any visible fillings you have will need to be replaced to match your whitened teeth as well.

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

  • Will an Affordable Dentist Help a Minor?

    I have a problem. I’m a teenager (13) and still suck my thumb. I’m really embarrassed about it. I don’t want my parents to know but it is making my teeth stick out. The kids at school make fun of me about my teeth. Is there a dentist that won’t charge me too much and would let me come without my parents knowing? I need to find out what to do about my thumb sucking and my teeth. I can pay some. I’ve got a little business I do knitting scarves for people.

    Olivia

    Dear Olivia,

    Child with Pediatric Dentist

    I’m so sorry the kids at school are giving you a hard time. I’m even more sorry you feel like you have to deal with this on your own. I wish you felt like you could talk to your parents. I don’t know your situation. Hopefully, there is some trusted adult in your life you feel safe with.

    If you don’t feel safe, please tell a teacher or police officer. I also want to commend you on having a business at your age. You sound like a gal who’s going to change the world and I’m very proud of you.

    Finding a dentist who’ll work with you financially isn’t a problem. Most would be happy to work with you. The biggest issue is the fact that you’re a minor. Legally, dentists cannot treat you without your parents there. They could lose their license. But, don’t get discouraged yet. I may have a way to help.

    Affordable Ways to Stop Thumb Sucking

    About any general pharmacy will have a type of clear nail polish designed to help people stop sucking your thumb. It’s not very expensive. You essentially just paint it on your thumb and the taste is so foul that it prevents you from sucking y our thumb.

    This will deal with your thumb sucking problem but not your teeth. I’m guessing your parents don’t take you to the dentist regularly. I’d tell them your teeth are bothering you. When your teeth are out of alignment it can lead to migraines and even TMJ problems.

    You may do some up front research ahead of time to look for affordable dentists in your area. At your age, you could go to either a pediatric dentist or a general dentist. Many work with Care Credit which is a medical card that can allow you to may payment plans for low and even no-interest.

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

  • 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.

  • Do Lumineers Cause Cavities?

    I spoke to my dentist about the possibility of getting Lumineers. I really wanted to get a prettier smile. My dentist said he was certified in Lumineers but he’s only done them twice and will never do them again. He said both times his patients developed cavities underneath the Lumineers. Do they cause cavities? Do I have a chance of getting a pretty smile? How do the celebrities not get cavities under their Lumineers?

    Franny W.

    Dear Franny,

    An advertisement for Lumineers

    Here’s the thing about Lumineers. They’re marketed to inexperienced dentists. It appears your dentist is one of those. Lumineers is just a brand of porcelain veneers. The only way a patient can get a cavity from Lumineers is if your dentist doesn’t bond them on properly.

    When the bond isn’t flush to the gums and correctly on the tooth, food can get trapped between the veneers and your teeth. That will lead to decay. I’m guessing that’s what happened with the two cases your dentist did.

    You can get a beautiful smile with porcelain veneers, but probably not with this dentist.

    How to Get a Beautiful Smile With or Without Lumineers

    The key to a beautiful smile is a dentist with skill in giving smile makeovers. Ask to see before and after pictures of cases they’ve actually done. Make sure you like the type of results they’ve gotten. Additionally, make sure they will never permanently bond on any type of veneers without you seeing them with a temporary place and giving your approval that you like the results. This is a reasonable request and any true cosmetic dentist would consider it a no-brainer.

    What about those patients who can’t afford porcelain veneers? Are they doomed to smiles that looked aged and exhausted? Absolutely not. The simple procedure of teeth whitening can take years off your appearance. It’s very affordable and if there are other things you want to improve, will give you something you’re proud of while you save up for veneers.

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

  • Affordable Dentist for White Fillings

    I’m in need of help. You may think I’m just being vain, but I can’t get my dental insurance to cover white fillings. I need one on a front tooth. My insurance will only give me a silver filling. That’s just too humiliating to consider. Is there a way to find an affordable dentist who’ll let me get a white filling at a reasonable price without my insurance?

    Cienna

    Dear Cienna,

    Phoenix Affordable Dentist

    William Somerset Maugham once said, “Money is like a sixth sense – and you can’t make use of the other five without it.” It’s frustrating when you don’t have money to do things that are actually important and good for you. Dental insurance companies are renowned for only covering the most basic of care, even if another procedure is better for you. That is true of how most of them handle fillings as well.

    It’s not vain to want your teeth to be all the same color. Plus, there’s the added worry about the high mercury content in silver fillings. While many dentists demand payment upfront, there are some affordable dentists who’ll be willing to work with you.

    Some do payment plans. Others will give you the white filling while billing your dental insurance for the amalgam filling and letting you pay the difference.

    In your place, I’d find a dentist you trust and explain your situation. Dentists want you to have a smile you’re proud to share. It reflects on them as well. I’d be willing to bet most will work with you.

    Affording White Fillings and Teeth Whitening

    I know affordability is an issue for you, but I just want to be sure you know once the fillings are made, the color cannot be changed. Because you said it will be on a visible tooth, make sure your teeth are the color you want. You can whiten them now, before getting your filling so they’ll match.

    Or, if you need to save up because of costs, you can get your fillings then when you’re ready to whiten, you’ll just have to re-do them.

    You may want to talk to your dentist about Care Credit. It’s a medical credit card that will allow you to get both procedures and pay them out in reasonable bits. Depending on your credit, you can even get zero interest terms.

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

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