Tag Archives: Cosmetic Dentistry

Affordable Dentist

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.

Lumineers

Can I Place New Lumineers Over My Old Ones?

Hi,

I got Lumineers placed on my teeth years ago, and they are not as white as I’d like them to be. I know that porcelain crowns can’t be whitened with tooth whitening or bleaching, but I was wondering about something else I could do. Is it possible to place new, whiter Lumineers over my old ones? Is it recommended? I just want my smile to be brighter.

Thank you,

Julia, from Accident, Maryland.

 

Hi Julia,

Lumineers are an ultra-thin type of porcelain veneer marketed as a no-prep procedure, meaning they are bonded directly to your tooth without any surface preparation. Your dentist should have taken your smile concerns into consideration while making your Lumineers. Not getting the color you wanted is probably a result of your dentist lacking experience in cosmetic dentistry. A true cosmetic dentist would take your aesthetic concerns as seriously as your practical ones.

Fortunately, you can get a brighter smile if you re-do your old Lumineers. Putting new ones over your current ones will not save you any time or money, and may also feel too thick when placed in your mouth. Bonding Lumineers on top of existing ones or porcelain veneer increases the risk of failure. Also, the thin margin between where the Lumineers meet would be more prone to staining than if it were placed over a natural tooth.

So to improve the whiteness and look of your smile, you should seek out a cosmetic dentist to replace your Lumineers. Cosmetic dentistry isn’t a specialty recognized by the ADA, but some dentists have received extensive post-graduate training in cosmetic and restorative dentistry, and have the experience to help your case.

Also, be open minded when seeking a new dentist for your Lumineers – not all dentists are comfortable using them, and you may find that a different type of porcelain veneer is best for you.

This blog post is brought to you by Phoenix Lumineers provider, Dr. Hillary Peck. Dr. Peck is a general dentist who has considerable experience with cosmetic and restorative dentistry.

Lumineers

Should I Get Lumineers?

Hi,

I’m writing to you because I have several chipped teeth I’d like to take care of.  They were covered with bonding material, but over the years it has worn down. I’m interested in a more permanent solution, such as  porcelain veneers to cover my teeth. I’m not sure about what type of porcelain veneer to get, and am interested in Lumineers because of their convenience. How should I go about finding a dentist to do my veneers? Do I need to go to a dentist especially for Lumineers?

Thank you,
Emi, Boston, Massachusetts

Hi Emi,

Thank you for your question. Lumineers are made from cerinate porcelain and are thinner than regular veneers. They can be bonded with no tooth preparation (roughing the tooth’s surface) so there is less discomfort and fewer visits required.

However, not every dentist is skilled at placing Lumineers. You should look for someone who has experience and education directly related to Lumineers. Pushing a dentist outside their comfort zone will not give you a good result.

Secondly, check the smile gallery of your prospective dentist. Make sure they have samples of Lumineers for you to see. Since Lumineers are placed over your existing tooth, they can appear bulky or thicker than natural teeth.

Still, finding a cosmetic dentist comfortable with placing Lumineers is the key to getting the best result with Lumineers. For example, at Dr. Hillary Peck’s Phoenix office, she will consult with patients to see if they are a good candidate for Lumineers. If Lumineers are not the best fit for you esthetically, a different brand of porcelain veneer will be suggested. A good cosmetic dentist will consider the patient’s smile design goals and esthetic concerns and not shoehorn in a one-size-fits-all solution. A cosmetic dentist will know whether Lumineers are the best solution for you.

I hope this helps. Good luck in your search. In your area, you should be able to find a good cosmetic dentist to help you.

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

Emergency Dentist

Is a cracked porcelain crown an emergency?

My front teeth have had porcelain crowns for many years. The left one has had a small imperfection on it all this time, but is was not visible to the eye. However, I am now beginning to see it and am able to feel it. I worry that the crown will soon break and I will lose it. If replacing the crown is necessary, I’ll go that route, but want to be sure this is not something for which I should see an emergency dentist.

Thank you,
Eric

Dear Eric,

While this is not an emergency, it would be a good idea to find an experienced cosmetic dentist and have the crown replaced. If not, you are correct, you will chance it completely breaking.

You mentioned that, while your crown has always had a slight imperfection, you were unable to see it or feel it. This is called a craze line. Teeth and porcelain have these and they are typically no reason for concern. However, you mentioned that you are now able to see the defect, as well as feel it. This indicates there has been movement which has resulted in the now visible difference in the surface of the crown.

Once a cosmetic dentist has the opportunity to assess the crowns, he or she may suggest replacing all of them, due to their age, or just the one. If just the one crown is replaced, the color-matching skill of the dentist will need to be excellent, in order to ensure the new crown matches the original ones. Do be cautious if you are told that the only way to ensure a perfect color match is to replace all of the crowns. That is a clear sign that the dentist does not have the skill-set to match the new crown to the original one.

This post is sponsored by Phoenix emergency dentist, Dr. Hillary Peck.

Lumineers

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.

Lumineers

Is My Dentist Cutting Corners by Not Using Lumineers?

I went to my dentist to discuss getting a smile makeover. I want a movie star smile and told him I wanted to get Lumineers. He told me he doesn’t do Lumineers, but uses something similar. He says they’re better, but I’m worried he’s just trying to cut corners to have a bigger profit.  Will these off-brands give me as good a smile?

Rebekah S. – Albany, NY

Rebekah,

Did your dentist tell you they were an off-brand or are you just worried they are?  I realize that Lumineers have a lot of name recognition, but they’re only one brand of porcelain veneers. Many of the other brands are equally good.

It may be your dentist is more experienced with working with one brand over another. Or, he may like the aesthetics of a certain brand over Lumineers.

The important thing to remember about a smile makeover, is not what brand you use, but the skill of the dentist.  Just make sure he is willing to place them with a temporary paste first and make any changes you want before permanently bonding them on.

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

Lumineers

Can I have miracles done on my teeth?

I’m hoping for a miracle. I have to go to a reunion and my ex will be there. He’s always insulted me about my teeth. They’re chipped, misshappen and need to be whitened. Plus, there is a tiny gap between my front teeth.  IS there some miracle that will fix all of them? Fairly quickly…like within six months?

Meg E.  – Anderson, IN

Meg,

Yes, I actually have a solution for you. Lumineers, a brand of porcelain veneers, can fix all the things you mentioned, in just two appointments.

A cosmetic procedure, they can change the shape, size, and color of your teeth. Your chips will be gone, the shape can be made natural and beautiful, the gap will be glosed, and they can be as white as you want them.

You’ll need to find a dentist who is skilled in placing them, but in the end you’ll have a smile you love….and your ex will be eating his heart out.

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

Teeth Whitening

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

Sandra,

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.