Tag Archives: porcelain veneers

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.

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.

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.

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.

Can Lumineers Give Me a Smile Like Miley Cyrus?

I love Miley Cyrus’ smile. She’s my fav singer.  I’ve seen a Lumineers commercial that had a smile which looked a lot like Miley’s. Did she get that by Lumineers or is it natural? If I got Lumineers, could my smile look like hers?

Zoe D.

Dear Zoe,

I’m going to post two pictures of Miley Cyrus.

Miley Cyrus before smile makeover
Miley Cyrus 2006
Miley Cyrus after smile makeover
Miley Cyrus 2007

It’s obvious by the change in her smile from 2006 to 2007 that she’s had some type of porcelain veneers done, along with some possible gum contouring. Whether that was done with Lumineers or not is hard to know without her or her dentist giving out personal information. Lumineers are simply one brand of porcelain veneers. There are several brands, each having different pros and cons and will contribute different things to a smile design.

As to whether or not you can get a smile designed to look exactly like Miley Cyrus’, the answer is yes. Porcelain veneers can change the shape, size, and color of your teeth to create any look you want. Bear in mind that everyone’s facial shape and skin tone are different. That means while you may have the exact same smile design, no smile (no matter how identical) looks the same on every person.

Talk to your dentist about your desires. If he says he can’t do it, don’t pressure him. You won’t like the results. Instead, simply ask him to recommend a cosmetic dentist whom he thinks can. It doesn’t mean you’re switching dentists. It just means you’ll go to this new one for advanced cosmetic work and your regular dentist for everything else.

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

Is There Such a Thing as an Affordable Smile Makeover?

I don’t make a lot of money. In fact, I’m pretty close to the poverty line, thankfully on the plus side of it though. I’ve wanted to improve the appearance of my smile for years. Everything I read says smile makeovers need porcelain veneers, which are way out of my budget. Is there such a thing as an affordable smile makeover?

Mary Anne L.

Dear Mary Anne,

Scottsdale Affordable Dentist

It’s admirable that you’re working toward improving your smile despite financial challenges. Your smile is an investment. A beautiful smile exudes confidence, which in turn helps you to be more successful in dealing with peers.

If you were getting a top of the line smile makeover, then yes, porcelain veneers are the way to go.  There are affordable dentists who might be willing to let you pay out your smile makeover, but each dentist has their own policy in regards to what they’ll accept payments on. If they don’t take payments on cosmetic procedures, Care Credit is always an option.

Also, there are other cosmetic procedures that don’t include porcelain veneers which can make a huge difference in your smile. One of the most affordable things you can do is get your teeth whitened. It’s cost effective while taking years off your appearance. It’s also simple to do and can fit into almost anyone’s schedule.

Of course, a lot of what would help depends on what you perceive is wrong with your teeth. If you have chips or gaps, dental bonding is an affordable way to close those.

I hope this helps you. Talk to your dentist about specific issues. He or she may have some remarkably creative solutions.

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

Dentist Won’t Give Me the Color Lumineers I Want

My dentist agreed to give me Lumineers. In fact, he even suggested it when I told him I was interested in remaking my smile. Our disagreement is about the color. I want them very white. But, he insists they need a stain or they won’t look natural. I don’t want to do this until we’re in agreement. Is there some way to convince him? Or is it the Lumineers that are the problem? Do I need a different brand?

Mandy B.

Dear Mandy,

I think you need a different dentist. He doesn’t seem to understand cosmetic dentistry. In dental school, we’re taught that a stain needs to be placed in order to make it look natural. But, let’s be honest, if you wanted your teeth to look natural, why would you get a smile makeover? Cosmetic dentistry is different than general dentistry. The key is to create the smile your patient wants. IF they want a bright, white smile, that’s what they should receive.

To answer your other question, you can achieve brightness with Lumineers or any other brand of porcelain veneers. You’ll probably need to find another dentist in order to accomplish this. Your dentist is too set in the older ways of doing things.

You can do a search for a cosmetic dentist in your area. Then ask to see some of their before and after pictures to see if you like the type of results they get with their cosmetic work. After that, I’d check with their reviews on some sites such as Google or Yelp. This will help you get an idea of they have a friendly chairside manner.

It’s perfectly fine to go to your regular dentist for all your general needs. Then go to someone else for more specialized cosmetic work.

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

Are Lumineers Visible?

I have teeth in need of a smile makeover. I suggested Lumineers, but my dentist is against it. He says Lumineers or any brand of porcelain veneers aren’t good enough. He told me that people can tell when you’re wearing them. Instead he suggested cosmetic crowns. I’m not crazy about that, because even though my teeth are ugly, they are healthy. I don’t want to get rid of healthy tooth structure.

Kelli M. – South Dakota

Kelli,

You’re certainly thinking more clearly than your dentist. There is no reason to grind down healthy tooth structure, especially since he’s wrong about Lumineers.

When porcelain veneers are done properly, they are indistinguishable from natural teeth. They are the ideal treatment for a smile makeover. But, it has to be done right.

Don’t pressure your dentist to do this though.  You won’t get the smile you were hoping for.  My suggestion is you look for someone else to do your smile makeover. Ask to see their smile gallery to make sure they do beautiful work.

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

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.