Tag Archives: Teeth Whitening

Pediatric Dentistry

Discolored Baby Tooth?

My four year old son took quite a tumble. Now one of his front teeth is chipped and discolored. Should I whiten it or is there something else I should be doing? If he loses the tooth, do I need to get a space maintainer?

Elsie

Dear Elise,

Young boy smiling holding his toothbrush

I am glad you wrote. I can tell that you are a good mother and want to make sure you are doing the best for him. In this case, there is no need to do anything. Teeth whitening will not work on a tooth discolored from trauma. Even if it would, I wouldn’t recommend it for a child. They’re not likely to keep the trays in and that tooth will not last long anyway.

Unlike the rest of us, young children are not bothered by things like a discolored tooth. In fact, on the school yard, an injury is like a badge of honor, especially for boys. The grosser the better.

If the tooth falls out, you will not have to worry about a space maintainer. It is close to the time in which he would lose that tooth anyway, so you don’t need the added, unnecessary expense. The one time that your son would need a space maintainer would be if he lost a back molar. These have to stay in his mouth until he is around twelve years old. If that tooth was lost, you’d have to keep the space reserved. Otherwise, in the amount of time until his permanent molars come in, the other teeth will drift or tip into the opening causing overcrowding.

Unless the tooth develops an infection, I’d just leave it alone. If it does get infected, his pediatric dentist can just remove it.

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

I Can’t Afford to Improve My Smile

I went to see my dentist about improving the look of my smile. My children are all grown and I want to enter back into the work force. My smile has yellowed over the years. Plus, my teeth are crooked in some places. My dentist suggested I get porcelain veneers and said that it would fix both problems. Unfortunately, this is way too expensive for me. Is there an affordable way to improve my smile?

Amy

Dear Amy,

Teeth whitening trays
Teeth Whitening Trays

I am glad you wrote. While porcelain veneers are a great way to get that Hollywood smile, it is certainly not the only way to improve your smile. No matter what your budget, it is always a good idea to get all of your options before making your decision.

A great option for you, that will save you thousands of dollars, is to use a combination of Invisalign and teeth whitening. If your dentist does not offer Invisalign, you can go to another dentist or to have that done. Just be sure to ask your dentist for some professional teeth whitening gel.

You can wear those in your aligners , which enables you to straighten and whiten your teeth at the same time. That will save you additional money.

When it comes to porcelain veneers, you would only want an expert cosmetic dentist to do them, and would definitely NOT want to price shop. However, both teeth whitening and Invisalign can be done by any dentist that offers them. I would call around and find an affordable dentist that offers what you need.

This blog is brought to you by Scottsdale Dentist Dr. Hillary Peck.

Lumineers

Lumineers for Discolored Fillings?

I had a couple of dental fillings on my upper teeth that just do not match my teeth. I’ve tried bleach, which had no affect of them, Additionally, brushing makes no difference, though I will do it anyway for hygienic reasons. I really like my smile, except for that one issue. My dentist is suggesting Lumineers. While they are expensive, if that is what will make my smile the same color I am willing to pay it.

Cassie

Dear Cassie,

Image of a Lumineers advertisement

I would not allow your dentist to place Lumineers. These should be reserved for a complete smile makeover. Additionally, they are just one brand of porcelain veneers.

While Lumineers can be done well, most cosmetic dentists prefer a different brand of porcelain veneers. This is because the Lumineers lab is not always known for their artistic results.

Also, you mentioned you loved your smile with the exception of the difference in color. Therefore, porcelain veneers, no matter which brand, would be a massive overtreatment.

Plus, your dentist struggled to match the fillings. This tells me he does not have much expertise in cosmetic work. You would likely be disappointed in his results.

The solution for discolored dental fillings is to replace the fillings. The truth is the composite bonding used for fillings can be made to match any color if the dentist knows what they are doing and has the materials.

You will save yourself a lot of money and grief just going to a dentist who can match your dental fillings to your natural teeth.

If you want your teeth any whiter than they currently are, just make sure you whiten your teeth before having the dental fillings replaced. As you learned in your efforts to match the current ones to your teeth, teeth whitening does not have any impact on dental work. It will only whiten natural tooth structure.

I hope this helps.
This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.
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Lumineers

The Best Way to Fix My Nephews Smile?

I am gifting my nephew some braces for his graduation. However, his dentist told him that would take three years and if he just got Lumineers he could have a a smile makeover in two appointments. However, for eighteen teeth, it will cost about $18,000. He told him it would last for 20 years. I’m worried my nephew is being used for his dentist’s profit. What should I tell him?

Meghan

Dear Meghan,

I share your concern. Even if he did get Lumineers, and we’ll talk about why that makes me leery in a moment, his dentist is talking about doing both arches. Generally, that is overkill. The general procedure is teeth whitening and then to put Lumineers on the upper eight to ten teeth. The remainder of your teeth aren’t as visible, even when you smile so teeth whitening blends them to the designed teeth.

My other concern is the Lumineers. This is a brand of porcelain veneers that are typically marketed to inexperienced cosmetic dentists as being easy to place. That does not mean they are easy to make attractive. I would want to see what type of results he gets on cases he’s actually done. There are many brands of porcelain veneers experienced cosmetic dentists prefer.

The twenty years longevity on them completely depends on how well they are cared for and whether adequate upkeep is done. If it isn’t, they can lose their attractiveness in as few as 5-7 years.

My suggestion, especially as you had only planned on doing orthodontics is for you to look at Invisalign. They can straighten his teeth in 6 to 12 months and he can whiten his teeth at the same time as Invisalign is being done.

If you decide to go with porcelain veneers, please check that the dentist knows how to do them beautifully.

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

Lumineers

Lumineers Disaster

I went into my dentist for a smile makeover. He gave me four Lumineers. When I went there, I was very specific with him that I wanted a white smile. Yet, when my Lumineers came in and were placed, I noticed they weren’t white like we’d discussed. I tried to like them, but after a few days, I called him. I expressed that I didn’t like the color. That’s when he told me he placed a stain on them so they’d look “normal”. I was quite disappointed to hear that as it went against my expressed desires. He offered to take the stain off. That idea thrilled me. I went there with high hopes. Those hopes were dashed when I saw the results. Essentially, all he did was drill off the top layer. This made the teeth look dull and uneven, which is even worse. Do I have any way of affordably getting this fixed?

Brandon.

Dear Brandon,

A porcelain veneer being placed on a tooth

The smile makeover procedure you had reminds me a little to much of the middle-grade books, A Series of Unfortunate Events. I can tell from the way you described things that your dentist is either fairly new at cosmetic dentistry and is dipping his toes in the smile makeover waters, or he’s just completely incompetent. Because Lumineers is highly marketed to inexperienced cosmetic dentists as being easier to place than other brands of porcelain veneers, I suspect (or maybe hope) it is the former.

Let’s start with the fact that he did four Lumineers. Most people’s smiles are around eight to ten teeth wide. If you don’t want a bi-color smile, you have two choices. First, you can get that many porcelain veneers. A great option if you can afford it. However, not everyone can. In that case, your second option is to have your teeth whitened before you have your veneers made. This way the teeth will be close enough in color to make sense and blend.

The next disastrous decision is he stained them. Yes, you said you wanted a white smile, but your dentist thought, “I’m the professional and know better.” So, he put a stain on them to make them look like regular teeth. This is an attitude taught in general dental school. However, people paying for a new smile don’t want “regular” teeth. They want gorgeous teeth. This is why dentists who invest in post-doctoral training in smile makeovers learn the opposite. You aren’t creating normal smiles. Instead, you are creating your patient’s dream smile.

Amateur move number three is him bonding them on without you getting a look at them. True cosmetic dentists will use a temporary try-in paste, give you plenty of time to look at the veneers in various lightings, and decide if you are thrilled with them. If you’re not, they don’t get bonded on. The dentist will make the changes necessary to achieve the results you want. You’re paying for a stunning smile. You should get one.

His Disastrous Lumineers “Fix”

Finally, let’s get into your dentist’s “fix” for his misjudgment. What he should have done when you told him this wasn’t the color you agreed to was to start over and provide you with new Lumineers. That, however, would cost him time and money. So, he takes a short cut and drills off the stain. While this ruined your Lumineers, this is actually good news for you.

Because he damaged them, he is now obligated to fix them. I would not just get a refund or have him re-do them. He’s shown a disregard for your wishes, as well as a lack of commitment to the quality of his work. What you need to do is tell him you would like him to cover the cost of another dentist replacing them.

Before deciding on a second dentist, look at their smile gallery. Make sure there are before and after pictures of cases they’ve done personally, not just stock photos. Even then, only go forward if you absolutely love the after results they acheived.

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

Phoenix Dentist

Do I Need a Mercury-free Dentist to Remove One Filling?

I have a silver filling I want to get rid of. I asked my dentist and he said the panic about silver fillings is overblown and I’m safer leaving them in. I don’t want to leave it in. Do I need to switch dentists or is he right about it being unsafe to remove?

Megan

Dear Megan,

Left: silver amalgam filling Right: mercury-free composite filling

If a dentist doesn’t know how to do a sanitary amalgam removal, then yes, you’re better off leaving them in. However, you don’t have to if you truly don’t want to. Especially if they’re getting old, you’re much better off removing it before it starts to leak.

There are dentists who will know how to remove them safely. I’d look for a mercury-free dentist in your place. They’ll know how to keep you from inhaling any mercury vapors or swallowing any bits of mercury. Aside from a stopper dam, they’ll need a fan and cold water to keep the mercury from melting.

Once you remove the silver fillings, you can replace them with white composite fillings. These are actually better for your teeth than their silver predecessor anyway.

If you’re happy with your dentist, you can just go to another one for this removal and replacement. However, if you and your dentist tend to disagree in treatment philosophy, you could use this as an opportunity to find another dentist.

Look at the website of some local dentists. Make sure they’re mercury-free. It’s also good to see if they offer other services you may be interested in. For instance, if you’re looking for services such as teeth whitening, make sure you can get that as well.

Then, when you have a list of possibilities, be certain to check out their reviews. Many people leave reviews on sites such as Google or Yelp!

This will tell you if they do quality work and whether or not they have a good chairside manner and patients enjoy working with them.

Best of luck to you.
This blog is brought to you by Phoenix Affordable Dentists Drs. Kevin and Hillary Peck.

Affordable Dentist

Poor Man’s Smile Makeover

I wanted to get a smile makeover because my teeth are so stained. Plus, I have a tiny gap between the two front teeth. I looked at porcelain veneers, but they were way out of my budget. Is there a way to get my smile more attractive without losing my home?

Lexie

Dear Lexie,

Dollar sign hatched from an egg
There are always affordable alternatives.

I’m a firm believer in the fact that there’s always an affordable dental alternative. You’re right that porcelain veneers are a tad on the expensive side. However, that doesn’t mean you are trapped with a smile you’re not proud of. Based on what you described, you’re a good candidate for two procedures which can repair both of those problems. These can make your smile look beautiful.

I’d start by getting your teeth whitened. This is probably the most affordable procedure you can do for your smile with amazing results. It will take years off your appearance in one fell swoop.

In addition to that, there’s an easy solution for your tooth gap. Dental bonding uses a composite resin to fill in the gap. A cosmetic dentist will hand sculpt the new inner edges of your teeth in a way that they meet perfectly.

It’s important you whiten your teeth first. Once the resin is molded and dried, the color cannot be changed. That’s why you’ll want your teeth the color you’ll want permanently so your dentist can match the resin to it.

What You Want in an Affordable Dentist

I don’t want you to confuse a cheap dentist with an affordable dentist. A cheap dentist will cut corners, which rarely works out well for the patient. An affordable dentist will still do quality work but find other ways to save you money.

Generally, they’ll try to keep their fees reasonable, but often they also offer payment plans. They can do that with either an in-house payment plan or through Care Credit.

You also want a dentist who tells you all of your alternative treatment plans. Just like there was a more affordable option for your smile makeover, your dentist should give you all your options. It’s the only ethical way to handle things.

One other suggestion. You should always check reviews of every medical practitioner before you see them. It’s always wise to learn from the experiences of others.

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

Lumineers

Dentist Stained My Lumineers

I’m a little upset but don’t know how to proceed. I asked my dentist for a cosmetic dentist recommendation. He said every dentist is a cosmetic dentist and he can do whatever I need. I told him I wanted a smile makeover. He told me about his certification in Lumineers. I was relieved to know he was certified so I agreed to let him do it. We discussed that I wanted my front teeth lengthened and to have all of them made as white as they can. He seemed fine with everything I’d mentioned. But, when he put the Lumineers on, I was so disappointed. First, they looked bulky. I’m not sure why because these were supposed to be ultra-thin. That’s one of the reasons he recommended them. But, the worst was the color. I told him I wanted it very white, but it wasn’t. I asked him why and he said for any smile makeover to look natural, he insisted their needs to be some natural staining. Is there any way to whiten these?

Jean M.

Dear Jean,

A dental tool holding up a single Lumineer

While there isn’t a cosmetic dentistry specialty, that doesn’t mean that every dentist is a cosmetic dentist. Every dentist is allowed to practice cosmetic dentistry. But, not every dentist is skilled in the art. And believe me, it is an art.

Certification in Lumineers sounds much more impressive than it is in reality. To receive certification they just have to attend a seminar. That’s it. There’s no examination of skill at all. None. Your dentist is what I’d call either a beginner cosmetic dentist or a dabbler. You asked about a smile makeover. He just got certified and decided this was a good chance to hone his skills and practice.

The problem is, he still has a general dentist’s mindset. In dental school, we’re taught we know better than the patient. We understand more about the science than you do. The problem is, if he’d studied cosmetic dentistry (which all has to be done post-graduate) he’d know that cosmetic dentistry is an art form. And art is in the beauty of the beholder. The beholder, in this case, is YOU. You decided what is a beautiful smile. If you want white teeth. You get them. If you want crooked teeth (and we’ve had requests like that) you get them.

He doesn’t understand that so he assumed he knew better than you and put a stain on them. If you’d wanted stained teeth, why get a smile makeover?

What do Do From Here About Your Lumineers

Unfortunately, teeth whitening only works on natural tooth structure. It will not whiten your Lumineers. The only way to fix this is to have the case re-done. You have a decent case for a full refund because he didn’t create the Lumineers you’d paid for.

In your case, I’d ask for a full refund from your dentist explaining he didn’t give you what you’d agreed on. Then go to a different cosmetic dentist. Look at their “brag book” to make sure you like the results they get before committing.

You’ll probably find that better cosmetic dentists tend to avoid the Lumineers brand. Even though they’re ultra-thin, the results tend to be bulky without tooth preparation and their lab isn’t known to be artistic. They’ll likely suggest a different brand of porcelain veneers. This is one case where I wouldn’t argue. If they’ve studied the craft as they should, they’d know which brands will have the nuances you want for your new smile.

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

Affordable Dentist

Is Affordable Dentist Dragging Out Procedures for Money?

My teeth are in bad shape. I decided to finally take steps to improve them. I don’t have a ton of money because I’m a single mom. I did some research to find an affordable dentist who had good reviews. My only question is he’s been having me come in for almost two years at least once a month. Yet, the only improvement I’m seeing is my teeth are a bit whiter. Nothing else has been done. I still have crooked teeth. I still have two chipped teeth. He knows I want to improve those things but keeps telling me we have “other priorities”. Shouldn’t I be seeing more results by now? Is he dragging this out to just make money?

Lacey Q.

Dear Lacey,

A smiling blonde with a beautiful smile

Did your dentist mention to you why he has you coming in so often? The only thing I can think of which warrants that many appointments would be advanced periodontal disease. If that’s your situation then your dentist really can’t do anything else until that is cured. If that isn’t brought under control you can actually lose your teeth.

All that being said, two years is a very long time for that to take with as often as you’ve been coming in for treatments. I’m going to recommend you get a second opinion. I’m not saying your affordable dentist is dragging things out to make up profits, but it is an unusual amount of time.

Affordable Dental Makeovers

When people think of a smile makeover, usually it’s porcelain veneers they’re talking about. However, that is a pricey procedure and not for someone on a tight budget. That doesn’t mean you can’t have a gorgeous smile. There are affordable cosmetic procedures you can have done.

But, first things first, make certain your gum disease is under control. If you get orthodontics done before that, you risk your teeth coming loose.

As an adult, you’ll want to use Invisalign for your “braces”. This will allow you to straighten your teeth without anyone knowing. Additionally, the aligners can double as teeth whitening trays which saves you even more money.

That brings us to the teeth whitening. It’s an affordable procedure which can single-handedly make you look years younger.

Once that’s completed, a good cosmetic dentist can give you dental bonding to repair your chipped teeth. You’ll have a stunning smile you can be proud of…all on a budget.

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

Lumineers

Dentist Hates Lumineers

I’ve been saving for Lumineers for ages. Now that I’ve finally got the money, my dentist doesn’t want to place them. He said Lumineers will make my smile look bulky. I picked those because he won’t have to grind my teeth down and now he wants to grind my teeth. Should I let him or go to a different dentist who’ll do what I want?

Marcy

Dear Marcy,

An advertisement for Lumineers

The thing Lumineers is best at is marketing. They’ve pushed their no-prep line so far that patients are afraid to have another brand of porcelain veneers. Truthfully, all Lumineers are is a brand. They’re not even the best brand.

While some patients look fine without any tooth preparation at all, most end up with a bulky looking smile. Some have described it as having horse teeth. That’s probably not the look you’re going for.

The type of tooth preparation needed for porcelain veneers doesn’t actually grind down your teeth. That’s only necessary for porcelain crowns. Because porcelain crowns cover your entire tooth, including the back and sides, a large amount of tooth structure has to be removed to make room for it.

Porcelain veneers are different. They are very thin and only go on the front of your tooth. For those who need tooth preparation, the dentist only needs to remove only about the depth of a fingernail. You can’t even tell that much has been removed.

Getting a Gorgeous Smile Makeover with Lumineers

Not many expert cosmetic dentists like the Lumineers brand. A lot of that has more to do with the company’s insistence that dentists use their lab. Their lab doesn’t have the best track record for creating gorgeous results.

You don’t want it to look like you’ve got veneers on. You want it to look like you have a naturally gorgeous smile. Because your dentist is warning you that you’ll end up with bulky results, I would say he’s trying to look out for you and give you the best smile possible.

You can insist he give you the Lumineers, sans tooth prep. He may relent and do it. But, I think you’ll regret that decision in the end.

Why don’t you try this? Tell him to go ahead with the brand of porcelain veneers he wants, but you want to see them on with a try-in paste before he permanently bonds them. If you don’t like them, then he has to do the brand you want.

He’ll probably be more willing to do that.

Also, remember, you don’t have to have them placed on your upper and lower arches. Make sure you just whiten the lower arch to match the color of the upper arch. That saves patients a ton of money.

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