Archives for April 2019

Tri-Colored Porcelain Veneers

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I’m really disappointed in my porcelain veneers. I spent a fortune and now I have three different colored teeth. My natural teeth are yellowed. Then, I have four porcelain veneers, but two of them have splotchy gray patches. They look to be from underneath the veneers and shining through. Will teeth whitening help this?

Vera

Dear Vera,

a porcelain veneer being placed
Porcelain veneers are a great option for smile makeovers…when done by an artistic cosmetic dentist

There are a few things going on here. The biggest issue is you have a dentist in over his or her head with porcelain veneers. Smile makeovers aren’t taught in dental school. In order to do it well, dentists have to invest years of post-doctoral training on their own time to become skilled.

Your dentist has made three pretty basic mistakes, which tells me they didn’t do that.

Porcelain Veneers Mistake #1

You said you were provided with four porcelain veneers. You also said that you can see your natural, yellow-stained teeth. This means you were not given enough porcelain veneers. Most smiles require six to eight porcelain veneers. Wider smiles will require ten.

Sometimes, getting fewer porcelain veneers is the choice of the patient, even though the dentist recommends more. Often, this is for budgetary reasons. When that happens, there is a good solution. This leads me to the next issue.

Porcelain Veneers Mistake #2

When you don’t have enough porcelain veneers to cover the teeth which are visible when you smile, the most affordable solution is to have your teeth whitened.

This makes the teeth white and closer to matching what your veneered teeth will look like. This would have kept your yellowed teeth from standing out against your veneers because the stains would be gone.

Porcelain Veneers Mistake #3

The two veneers you have which have splotchy gray stains sounds to me like they’re not bonded properly. This causes what is known as micro-leakage. When the veneers aren’t bonded on properly it allows things to get between the veneer and your teeth. This shows up as blotchy stains.

If this is the case, you have a very good case for a refund. This isn’t functional for you. Not because of the unattractiveness of the veneers, but because of the danger of decay. You have food and other bacteria getting trapped in there. Your teeth will develop cavities as a result.

Where to Go from Here

The first thing I want you to do is ask your dentist for a refund. If he or she refuses, then I want you to get a second opinion from another cosmetic dentist. If they confirm you have micro-leakage, then it will be easy for you to get a refund and get the case done properly.

Decide whether you want to have more porcelain veneers placed on the visible teeth or get your teeth whitened instead. If you decide on teeth whitening, get that done first.

I hope this puts your mind at ease.

This blog is brought to you by East Cobb Dentist Dr. Cristi Cheek.

Two Complaints about CEREC Crowns

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I’m not understanding my bill. I’ve had regular crowns before and know their price. Those crowns take two appointments, They also require a temporary crown which is more material. Why is it when I got a CEREC crown, which is done in one appointment and doesn’t require a temporary crown that they charged me the same amount. Secondly, the stupid thing doesn’t match my teeth like my other crowns do. So it costs the same and looks fake. Great. Tell me why this is an advancement?

Dan

Dear Dan,

porcelain block for CEREC crwons

There are a couple of misconceptions here I hope will help you with your questions.

The Cost of CEREC Crowns

While I can see where you would think, because of the reduced appointment and lack of temporary crown, that the CEREC crowns would cost less, there is something you’re not considering. The technology isn’t cheap. They cost dentists at least $100,000. That’s a lot of money. Yes, they’re saving on lab fees, but they’re still having to pay for the CAD-CAM technology.

The Appearance of CEREC Crowns

It’s easy to misunderstand what makes a dental crown look beautiful and natural. While some materials are easier to work with, it’s not the material which creates the natural beauty of the crown.

It’s the skill of the dentist.

You want a dentist who has invested time and training in creating beautiful smiles. Look at their smile gallery. This will give you some idea of what type of results they get.

Unfortunately, there’s not a way for you to get a refund unless the dentist is willing if the crown is functional. You can ask him for one, but it is completely up to him.

Talk to your dentist about how you feel about the crown’s appearance. He may be willing to re-do it.

This blog is brought to you by East Cobb Dentist Dr. Cristi Cheek.

Smile Care Club Versus Invisalign

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I’m really wanting to straighten my teeth but don’t have a ton of money. I keep hearing about this smile care club. They advertise heavily on Facebook. It seems much more affordable than Invisalign. Is it safe? Does it do the same thing?

Carol

Dear Carol,

Invisalgin Aligner
Inviaslgin Aligner

Smile Care Club is what boils down to a “do it yourself” Invisalign treatment. The biggest difference is you are not under the care of a dentist. That’s where you’re savings comes from. That’s also where the risk comes.

For the majority of cases, Smile Care Club will work fine. However, there can be problems. One big problem patients run into is gum disease. If someone has gum disease, getting any type of clear braces treatment will aggravate it. You will need the help of a dentist in order to make sure you can keep your teeth.

With these companies, you essentially just submit pictures to see if you “qualify”. However, only certain cases of gum disease can be diagnosed from pictures. Most would require both x-rays and probing.

There are two other issues which can pop up. The first is if the teeth need some mild shaving because of crowding. They will send you to a dentist for this. However, that dentist isn’t personally invested in your case. It can be tricky to get the right amount of shaving done on the sides while maintaining the proper shape of your teeth.

Another issue is if teeth don’t rotate the way they were supposed to. That also needs dental intervention.

Bottom line. You could save money as long as everything goes perfectly. If there are any side issues, you could end up with a disaster.

A Side Benefit of Invisalign

One thing patients will love about Invisalign is the ability for the aligners to double as teeth whitening trays. This allows you to whiten and straighten your teeth at the same time, essentially giving you a mini smile makeover.

However, that will need to be under the care of the dentist in order to protect your gums.

This blog is brought to you by East Cobb Dentist Dr. Cristi Cheek.