Archives for July 2019

Her Dentist Said Everything Is Fine, But it’s NOT!

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I’m hoping you can give me some guidance. I’ve never had a cavity before so I don’t know what a cavity feels like but am wondering if I’ve developed my first one. I had a check-up just a month ago and my dentist said everything looked fine, so it would have to be pretty new. It is a bit hard to describe but feels a bit like someone is pulling my back teeth and then letting go. It only lasts a short time, but it is distracting and I don’t want to ignore if anything is wrong. My husband says I grind my teeth when I’m sleeping. Could that be it? Or is this what a cavity feels like?

Miranda

Dear Miranda,

a woman holding her jaw from TMJ pain

I know you said everything was fine at your last check-up, but if you are a tooth grinder, everything is not fine. I’m worried you are not getting adequate care. Some discount clinics only focus on cavities and don’t pay attention to important issues such as gum disease, bruxism (teeth grinding and clenching) or other occlusion issues such as TMJ Disorder. Overlooking these things can cause serious long-term problems.

I haven’t examined you and wish I had an x-ray to look at, but what you are describing does not sound like decay to me. The two possibilities that come to mind immediately are gum disease or damage from the grinding. Either one of these would need to be dealt with and the sooner the better.

If You Are Grinding Your TEeth

Grinding your teeth is an urgent matter, especially if you’ve been doing it for a while. You can end up cracking your teeth or grinding them down to nubs. This will cause you to need a full mouth reconstruction which requires placing a porcelain crown on every tooth.

There is a simple fix for this which can save your teeth. Your dentist can make a custom-fitted night guard. This will protect your teeth from the grinding as well as pressure if you clench. It’s much better to get a night guard than to leave your teeth unprotected and end up having to spend tens of thousands of dollars crowning every tooth.

If You Have Gum Disease

Gum disease is also serious. If left untreated, your teeth will eventually fall out. Then you’ll need expensive tooth replacement options, such as dental implants.

As I said earlier, I’m not sure you’re getting adequate care from your current dentist. I’d like you to see another one, sooner rather than later.

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

How Long Until a Dental Implant Can Be Placed?

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I’m trying to make some big decisions about a tooth. I had a dental crown done months ago which my dentist now thinks probably should have had a root canal treatment done, but now that there’s a crown it can’t be. He’s suggesting pulling the tooth and doing a dental bridge. I’m getting a second opinion to see if there is another option. I think if I do have to lose the tooth, I’d rather get a dental implant. However, I’ve just now gotten dental insurance and all procedures require a one year waiting period. Will my teeth start to shift in that long of a time period?

Kevin

Dear Kevin,

An image of a dental implant crown being placed in three stages

I’m a little concerned about the dentist you’re seeing. If you need a root canal treatment, you need one. It doesn’t matter if you have a crown. Saving the tooth is the priority. I’m glad you’re getting a second opinion. If at all possible, a tooth should be saved.

I also agree that a dental implant is a better option than a dental bridge, especially for a single tooth. To get a bridge would require both adjacent teeth be ground down for dental crowns. This is a waste of healthy tooth structure.

I’m not sure your dentist is looking out for your best interest as much as what is most convenient for him.

Getting a Dental Implant

Worst case scenario, your tooth has to be extracted. With a waiting period, my suggestion is you get a temporary replacement, like a dental flipper, until the waiting period passes. Even if you were to get the dental implant surgery right away, there is still a waiting period while the surgical site heals and the bone has time to integrate around the dental implant.

Once the healing is done, your dentist will place a dental crown on the implant. It’s like having a healthy, natural tooth again.

Dentists will place something there to hold the space open, just like you can do while you wait on your insurance.

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

Can Lumineers Fix My Lumineers?

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I got Lumineers a few years ago. They were never the color I wanted, but looked a tad stained to me. My dentist said they didn’t make them as white as I wanted. Now I’m seeing people who’ve had smile makeovers with much whiter teeth so I”m thinking the technology has changed. Can I get Lumineers placed over old ones to make them whiter? My dentist said teeth whitening won’t work.

Andrea

Dear Andrea,

single porcelain veneer being held up by a dental tool

Your dentist was mistaken about the first set of Lumineers. Any porcelain veneers (and Lumineers are just one brand of porcelain veneers) can be made as white as you want and that has been true since their inception. This tells me your dentist is an inexperienced cosmetic dentist who was trying to make sure your smile looked “natural”. It doesn’t surprise me he recommended Lumineers. They’re highly marketed to beginner cosmetic dentists as being easy to place.

Years ago, the Lumineers brand tried marketing itself as a way to “fix” old, ugly looking crowns. The reviews were horrible by those who had it done, which may be why they no longer market for that.

It is just as much work and safer for you to just have your porcelain veneers re-done than it is to place new veneers on top of old. Otherwise, you have two bonding procedures. If one fails, they both fail. It’s more secure to bond porcelain to natural tooth structure than it is to bond porcelain to porcelain.

Getting Your Porcelain Veneers

I don’t think you should go to the same dentist to have your porcelain veneers re-done. He doesn’t seem to understand how smile makeovers work. It’s not actually taught in dental school so dentists have to invest time and money for additional training to develop their skills.

I would look up some dentists who advertise as cosmetic dentists in your area. Before doing anything, check out the smile gallery on their website. If they don’t have one, they don’t take cosmetic dentistry very seriously. If you love the results they create, the next step would be to check their reviews.

This helps you know what other patients have felt about his or her practice. Once you are satisfied with both of those things, make sure they have some form of a beautiful smile guarantee. This way you can be certain you’ll get the smile you really want.

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