Orthodontics Archives - Cheek Dental

What Else is Needed with Porcelain Veneers?

Posted on September 1, 2021 by Travis Wachendorf.

I had planned on getting a smile makeover with porcelain veneers but my dentist keeps adding other procedures I need before I can get the veneers. Getting a full checkup and cleaning I understood. Getting Invisalign and teeth whitening seems excessive. Are these really necessary? I was under the impression that porcelain veneers can make your teeth look straight. The only thing I have that could “possibly” need some orthodontics is one canine tooth that is a little in front of the adjacent tooth. It seems unnecessarily expensive to do that for one tooth.

Letticia

Dear Letticia,

I’m glad you wrote and can help give you some direction here. Let’s start with the teeth whitening. How much of this you need will depend on how many porcelain veneers you plan on getting as well as how wide your smile is. Let us say, just as an example, that you only plan on getting four porcelain veneers. However, when you smile, you can see ten teeth. If the veneers are very white, but your natural teeth are more of a taupe it will be very obvious that you have four “fake” teeth on your front teeth. If however, you whiten your teeth first, then the adjacent teeth will blend more naturally with your new smile makeover. If you are getting plenty of porcelain veneers on your top teeth, then the only teeth you may want to whiten is your bottom arch so it is not a stark contrast to your top arch. This is much more affordable.

The Invisalign is a completely different story. Based on what you described to me, you should not have to have any orthodontics before getting porcelain veneers. Your understanding of a smile makeover and what porcelain veneers can do is more solid than your dentist’s. The fact that your dentist does not know how to make those teeth look straight tells me he is not skilled enough in porcelain veneers. Don’t force him to do this. You will be unhappy with the results. Instead, find a dentist with more expertise. Look at some before and after pictures of work they’ve done to ensure you would be happy to have those results.

This blog is brought to you by East Cobb Dentist Dr. Christi Cheek.
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Will Invisalign Work with Missing Teeth?

Posted on March 31, 2021 by writeradmin.

I have two congenitally missing lower bicuspids and have grown up with crooked teeth. One of the lower bicuspids had to be pulled because of decay. I’ve spent a lifetime embarrassed about my smile. I don’t think having a mouthful of metal will help with how I feel about my smile. Someone recently told me about Invisalign. I would like to use that but don’t know if it can work around missing teeth. I’ve had an orthodontist say no and a regular dentist say yes. I want to believe the dentist but that may be because I really want a pretty smile. Any advice?

Trina

Dear Trina,

I’ve often found that orthodontists are more conservative with Invisalign because their training is in orthodontics. Dentists who work with Invisalign have invested more time with it and are more comfortable with it. In fact, Invisalign works well around missing teeth. I’d go with your dentist.

There is a hidden benefit to Invisalign as well that you can’t get with orthodontics. The clear aligners that Invisalign uses can also double as teeth whitening trays. This will give you a mini smile makeover while saving you money on teeth whitening.

Once your teeth are in their correct placement, you will want to replace the missing teeth in order to keep them retained in the right place. There are several options in replacing missing teeth, but in your place, I would want dental implants. They are the most like having healthy natural teeth in your mouth again. Talk to your dentist about all the tooth replacement options available to you and you can decide what is best.

Be aware that not every dentist is trained in dental implants. It is possible you’ll have to go to one dentist for your Invisalign or another for your dental implants. A third option is finding a dentist skilled at both. Whichever way you go, you will be able to have the smile you always wanted.

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

Does Smile Direct Club Work?

Posted on November 9, 2020 by writeradmin.

I know it probably seems weird that I am asking you, a dentist, about an online orthodontic service when you sell Invisalign. But, I live clear across the country from where you practice, so you won’t lose any business by telling me the truth. Hahaha. So here is my question. Every time I get on Facebook, I see an ad for Smile Direct Club. They do have quite a few good reviews. But, I thought before I invested in it I would like to get a real dentist’s opinion. Does Smile Direct work?

Rebekah

Dear Rebekah,

I’m glad you wrote. And don’t worry, you aren’t the first person to ask about this particular service. My duty is to ensure those who are seeking dental advice from us get the best and understand their options. So, never hesitate to write with questions. Yes, I am not surprised you see the ads a lot. They are heavily advertised. As for the good reviews, that doesn’t surprise me either, but not for the reasons you think.

Recent investigative journalism has uncovered Smile Direct Clubs’ habit of only offering refunds to unhappy clients if they sign a release saying they won’t post any negative reviews and will remove any negative content they have already placed. In other words, we won’t get a true picture of their reviews because patients with bad experiences don’t talk about it in order to get a refund.

However, let me just go into what we know for a certainty about how this program works.

Problem One: Missing Diagnostics

A good dentist will do a full mouth series of x-rays and a comprehensive dental examination. This would include looking for things such as signs of TMJ Disorder, tooth decay, and gum disease. Skipping this step can cause the patient a lifetime of pain and unnecessary dental work that could have been avoided. To me, it is inexcusable to skip this step.

Problem Two: DIY Impressions

In order to get a truly accurate treatment plan, it is imperative the impression is done carefully. That means there will be no bubbles, tears, or other defects. This step is so important that some dentists won’t even allow their assistants to take it. With Smile Direct, they just send you a kit to do your own impression at home. I find it doubtful this will give you the best orthodontic treatment.

Problem Three: Adding Space

Most cases of patients needing braces have crowded teeth. This means they will either need some shaving of a few teeth or some back teeth extracted. This needs to be done by a dentist invested in you and the case. Unfortunately, Smile Direct has a shortcut to this too and I worry about its impact on patients.

Problem Four: Inadequate Follow-Up

When you do a treatment, such as Invisalign through a dentist, you are getting follow up care every two weeks when you are given your new aligners. This prevents so many problems. While the treatment is pre-planned, sometimes our teeth don’t cooperate. Maybe teeth don’t turn the way they are supposed to or more space is needed than we originally thought. Without that follow up, your teeth could end up in a worse position than they were to begin with.

What does this mean for you? Well, you could try Smile Direct Club. It might turn out well for you and you’ll save some money. However, first I would get a complete examination from your dentist just to make sure you don’t have any underlying conditions that could cause a problem. But, you are taking chances. So go into it with eyes wide open.

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