Archive for the ‘Porcelain Veneers’ Category

Difference in veneers

Thursday, May 16th, 2013

I’m going to get a smile makeover, which has taken me years to save up for. Because of that I’ve been doing a lot of research.  I want to make sure I use the perfect veneers. Can you tell me if MAC or JK veneers are better?

Olivia- Wisconsin

Olivia,

I hope you won’t mind if I don’t actually answer the question you asked. Instead, I’m going to answer the question that you needed to ask.  It is not the material that makes for beautiful porcelain veneers. There are exquisitly beautiful veneers from every type and brand.  It is the dentist you choose that makes the biggest difference. So, intead of asking which veneers should I get, you should ask how do I know if my dentist is a skilled cosmetic dentist.

There are a many ways to research cosmetic dentists, but I’ll tell you about the two I think are the quickest and most reliable.

1.  First, see if there is someone who is AACD accredited in your area.  AACD stands for the American Academy of Cosmetic Dentistry. I’m not talking about just looking for someone with a membership in the organization, but instead accreditation.  It might be difficult, because very few dentists reach that level.  Though I will say that many excellent cosmetic dentists though not AACD accredited do a fantastic job and are very likely working toward accreditation.

2. If you cannot find someone who is AACD accredited, then I would go to the mynewsmile.com website. They research cosmetic dentists for both their training and their artistry, both of which have to be verified. Any one of them would be able to give you a gorgeous smile with porcelain veneers.

This blog is brought to you by Lafayette Louisiana Cosmetic dentist Dr. Mike Malone.

What is the lightest shade?

Monday, April 22nd, 2013

Hi, I just got two Lumineers to fix some chips and other problems with those two teeth.  The problem is they are darker than my other natural teeth. My dentist keeps telling me he gave me the lightest shade and if I’d just stop whitening my other teeth (which I don’t anyway) they would match up.  I see people with teeth whiter than even mine, so what exactly does he mean by the whitest shade?

Breanna N. from Wisconsin

Breanna,

The problem is your dentist is a general dentist who does cosmetic dentistry and not an expert in the field. It takes significant post-graduate training to become really skilled with cosmetic dentistry.

Here is what is happening. It dental school we are taught the whitest “natural” shade for most teeth is a B1. I suspect that is what he ordered from the lab. We can get teeth much whiter than that, but the lab has to be instructed properly.  I’m surprised the only thing you didn’t like about your Lumineers was the color. Many people find that brand of porcelain veneers to be a little bulky.

There is no way to change any brand of veneers once they are permanently bonded on. You can, however, get them removed and have another brand of porcelain veneers placed. However, don’t go to your family dentist again. Look for someone in your area who is accredited with the American Academy of Cosmetic Dentistry (AACD).

This blog is brought to you by Lafayette, Louisiana dentist Dr. Mike Malone.

Problems with my smile makeover

Saturday, March 30th, 2013

I just spend an unbelievable amount of money on my smile makeover. I got ten porcelain veneers. I know most people get six or eight, but I have a really wide smile, so I wanted to make sure that everything visible was covered. We talked for a long time about what kind of smile I wanted. But, when he put it in, I thought it looked ridiculous. It seems too cloudy. I had some stains on my teeth from some medicine I took when I was a child. My dentist said he had to make it that way to cover the stains and insists it looks better than I think, but I just don’t like it. Plus, my jaw hurts and the veneers feel loose so I’m afraid to bite down too much. I don’t even smile anymore. Is there any way to fix this?

Cindy- Mississippi

Cindy,

I can’t tell you how often we hear these type of stories.  There are very few dentists that can do a beautiful smile makeover, especially in a situation like yours. I’m assuming the stains on your teeth are from tetracycline.  These take a very skilled cosmetic dentist to get right.  For the beginning cosmetic dentist there is generally one of two mistakes. Either they are made normally, which allows the tetracycline stains to show through, or they make them too opaque to cover the stains and they don’t look natural.

If you had gone to an expert cosmetic dentist he would be appalled to hear you don’t want to smile anymore. True cosmetic dentists take steps to insure their patient is thrilled with their new smile. First, they make an acrylic smile for them to try on and see how they like it.  If they don’t like it, then they would go right back to designing the smile. Then, after the smile arrives, your dentist will put it in with a try-in paste.  You would get to look at them in different lights. You could even have a friend or family member come in to look at them and give their opinion. Only when the dentist was sure that you were pleased would they be permanently bonded on. You would never be pressured into liking them.

Generally, if you received a bad smile makeover, there isn’t much recourse. The standard for judging cosmetic dentistry for refunds is whether or not it is functional. Now, here is where you are at an advantage. Your veneers are not loose. I know that because if the veneers were loose they would just fall off. I suspect, based on your jaw pain that your teeth are loose because your bite has been thrown off. This could cause some serious problems for you, including TMJ Disorder. That entitles you to to compensation for getting this repaired.

Here is what I suggest you do. First, go to the AACD (The American Academy of Cosmetic Dentistry) website to see if there is a dentist in your area that is AACD accredited. That is different than just being a member. Any one of them could give you an opinion on the work that has been done and help you get the compensation you need to repair the damage if the porcelain veneers are what threw off your bite.  Then, you can get the smile makeover you had dreamed of.

If there is not an AACD accredited dentist in your area, then you can also find an expert cosmetic dentist by going to the mynewsmile.com website. They recommend expert cosmetic dentists by state. Anyone on their list will be safe. It will be worth it to travel if you have to.

This blog is brought to you by Lafayette Lousiana Cosmetic dentist Dr. Mike Malone.

Really unhappy with Lumineers

Tuesday, February 12th, 2013

We had some cosmetic issues we wanted to fix with my daughters teeth. They weren’t huge issues, but they really bothered her. I want her to have a good self image, so I talked to my dentist about it, who advertises as a cosmetic dentist.   He said Lumineers would be perfect for my daughter Naia. He also told us that we would get to see them on before they were bonded on permanently. He said she could see them in different types of lights and that she could show them to others. None of that was true. One of the things we were wanting to fix were some small gaps in her teeth. We thought about doing bonding, but he said this would be more permanent. When he put in the temporary  ones, we didn’t get to look at it any of the ways he said we would ahead of time. There were no different lights, no getting up to show them to others. Just sitting in the dental chair and looking in a hand mirror. Yet even with that limited way of looking at them we knew we didn’t like them. It did fix her gaps, but the Lumineers were so bulky she looked ridiculous. We asked if he could make them a little more reasonable in  size, but he insisted they were great. He said if we “lived with them” for a week or so we realize how nice they were. We agreed to try. She was teased unmercifully in school about them. She came home feeling worse about her smile than ever. It turns out my dentist wasn’t a cosmetic dentist, just a general dentist. Is there a way I can get a refund and then go to a real cosmetic dentist?

Azida A.- Tulsa, OK

Azida,

I think you can probably get at least some of your money back if this is handled correctly, but first I want to clear up a common misunderstanding.  There is no recognized specialty is cosmetic dentistry. So every cosmetic dentist is actually a general dentist. What sets apart a dentist as an expert cosmetic dentist is the amount of training they have and artistry they’ve developed. I would not consider your dentist an expert cosmetic dentist for several reasons.

First, cosmetic dentists know that Lumineers tend to appear bulkier than other brands of porcelain veneers, because they are advertised as a no-prep veneer. Most teeth will need some form of preparation to keep that from happening.  Secondly, a true cosmetic dentist won’t try to convince you that the porcelain veneers look great. If you don’t like them, they wouldn’t be satisfied either. Period.

Here is what I recommend. Don’t let him do any more work. You know you’re wanting to get a refund and go elsewhere so it is only fair you don’t use anymore of his time. Next, talk to him about how unhappy you are with how things have gone. Let him know that you weren’t given the procedure you were promised. Also be sure to let him know everything your daughter went through with school as a result of his work. Be upfront with him about your desire to get a refund and be done with this procedure.  That may work on its own.

If not, and you need to enlist some help, go to the mynewsmile.com website and find one of their recommended cosmetic dentists in Oklahoma. Don’t go to another one in Tulsa, but another nearby city. Dentists don’t like to go up against their peers because they have to deal with them on a regular basis. It will be easier to get one from another area. Have him look at the cosmetic dental work and give his opinion.

Generally the standard for refunds on poor dental work is that it is has to be non-functional. That makes it hard to get a refund on poorly done cosmetic work. Ugly doesn’t mean non-functional. However, in this case, your dentist didn’t keep his agreement. You were told your daughter would get to see it in several lights before you agreed on the final bonding and that didn’t happen. With another dentist backing up your claim that the work is poor, you have a chance.

Hopefully, others will learn from your experience to check the qualifications of cosmetic dentists ahead of time. Two of the best ways are seeing if they are accredited with the American Academy of Cosmetic Dentistry (AACD) and if they’re recommended on the mynewsmile.com website.

This blog is brought to you by Lafayette, Louisiana Cosmetic Dentist Dr. Mike Malone.

 

Sonic toothbrush with porcelain veneers

Tuesday, January 15th, 2013

I got porcelain veneers. I wanted  to get a sonic toothbrush, but just read on a website that sonic toothbrushes could damage the bond on porcelain veneers. Is that accurate?

Brooke K.- San Antonio, TX

Brooke,

I’m not sure what website you were reading, but I wouldn’t agree with it. Sonic toothbrushes are not only great for removing plague, but tests have shown that they are perfectly safe for use with porcelain veneers. If you’re interested, you can look up the 1998 survey from University of Missouri at Kansas City, where they tested sonic toothbrushes on porcelain veneers.

This blog is brought to you by Lafayette Louisiana Cosmetic dentist Dr. Mike Malone.

Unhappy with porcelain veneers

Wednesday, November 28th, 2012

My daughter had four porcelain veneers placed on her front teeth to help with some crookedness. We couldn’t do orthodontics because of some previous damage. He was afraid the teeth couldn’t take the movement. Unfortunately neither she nor I are happy with the results. They just don’t look as natural as we were led to believe, yet our dentist insists they look gorgeous. We didn’t even get to see them before he bonded them on. Can we get our money back? Why do people rave about porcelain veneers if they look so fake?

Desiree B. from Boston

Desiree,

Actually, porcelain veneers, when done artistically, look fantastic. I suspect your dentist is not a true cosmetic dentist. One of the problems with cosmetic dentistry is that any general dentist can call themselves a cosmetic just by learning a few procedure. Unfortunately, it takes significant post graduate training to become artistic enough to make porcelain veneers not only natural, but beautiful.

A true cosmetic dentist would try on the veneers with a temporary paste and let you look at them in several different lights. They would want to be sure you were absolutely thrilled with them before they bonded them on permanently. Another thing that makes me suspect your dentist isn’t a true cosmetic dentist is that he tried to convince you the veneers were beautiful. In dental school we are taught the dentist knows best. But, when it comes to cosmetic dentistry it is the patient who knows best. We are treating your self esteem. If you don’t love them, it’s not done.

As far as getting your money back, that might be tricky. If the only thing wrong with them is you don’t like their appearance, he has no legal obligation to give you your money back. You could try.  I would also go to a truly qualified cosmetic dentist and get a second opinion. If at all possible, go to a dentist outside of your area and don’t tell him who the dentist was. See if the second dentist thinks the work was done poorly. That may help your case.

 

Cleaning porcelain veneers

Monday, November 5th, 2012

Are there special rules for cleaning porcelain veneers? I’m worried the dental hygenist can break them or pull them off when cleaning them.

Dorothy B- Nevada

Dorothy,

They won’t get pulled off or broken. However, they can be damaged or chipped. The hygienist of an expert cosmetic dentist will know what to avoid while cleaning them. If you are not able to go to an office that has an expert cosmetic dentist, here are some guidelines to give any hygienist and  you’ll be fine.

  • Don’t use any power polishing equipment, such as Prophy Jet. This is the worst thing that can be done to your veneers. Though they get teeth clean very quickly, it will take the glaze off of your veneers. Your hygienist won’t realize that she’s damaged them because they will look fine at the end of the appointment, but the moment you get home they will begin to stain and will never look good again.
  • Using an ultra-sonic or heavy duty manual scalers can chip the edges. I do realize sometimes they need to use scalers. Just make sure when they do, they know not to scrape hard on the margins.
  • Don’t use any coarse polishing pastes. Make sure they use an ultra-fine polishing paste with aluminum oxide grit, never pumice.
If you make sure of these things, your porcelain veneers should look like new for many years.
This blog is brought to you by Lafayette Cosmetic Dentist Dr. Mike Malone.

Filling or Veneers to close a gap in teeth?

Wednesday, May 30th, 2012

I’m going soon to the dentist to get fillings in to close two gaps in my front teeth. Fillings are obviously the much cheaper option, but would they be as strong and effective as veneers? Would they last as long? Any help would be greatly appreciated.

Thanks, Jeff

Dear Jeff,

Using composite filling material to close the spaces between your teeth may work, however aesthetically may not look as nice and natural as dental veneers will. Composite fillings will discolor overtime and the attempt to close the spaces will become noticeable therefore you may find yourself replacing the fillings several times throughout your life. Having this type of dental treatment completed to close your spaces may make your teeth look bulkier and not as uniform. Dental veneers are made of porcelain and are much stronger then composite filling material, therefore can last for years without discoloring or chipping away. We recommend you have a consultation with a dentist that has a lot of training in cosmetic dentistry. Discuss your concerns and if you prefer to have the dental veneers and our concerned about the cost, ask if they will work with you on some type of payment plan.

Post courtesy of Dr. Malone, Lafayette Louisiana Cosmetic Dentist

 

What can be done about damage to teeth from bulimia?

Monday, October 24th, 2011

I am a recovering bulimic. I’ve been pretty stable for the last two years, and have a great counselor, so I feel like I can really beat this illness. I am having this issue, though, and it seems kind of vain in light of all the other health problems I’ve been dealing with, but here it is – my teeth are an embarrassment. I’ve had bulimia for more than half my life. My front teeth are worn, and really thin and chipped. They are shorter than they should be, too.

I know this might sound like something that should be low priority, but I feel like I am finally starting to live again, and my total lack of smile is holding me back. I am not capable of smiling without my hand over my mouth. I mumble. I always look tight-lipped, because I am.

What can be done? Are the teeth too damaged for porcelain veneers? What about porcelain crowns? I have even considered just having them pulled and getting a bridge. I don’t think dental implants are an option I can afford.

Thoughts? I appreciate your help.

Patricia in Erie, PA

Dear Patricia,

Congratulations on working so hard to improve your health and well being. It is absolutely normal to want to express your new-found joy with a radiant smile.

The best recommendation is to seek the services of a skilled cosmetic dentist. Porcelain veneers or porcelain crowns could work for you, but you want to make sure you have someone who is experienced and highly artistic do the work. Generally speaking, a cosmetic dentist will also be more sensitive to your cosmetic concerns.

Lafayette Louisiana cosmetic dentist Dr. Mike Malone’s office sponsored this post.

Choosing between Lumineers and porcelain veneers

Monday, July 25th, 2011

I’ve been thinking about getting my teeth fixed for a long time, and have started looking into what that will involve. My top middle teeth are poorly shaped, with one being really thin and almost triangular, and one that looks as if it had a big chip out of it, though it hasn’t. My other top teeth are not as noticeably weird, though I think if I get the middle ones done, they will look really bad in comparison.

I haven’t talked to my dentist about this yet, and have just started trying to look stuff up on the internet. There is so much information! I am having a hard time even figuring out what to look for.

As far as I can tell, probably Lumineers or porcelain veneers would work for me. But I read a lot of criticism about Lumineers, and wonder if I should maybe chose porcelain veneers. What would you suggest?

Philip in Louisville, KY

Dear Philip,

For best results, you’ll want to change your thinking a little bit. First, Lumineers are a brand of porcelain veneers, so it is kind of like asking if you should buy a Dell or a laptop. There are many brands of porcelain veneers, and trying to figure out what would work best for you would be both time-consuming and ultimately a little pointless. Rather than focusing on the materials you want for your smile makeover, concentrate your energy on choosing the right dentist.

Cosmetic dentistry is not a legally recognized sub-specialty, so anyone can say they do cosmetic dentistry procedures, regardless of training. Check references and credential carefully, and look for evidence of specialized training beyond dental school in the procedure that you wish to investigate. Look for before and after pictures on the dentist’s website.

Though we do want you to focus on choosing the dentist and letting the dentist choose the materials, we do have a word of caution about Lumineers. Many cosmetic dentists refuse to use them, because they can appear pasty and opaque, and the no-prep technique can result in a bulky look and feel. That being said, some dentists have used them to create really beautiful smile makeovers. The choice will be up to your dentist.