All posts by alliotte

Emergency Dentist

Emergency Dentist Won’t Fix Crown

Several months ago, I had a crown placed. Shortly after, approximately 3-4 months, a portion of the porcelain broke completely off. Not only was I bothered that the piece fell off so soon after the crown was placed, but it has been bothering me ever since. I returned to the dentist a few times for adjustments, but nothing really improved the issue.

I still need to address the problem, but have zero interest in returning to the same dentist. It is causing me pain and discomfort, so I sought out an emergency dentist who saw me quickly. Unfortunately, the dentist would not correct the current crown issues, stating that, instead, it needed to be completely replaced.

A new crown is not in my budget, especially since the crown should not have broken. Do you have any suggestions?

Thanks,
Mike

Dear Mike,

It is understandable that you are frustrated after experiencing these issues. However, it is important to understand that different dentists have different opinions when it comes to treatments and ways to address issues.

You mentioned your crown was broken. It’s possible that there is no way to save the crown and a new one needs placed. If this is the case, it would be good to return to the dentist who originally placed it, to at least attempt treatment, as it would cost less for you.

Dentists have varying opinions on the length of time a treatment should last. For example, a crown should last at least five years. If a repair to the crown is needed, or a crown needs replaced, the dentist should not charge the patient, or at minimum, charge a reduced fee. You should expect that your dentist will stand behind his or her work.

This blog is sponsored by the office of Gilbert emergency dentist, Dr. Matthew Roper.

 

Affordable Dentistry

Finding a Trustworthy Affordable Dentist

I’ve had a cavity for quite some time. I knew I needed to visit a dentist and address it, but I couldn’t afford the expense. Within a matter of a few weeks, the tooth in which the cavity had developed began to cause me pain. So I started to look for a dentist that could help me. A crown was going to cost more money than I had, so I focused my search on a dentist who was affordable.

I landed on a dentist who was going to charge over $100 less than the others I’d consulted. That is a huge savings to me, so I moved forward with the appointment.

After examining my mouth, the dentist told me that my needs were greater than the amount he’d originally quoted me and that I needed a crown.

I feel like he lured me in with his low pricing in an unethical manner. Seeking a second opinion is what I should do, I know. However, I can’t afford the extra cost I will incur with another appointment if what this dentist is suggesting I need is accurate. I have no idea if he is being honest and sincere in his diagnosis. Is there a way I can tell without incurring the costs of another dentist?

Thank you,
Julie

Dear Julie,

Your budget constraints are understandable. However, when you approach the search by looking for the cheapest dental provider, you’re bound to run into some problems. A dentist who promotes him or herself by their cheap rates is a red flag. There are certainly ways to land on a quality dentist without breaking the bank if you keep a few points in mind.

Finding an Affordable Dentist

One of the first approaches to finding a quality affordable dentist to to look for someone who will customize your treatment plan. Seek out a dentist who will listen to you and your budgetary needs, in addition to your dental needs. Many times, there are multiple solutions at different price points.

Another option is to consider a dentist who offers payment plans. Typically, you won’t find an office who will offer an in-house payment plan, but many offices accept CareCredit. CareCredit is a payment service which usually has no finance charges for a specific period of time.

A dental office that offers discounts is also an option to consider. If you aren’t working with insurance and plan to pay for your services on your own, some offices will provide discounts for patients who are paying in cash up-front.

Seek a Second Opinion From a Trustworthy Dentist

Often times, when we have a gut instinct, it is right. You will likely kick yourself if you move forward with this treatment plan, without seeking a second opinion. One option for saving on the second appointment is to ask the original dentist for a copy of the x-ray to take with you to the next dentist.

It is important to find a dentist whom you trust. Ask questions, visit the office, read reviews. If you genuinely trust the provider, you won’t question the care you are receiving. You’ll be confident that you are being given the best care, and that they dentist is doing everything they can to give you quality service and treatment, and also keeping their work within your budget.

This article is sponsored by the office of Gilbert affordable dentist, Dr. Matthew Roper.

CEREC crowns

What is a cerec crown?

If you are in need of a crown, but haven’t considered a CEREC crown, or are unsure of what they are, it’s important to take time to understand the science behind them, and why they are exceptional.

What is a CEREC Crown?

Many dental offices have technology which enables them to provide “computer-assisted design-computer-assisted manufacture”, or CAD-CAM crowns. CEREC is the company that is most known for this technology. This type of crown is created by a computer to perfectly fit your tooth, which prevents the need for the lab involvement in manufacturing the crown.

This technology allows the all-ceramic crown to be made while you wait, thus there is no need for a second appointment or temporary crown.

Facts About CEREC Crowns

  1. No single brand of same-day crowns. Though many people ask for same-day crowns by asking for CEREC crowns, this is an brand of same-day crowns, similar to Zoom Whitening, which is a brand of teeth whitening, but there is not a single brand of teeth whitening. CEREC means “Chairside Economical Restoration of Esthetic Ceramics”, but is not the only brand of same-day crowns. Often, the brand will use the phrase “same-day crowns”, or “crowns-in-day,” but these phrases are part of the marketing for the brand. However, the overall idea is the same with all restorations which take place in one dental visit. The office uses CAD/CAM technology to create it.
  2. CEREC crowns are billed the same as traditional crowns. Many people think the CEREC crown costs more than a traditional one. However, the opposite is true. For billing purposes, all dental procedures have billing codes. The billing code is the same for a CEREC crown and a traditional crown, therefore they cannot be billed any differently.
  3. They’re high-tech. CAD/CAM means a computer assists in the design. The program takes a picture of your mouth and plots out every detail. The measurements are exact. Then, the crowns are carved out by a machine in the office, with each new tooth starting out as a piece of material, oftentimes composite, zirconia, ceramic, or acrylic polymer, which is the same base for traditional crowns.

When operated and placed by an experienced cosmetic dentist, CAD/CAM crowns are a quick and efficient way to improve your smile, while maintaining a natural look and feel.

This article is provided by the office of Gilbert CEREC Crown provider, Dr. Matthew Roper.\


Sedation Dentistry

Do i have to see an oral surgeon for my tooth extraction?

I have a strong apprehension to dentist offices. Therefore, I have not maintained a practice of attending regular dental check-ups. Then, a few years ago I lost a filling. I put off taking care of this and later that tooth broke. I prolonged having this looked at until the pain from the broken tooth became too much to bear.

When I finally saw the dentist, I learned that I needed a root canal. Following the root canal, the dentist did not follow up with me. However, because the pain had decreased for the most part, I did not follow-up either. I also did not have a cap put on the temporary filling. Therefore the temporary filling later fell out and an infection developed.

When I saw a different dentist about this, I learned the remaining part of the tooth needed extracted. In addition, because of the tooth’s poor condition, it was going to be quite invasive, involving the gums down to the bone. The dentist recommended I see an oral surgeon for the procedure and be under anesthesia. This is not something I can afford. Is an oral surgeon my only option, or can a general dentist conduct the procedure?

Thank you,
Jessica

Dear Jessica,

Your dilemma is an understandable one. First, it is important that you understand the reasons to see an oral surgeon for a procedure like this one. It would also be a good idea for you to develop questions to ask your dentist, to help you determine if an oral surgeon is the best route for you, even considering the cost.

Reasons to See an Oral Surgeon for Tooth Extraction

It could be that the dentist you say is not comfortable doing such an invasive extraction. He may be suggesting you seek out an oral surgeon to prevent himself from getting into trouble by taking on a procedure like this if it is outside his realm of experience.

Secondly, the procedure may be a traumatic experience for you, the patient. Therefore, he is suggesting seeing an oral surgeon in order for you to be under anesthesia, in order for the procedure to be easier on you.

Dental Anxiety Can Be Costly

As you are learning, the anxiety that sometimes accompanies dental visits and procedures can be quite expensive. If you had immediately replaced your filling after it fell out, there would not have been a need for the root canal you had. In addition, if the dental crown would have been placed quickly following the root canal, the tooth would not have needed extracted. And, if the tooth does get extracted, you may later need it replaced in order to keep your bite from collapsing.

Therefore, the idea of moving forward with the extraction procedure being done by an oral surgeon will prevent you from having a traumatic experience, which would just further amplify your dental anxiety and cause future dental issues for yourself.

Questions to Ask Dentist About Tooth Extraction

It is important to develop specific questions for your dentist, in order to help yourself better answer your question. Try asking how comfortable your dentist feels doing performing a procedure like this. Also consider asking if he has performed extractions like this before. It would be a good idea to find out if there is nitrous oxide available to help with your comfort level. Understanding if your roots are straight or tapered, or twisted with knobs on the end, would also be helpful.

From what you’re describing, it does sound like your dentist is sharing his fair and honest opinion with you, so place significant value in that while making your decision.

This blog post is sponsored by the office of Gilbert sedation dentist, Dr. Matthew Roper.

Emergency Dentist

Should my husband have received a root canal at emergency dentist?

My husband had a tooth that was causing him a great deal of pain for over a year. Throughout that time, I would periodically remind him that it was likely going to result in a root canal if he did not have it checked out. As I had warned him, he ended up dealing with a terrible toothache and had to make a trip to an emergency dentist. However, the emergency dentist only treated him with a crown. Should he have had a root canal?

Thank you,

Karen

Dear Karen,

There are many causes of tooth pain. A cavity, cracked tooth, infection, and numerous other problems can cause pain. Typically, when the decay reaches the center of a tooth, or is near a nerve, it causes the nerve to send signals of distress in the form on pain or discomfort. They can also be necessary if a tooth becomes infected or dead. Needless to say, tooth pain doesn’t always equal a root canal, as different causes of pain need to be treated in different ways.

The emergency dentist should have explained the diagnosis to you, so you knew what was occurring and why. If he failed to do so, you could call the office and find out exactly what was wrong with the tooth.

Something else to learn from this experience is that you can’t waste any time when it comes to tooth problems. The quicker a problem is addressed, the less treatment is typically needed.

This post was brought to you by Gilbert emergency dentist, Dr. Matt Roper.

CEREC crowns

My crown keeps falling off

I had a CEREC crown placed. However, it has come out several times within the last year. Finally, after the fourth time, I consulted a different dentist, who replaced the crown with a zirconia porcelain crown, but it, too, has come out several times. The dentist suggested a full porcelain crown, stating that the cement is adhering to my tooth, but not the crown. He indicated that the all-porcelain crown is rough of the underneath and would, therefore, bond to the cement more effectively. I’m unsure of what my next step should be, but I am tired of the trouble these crowns have caused. What do you suggest I do?

Thank you,
Kodi

Kodi,

The CEREC crown, or same-day crown, is created by a computer in the dental office, the day of your appointment. When prepared and adhesed correctly, the crown will remain permanently affixed to the tooth. The material of which your crown is made is not indicative of how permanent the bond will be. Whether your crown is porcelain, gold, CEREC, or zirconia, all are made to stay permanently.

However, there are two factors that can determine if a crown will stay on permanently or not. They are the bonding strength of the cement, and the shape of the prepared tooth. The most important of these is the shape. If the tooth is prepared with little taper, a crown can be adhered with a weak cement, and it will stay permanently affixed. However, if there is a lot of taper, even some of the strongest cements will have difficulty staying on.

This is not implying that getting a solid bond between the crown and tooth would not solve your problem. The cement’s strength is important. But, when a tooth is prepared with good retention form, the crown will not fall off multiple times in one year. This indicates that your tooth may have been prepared with retention form that is insufficient.

To move forward, it would be a good idea to consult a dentist experienced in placing crowns that will stay on.

This article was brought to you by Gilbert CEREC Crown provider, Dr. Matthew Roper.

Affordable Dentistry

Affordable dentist practiced on me

I was in need of significant dental work, but my very tight budget prevented me from landing the procedures I desperately needed. I researched and stumbled upon an online ad from an affordable dentist. His promotion was that he was offering crowns at a lesser rate, as he practiced using a new in-office machine that makes crowns. I immediately reached out because I could afford his services and he was offering what I needed. This ended up being a terrible decision.

I was in his office for five hours. His machine kept giving him issues. In addition, the crowns were not fitting correctly. He made some changes to the tooth, then returned to the machine and was able to get them to fit. Now, in addition to my tooth being sore, my entire mouth is in pain. Is it possible that the dentist caused permanent damage? If so, am I responsible since he did, in fact, claim up front that he was offering the service and price because he was learning?

Sincerely,

Erica


Dear Erica,

I am sorry you went through this. It is a good idea for you to return to the dentist and let him know that you’re in pain. When teeth are bothered a lot, as yours were, they can become irritated. It sounds like you had repeated try-ons, and your teeth probably became very sensitive to this. For basic irritation, an over-the-counter medication like ibuprofen, that is an anti-inflammatory, will help ease the pain and it should clear up in just a few days. However, the pain might not improve on its own. You mentioned earlier that you needed a crown, but held off getting one. It could be that decay has formed and your tooth is now in need of a root canal, but this may be difficult to prove.

Regardless, the dentist is responsible for the work he did, whether he promoted himself as an affordable dentist or said that he was offering the low cost because he was practicing. An ethical dentist will want to know that you’re in pain and experiencing problems, and he will want to fix them. But, if he gives you an problems or does not fix the issue, you will need to consult another dentist.

For future dental needs, it is important to focus your search on a dental provider who has quality services and experience, then consult with him or her about ways to work within your budget. Many providers offer affordable dentistry plans which allow patients to spread out the dental costs, or take advantage of insurance benefits. Financing your treatment or choosing from different treatment options at various price points may also be an option.

This blog is provided by Dr. Matthew Roper, an affordable dentist in Gilbert, AZ.

 

Sedation Dentistry

Dental numbing medications don’t work on me

I have found that numbing drugs do not work on me, like they typically would on patients. After several horrific experiences, it has been determined that I am extremely sensitive to the numbing drugs that dentists use and have learned that the only way for me to handle a dental procedure is to be unconscious. Do you have experience with patients like me?

Sincerely,
Richard


Richard,

There are many patients who have similar experiences with numbing drugs. For some, nitrous oxide will calm them enough for a drug like novocaine to work. However, others need to be completely sedated to become numb. If we are stressed or anxious enough, there is something in our body chemistry that prevents novocaine from working completely, or causes it to quickly wear off. It is typical for a patient to be hesitant to admit they have experienced something traumatic with a dental procedure. When this is the case, they would be given an injection of novocaine to numb the injection spot, allowing the dentist to know they are ready to proceed with the work. However, they begin to feel pain once the procedure has begun. This leads to nitrous oxide gas. However, if the dentist doesn’t wait long enough after administering the gas, the patient will still fill the pain. If a dentist waits until the patient is in a very relaxed state, then administers the novocaine again, they are typically fine. Sometimes, patients will need a stronger sedation and then for the novocaine to be administered again after they are fully sedated. This typically happens to patients who have had traumatic dental experiences.

It would be a good idea for you to look for a sedation dentist, or one with sleep dentistry experience. Conscious sedation is a more affordable dentistry option than general anesthesia. It is also safer and easier to administer. In fact, most patients are unable to recall the appointment. However, if this option doesn’t work for you, you may need to go the general anesthesia route.

This article was brought to you by Gilbert sedation dentist, Dr. Matt Roper.

 

 

 

 

 

 

 

 

Emergency Dentist

Was I misdiagnosed by an emergency dentist?

I saw an emergency dentist a couple of days ago and am very upset. A little over a year, it was suggested I get a filling, and I have been putting it off. I mentioned this to the emergency dentist but added that the tooth next to that tooth was the one giving me the trouble at the time of my emergency visit. I indicated the issues I’d been having on the phone, therefore assumed they were going to do the fillings during my visit.

During my visit, he ran a few tests. In other words, he hit my teeth with his mirror a few times. Since my teeth were hurting when I went in, this caused me even more pain. He then proceeded to tell me that I needed a filling, but not on the tooth in question. I then asked about the tooth with the pre-existing cavity, to which he answered also needed a filling. He then told me I would need to come back. I’m still in pain. The visit to the emergency dentist did nothing! Do you think it’s possible that I could have an infection, or something else serious? I don’t want the issue to go unnoticed just because that dentist was in a rush to get through the appointment.

Thanks,
Doug


Dear Doug,

Typically, most infections are obvious. If the dentist performed an x-ray and exam, the infection would have been hard to miss. Cavities are capable of causing tooth pain, especially if they are deeply rooted. Not always are they indicators of infection or a need for a root canal. Regarding the tests, the dentist was likely trying to determine which teeth were causing you trouble, in order to recommend the best treatment route. It’s possible that your tooth could have passed its pain onto its neighboring tooth, or it could be cracked and be causing the pain, which is not always obvious, even with an exam or x-ray. However, the tests are a critical part of a thorough exam. That all being said, it’s alarming that your second cavity was not mentioned until you brought it up. This does indicate that your dentist was rushing through his work, making it understandable to question his assessment.

Moving forward, it would be wise for you to have those fillings done as soon as you can, and consider using a different dentist. It’s important to keep in mind that not all dentists allow time for the work when they haven’t completed an exam. This is because they don’t the amount of time that will be needed, or whether or not the patient will go through with the procedure due to the costs. If you do schedule your fillings with another provider, consider an early appointment, and be sure to pass on that your teeth have recently been diagnosed and the recommended treatment. Finally, ask if they could set aside time for the repairs during this appointment.

This post was written by the office of Gilbert emergency dentist, Dr. Matt Roper.

 

CEREC crowns, Uncategorized

CEREC Crowns help with dental anxiety

If you are a person who suffers from dental anxiety, and haven’t visited a dentist in quite some time, you may not be aware of CEREC crowns, and how these restorations are are changing dentistry and lives.

CEREC crowns are made in the office

It used to be that a crown could only be done by going into the office for multiple visits. The doctor would removed the decay and/or damage, take impressions, and fit you for a temporary crown in the first visit. Your impressions would then be sent to a dental lab, where your restoration would be created, over a two-week timeframe. While some crowns remain this way, CEREC crowns are different.

Years ago, the only option when you needed to have a crown done was to go into the office for two visits. On the first visit, the doctor would remove the decay or damage on the tooth, build it up if need be, take impressions, and fit you with a temporary. Then, your impressions would get shipped off to a dental lab which would then craft your restoration over a period of two weeks. Some crowns are still this way, but CEREC crowns are different. These crowns are made in the office using CAD/CAM technology and a milling machine, allowing your crown to be created and placed all in one visit, easing the anxiety of a dental patient who may be troubled by the idea of multiple visits to the dental office.

Impressions are taken digitally

Often, people with dental anxiety have strong gag reflexes, or aversions to the impression process. The use of the CAD/CAM technology, allows the impressions to be taken digitally, similar to having a photo taken.

Can be combined with sedation dentistry

Nitrous oxide is a helpful way for patients with mild dental anxiety to feel more relaxed and comfortable. It takes effect quickly, and wears off almost immediately after treatment. For those patients with a more intense dental anxiety, conscious sedation will place you in a deeply relaxed state.

This blog is sponsored by Gilbert CEREC crowns dentist, Dr. Matthew Roper.