Tag Archives: gilbert dentist

Problems with a CEREC crown?

I have two crowns in my mouth. One is twelves years old and doing well. The second one, a CEREC crown, I’ve only had for a couple of weeks and it is already giving me trouble. Are CEREC crowns not as stable? Plus, there is some substance that I think is cement around the base of the crown.

Grayson I. – Kansas City


Were both these crowns done by the same dentist?  The reason I ask is that your basic dental crown and CEREC crowns are equally hearty. The thing that generally determines their success is the skill of the dentist combined with the care of the patient.

Because you still have some of the bonding material on your tooth area and crowns I’m thinking the problem is your dentist and not your crown. He needs to remove the cement. It is going to irritate your gums.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Can a hospital do my extractions?

If I need full dentures, can a hospital do my extractions? I can’t deal with dentists very well.

Justine M. -Oklahoma City, OK


While it is possible to go to the hospital to have your extractions done, it will be extremely expensive.  There are ways to have your teeth removed without pain. It is called sedation dentistry. Because I suspect you are looking for some deep sedation, I will recommend two of the strongest levels of sedation:

1. Oral sedation: With this, you’ll take a pill before your appointment.

2. IV Sedation: This requires an anesthetist.

Both methods require you to have someone to drive you to and from your appointment. Every dentist is different as to what types of sedation they offer, so you’ll need to call around.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Can I put off a root canal?

If I am not in pain, can I put off a root canal. If so, how long?

Deidre I. – Louisiana


If your infection isn’t active, then you can put it off indefinitely. However, if there is pain, even a little bit, that means you have an active infection. Sometimes the pain stops and then starts again. Whenever there is pain, I suggest you get seen right away.

If you don’t have a dentist, you can always go to an emergency dentist, at least just for this treatement. Then, you can take your time looking for a new dentist.

Another sign of infection is if you have a pimple on your gums or some drainage in your mouth.

If you put off the root canal too long, you run the risk of your tooth becoming unsaveable, due to root reabsorption.

This blog is brought to you by Gilbert dentist Dr. Matt Roper.

Crown won’t stay in

My permanent crown has fallen off three times.  My dentist can’t figure out what is going wrong. Do you have an idea?

Drew B. – MN


I have some idea. I think your dentist doesn’t know how to bond them on properly.  If you use the proper bonding technique, then the crowns do not fall off. It is as simple as that.  You telling me that it has fallen out three times, really makes me think your dentist hasn’t a clue what he or she is doing. I’m not exaggerating. I know dentists who’ve been in business for over thirty years whom have never had a crown fall out.  In fact, I don’t know a dentist who has had a crown fall out.

I think you need a second opinion.  Go to a different dentist. Ask them if anything is wrong with your crown. If not, they can just bond it on for you, no problem. If there is something wrong with the crown as well, then I would see if they could make you a CEREC crown. This will save you an additional appointment, especially if you had to drive a distance for the second opinion. CEREC machines can mill your crown the same day as your appointment. There is no need for a temporary crown.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Am I too old to have my wisdom teeth removed?

I have a wisdom tooth that is really bothering me, but I am 33 years old and am a little concerned that I might be too old to have it removed. Is there much risk of complication at my age? Also, should I just have all of them removed or just wait until they bother me?

Rory Ann- Michigan

Rory Ann,

I don’t really get too concerned about complication until someone is 40. You’re young enough still where I think you can safely do this procedure.

If your wisdom tooth is bothering you, then there really isn’t much choice but to remove it anyway. Leaving a wisdom tooth infection is extremely dangerous. It can spread to your jawbone, even your brain. You want to get it removed as soon as possible.

I like the idea of you getting all of them out at the same time.  It’s no harder on your recovery and it is safer than waiting until they bother you.  That might not happen until you are over the age of 40, when complication, including your jaw breaking are more likely.

This blog is brought to you by Gilbert Emergency Dentist Dr. Matt Roper.

Tooth pain versus dental fear

I’m in a lot of pain, but I have a horrible fear of being in a dental chair. I can’t decide which is worse. How do I find a dentist who doesn’t cause pain?

Drew B.- San Antonio


You are not alone in your dental fear.  A large number of Americans share your feelings. There is a way you can get your tooth ache dealt with and stay out of pain in the dental chair.

What you need is a sedation dentist. There are different levels of sedation. It sounds like your fear needs something stronger than nitrous oxide. Call around and see who will do at least oral conscious sedation.

This is a pill you take shortly before your appointment. You’ll need someone to drive you to and from the appointment, because you’ll be pretty groggy. What you won’t feel, is pain.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

CEREC verses Porcelain Crowns

Which crowns are better, cerec or porcelain crowns?

Elaina- Bayonne, NJ


CEREC crowns are a type of porcelain crown.  I wouldn’t say that one is better than the other. The biggest benefit to a CEREC crown is really in its convenience.  Because they are milled by a computer, you can have your CEREC crown done the same day as your initial appointment, saving you coming in a second time. You also won’t have to wear a temporary crown.

If you decided not to get a CEREC crown, you’ll want to make sure you get all porcelain crowns and not porcelain fused to metal crowns.  Because of their metal foundation, those type of crowns have to be made a little opaque.  They also develop a gray line at your gumline over time.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Protruded teeth

I have teeth that protrude and wondered what my options are for fixing them?

Amanda B.- Cincinnati


When it comes to dealing with protruding teeth, you have three general options:

  • Traditional Braces: These are the same wire and metal brackets that people think of when braces come to mind. They take about 2-3 years. I would go to an orthodontist for this type of treatment. If your teeth are very protruded, you might need surgical orthodontics.
  • Invisalign: These use clear aligners to straighten your teeth. They’ll work in about half the time as traditional braces, but won’t work if your teeth are protruded too far.
  • Porcelain Veneers: These won’t straighten your teeth, but will make them appear straight. Again, it would depend on how protruded they are as to whether this would be a good option.

I suggest you see a cosmetic dentist to see which of these options best suits your situation.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.