Tag Archives: gilbert dentist

CEREC crowns

Gums Not Healing After CEREC Crown

I’m not sure what to do. I had a CEREC crown done about two months ago. The hygienist warned me my gums would be tender for a couple of weeks. She recommended salt water rinses and ibuprofen.  It’s been much longer than that and my gums aren’t healing. Should I go back?

Elisabeth D. – Mississippi

Elisabeth,

Your gums should have healed from your CEREC crowns by now. If you’re in pain, it’s a sign there is an infection and you should definitely go back and have an x-ray done.

If you’re not in pain, I would see if the problem is getting between your crown during flossing. Sometimes it’s a little harder to do our dental hygiene and that can cause tenderness.

Try getting one of those flossers that have a handle. It will make it easier to get down in there and really clean it out.  If you do that for another week and it is still not healing to your satisfaction, then I would go back even if you’re not in pain.

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

Sedation Dentistry

I Need to Find a Dentist Who Is Nice to Anxious Patients

I used to have a great dentist. He was so patient and kind. He knew I am a little anxious about dental work and would slow down when I needed him to and always explained what he was doing.  Well,…he retired. The young fella’ that took over his practice isn’t nearly as patient. In fact, he gets short with me sometimes. He’s made me dread coming.  Is there a way to finding a kind dentist without having to go to a bunch of duds first?

Elizabeth – Denver

Elizabeth.

We’ve always heard that we have to kiss a few frogs before we find our prince. Fortunately, in the dental world, there are some “code words” that can help you narrow down which frogs to try.

Dentists who value and understand anxious patients generally put something on their website to help patients recognize they’ll feel safe in their office.

When you do a web search, use key words such as “Sedation Dentist” “Sedation Dentistry”, “Gentle Dentist”, and “Cater to Cowards Dentist”.

Any one of these dentists are willing to work with anxious patients.  It doesn’t mean all of them will be a great fit for you personally, but you’ll have a much better chance with them.

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

Affordable Dentistry

Is there a “poor man’s” smile makeover?

I looked into getting a smile makeover, but the price was through the roof.  Is there  a “poor man’s” smile makeover. Something that can really improve my smile, but won’t require me to sell my SUV to pay for it?

Mark A. – Philadelphia

Mark,

Hah! Well there are a couple of options.

  1. You can get the smile makeover you want with a qualified cosmetic dentist that will allow you to pay it out. Some dentists have low or even no interest payment plans.  Find the dentist you want and then talk to them about financing options. There are dentists that don’t advertise more affordable options, but are willing to work with you if you ask.
  2. There is a more affodable procedure that will make a huge difference on your smile. Teeth whitening can make your teeth look years younger.

Though it doesn’t sound like much, you’ll be amazed at the brilliance and youthful appearance you’ll take on from that one simple procedure.

This blgo is brought to you by Dr. Matt Roper.

Dental Emergency

Is it OK to take a Xanax before seeing an emergency dentist?

I’m afraid of the dentist, but I have a pretty severe toothache. I haven’t been to a dentist in years because of the fear. I know I need to go in, but I get sweaty just thinking about it. I do have some Xanax pills. Could I take one of those before going in to settle my mind and emotions?

Melana L. – Michigan

Melana,

You’re not alone in your fear of the dentist, so don’t feel bad about that. I’m glad you realize that it is time to go in. It’s better to be proactive before this gets worse. If you have a tooth infection, it WILL spread.

While the xanax will relax you, it will limit what your emergency dentist can give you and could effect how he treats you. I have a different suggestion that will allow you to get the care you need, while being relaxed, without having to self medicate.

I’d go to an emergency dentist that also does oral conscious sedation. It will completely relax you and give you a pain free appointment.

You will, however, need someone to drive you to and from the appointment, as you’ll be a little too loopy to drive yourself.

I hope this puts you at ease. This blog is brought to you by Dr. Matt Roper.

CEREC crowns

Referral To Dentist For CEREC Crowns On Front Teeth

I’d like to get a referral to a dentist to get CEREC crowns on my front teeth. I really like the idea of having them done in one day so I don’t have to walk around for weeks with those unnatural-looking temporaries on. They always fall off and I have such trouble with them. The last thing I want to do is go through all that with my front teeth. My dentist normally does CEREC crowns- that’s how I know about them, but he said he won’t do it that way with my front teeth. I’m not sure why, but I think it’s because he charges more for the other kind. I’m thinking about going somewhere else, just so I can get CEREC crowns done on these. Any recommendations?

Bill – Portland

Dear Bill,

CEREC crowns have their limitations. They are fabulous for saving time and limiting how many visits you need, but they’re not always the best choice for aesthetics. If the dentist you already see does CEREC crowns, then it sounds like he’s a fan of them, but also recognizes when they might not be the best choice.

It takes a lot of work to make a restoration look natural. If you think about it, your tooth is made up of layers, and there’s a perfect mix of colors blending, as well as opacity. With traditional lab-made restorations, they try to mimic it by adding layers of porcelain, shading the restoration, and glazing it. CEREC crowns are a single block of material that is trimmed down to match the shape of the tooth. Although it can blend in pretty well in the back of the mouth, it’s very difficult to make them look natural in anterior teeth.

If you want your teeth to look beautiful and natural in the long run, it’s probably best to heed your dentist’s advice and go with the standard lab-made ones. Yes, you’ll have to wear the temporaries, but this is just for a couple of weeks, compared to the possibility of being stuck with front teeth you don’t like for a decade or more. If time is a huge concern for you, mention it to your dentist. Sometimes the lab can “rush” cases or prioritize yours so it gets processed quicker. There’s usually an extra fee for this, but you may find it worthwhile if you’re eager to have your new smile quicker.

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

Sedation Dentistry

Is sedation dentistry like having surgery?

I have severe anxiety issues. Is sedation dentistry like having surgery where you’re out?

Drew A. – Missouri

Drew,

It really depends on the dentist. They all have different sedation procedures they prefer to do. Some dentists do an IV Sedation where you are pretty much out during the procedure.

Most do something called oral conscious sedation. Though it doesn’t knock you out, many patients prefer it.  You still have control. If you want to say something, you can, but the appointment is completely pain free.

Most patients find that they don’t even remember the appointment. Plus, you need to be aware that you’re so relaxed you need to have someone drive you to and from the appointment.

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

Affordable Dentistry

Affordable Dentist Cost a Fortune

I don’t have insurance and I needed to have a crown and two fillings done. I shopped around for an affordable dentist and picked the one offering the best rate- they’re all dentists right? Well, I go in and everything’s a hassle. The office staff is rude, the doctor spends almost no time with me, but he does agree to do the work right then and there. I give him the go ahead and he’s rough. Very clearly in a hurry. He finishes up and tells me to come back in two weeks. I stop by the front office to settle my bill and it doesn’t match what they told me over the phone. Every single item is higher and they tell me it’s because there was more work to be done. I was mad. What’s the point in a quote if they don’t stand by it? I paid what they told me to over the phone, but they say the rest is due at my next visit. It turns out this “affordable dentist” was the second most expensive on my list. Am I stuck paying the bill? What recourse do I have?

-Jeff

Dear Jeff,

It sounds like you ran into a whole lot of communication errors, but not every affordable dentist operates this way.

Quotes are particularly difficult to give over the phone- so much so that many offices refuse to give them. It is normal for treatment to be broken down by individual procedures. For instance, a basic crown is one fee, but if the tooth has to be built up to receive the crown there is another. There are also different codes for a tooth that only needs a filling on one side of it, versus two, three, or more. The logic for this is simple; it takes more time and more skill to do more procedures. In calling on the phone, the office can’t possibly know how many surfaces of your tooth need treatment. While it would have been prudent of them to explain this when you asked, and especially before you began treatment, it likely comes down to a breakdown in communication.

The amount an affordable dentist charges will likely come down to several factors, including his skill level, the average rates of the region, and the quality of the materials he uses. It is tough to select an office only based on cost, because those who offer significantly lower rates tend to be using extreme cost-cutting measures to make it work. Generally, it’s a far better idea to look for an office with a good reputation, and then find out what they do to help make care fit within their patient’s budgets. Some will offer payment plans, financing, and other options, so you’re never sacrificing quality of care to get a lower rate.

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

Affordable Dentistry

What if I can’t afford wisdom tooth removal?

I’ve been having trouble with my wisdom teeth. I think they need to be removed, but I just can’t afford it. Can I just get an antibiotic from my doctor?  My face is starting to swell, so I’m getting worried.

Jack K. – Orlando, FL

Jack,

You have reason to be worried. It sounds like you’ve got an infected wisdom tooth and it is spreading. Our mouths are dreadfully close to our brains. you certainly don’t want it spreading there!

Though antibiotics help, they will only help if the infection is physically removed. Your teeth are different from other parts of your body. The infection has to be removed.

There are affordable ways to deal with this and it does have to be dealt with, for your own safety.

Talk to your dentist. I’m sure he or she will be willing to work with you.

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

Dental Emergency

Should a dental crown fall off?

I got a dental crown. It fell out while my my dentist was on vacation. I got in touch with them and he said that is normal and to wait until he’s back in a couple of weeks. Is it really normal for this to happen?

Holly S. – Staten Island, NY

Holly,

No, this is not normal and I can’t believe your dentist would suggest it is. I’m not saying your not telling the truth. I just am amazed at your dentist’s incompetence.

Dental crowns don’t just fall out if they’re properly bonded on. In fact, most dentist never have a single dental crown fall out in their entire careers.

That feeling is compounded by the fact that your dentist is telling you to wait on him two weeks. In that amount of time, your teeth will likely shift and your crown will no longer fit. You’ll have to have an entirely new crown made.

My suggestion would be that you bypass your dentist and go see an emergency dentist. They’ll see you quickly, even if you’re not an established patient. They can bond your crown on.

I honestly think you need to look for a different dentist.

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

CEREC crowns

An “Unusual” Question About CEREC Crowns

I’m a big believer in the “Their are no stupid questions” philosophy.  Though, if you’ve ever read Yahoo Answers, you’ve likely realized sometimes you have to be very charitable to keep that philosophy.  One of my favorites was someone asking how Lindsey Lohan was cloned for the Parent Trap.  Well, I’ve recently had a question in that ilk.  I received a question wondering why their dentist’s printer will print out cerec crowns, but when they try to print out a CEREC crown on their printer they only get a picture of one.

Now, maybe this is a joke. But, just in case it isn’t I will answer the question.

Your dentist doesn’t print out a CEREC crown on a printer. Instead that use a very sophisticated piece of machinary (The CAD/CAM System) that can cost up to $80,000. This machine mills your crown out of a block of porcelain.

Your printer simply reproduces pixels of color on a sheet of paper. There’s no way to get a crown out of that. Even if you had a 3D printer, which is capable of printing actual objects and not just pictures, it would print in plastic, not porcelain.

Your best bet is to continue going to your dentist for your dental crown needs.

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