Tag Archives: teeth whitening

CEREC crowns

Are CEREC Crowns as Reliable as Regular Crowns?

At my last check-up, my dentist said I need three crowns. I wasn’t too surprised I needed them, but he’s pretty insistent I get CEREC crowns. My insurance doesn’t cover those and they’re more expensive. I’m not sure I want to invest in something more expensive just because it’s the newest thing unless I know it’s as reliable as the regular crowns. Do you have an opinion on this?

Louis A.

Dear Louis,

A CEREC Machine
When Should You Get a CEREC Crown?

A lot of whether or not a dental crown is reliable depends more on the dentist than anything else. Some dentists get better results than others. However, there are times when a CEREC crown is better than a traditional one. There are times it’s the other way around as well.

Because they’re computer milled, CEREC crowns often fit better. They do well in front and side teeth, but aren’t always strong enough for back teeth. For those, you may prefer a zirconia crown or a porcelain fused to metal crown.

Their biggest benefit is you can have your three crowns done in one visit, without a temporary crown. Other than that, everything else truly depends on the skill of your dentist.

If you decide you want a CEREC crown, your dentist can bill the insurance for the regular crown and you just pay the difference, which isn’t too substantial.

Some Considerations with CEREC Crowns

Placement is the biggest issue. If it’s going to be visible and you’ve ever wanted to whiten your teeth do the teeth whitening before you have the crown milled. If it’s a visible side tooth, that should be sufficient for an attractive looking smile.

However, if it’s a front tooth, you’ll want a traditional crown. CEREC crowns are milled out of a single block of porcelain which, though beautiful does not have all the subtleties necessary for a front tooth. You’ll want something sculpted from various blocks so that the right level of translucency comes across at the appropriate parts of the tooth. Otherwise, it can look a little flat compared to the tooth next to it. You’ll know it’s a little different without knowing why. It will still be attractive, just not as attractive as it could have been.

Again, each dentist’s skills vary in this area, so ask to see sample before and after pictures of their work.

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

Affordable Dentistry

Does Affordable Dentistry Mean Slow Results?

I’m curious if affordable dentists take longer to get results than other dentists. I’ve always had bad teeth. I kept thinking I’d be able to afford more dental care as I got older. But, I’m 40 now and still have horrible teeth. Realizing it’s now or never, I searched for an affordable dentist so I could get started. I’ve been going monthly for almost two years and still see no difference in my teeth. My teeth are stained and crooked. Every time I bring up braces he just says, “Let’s get those teeth and gums healthy first.” I’m discouraged. After two years, I figured I’d see a difference. Am I being ripped off? Would it go faster with a more costly dentist?

Nell M.

Dear Nell,

Affordable Dentist

There are a few things going on here. But, first, I will say that an affordable dentist should work equally as effectively as the highest priced dentists. The two things you’re concerned about, the color and crookedness of your teeth are cosmetic issues. Generally, you get the teeth healthy, then start on the cosmetics. However, you should already be noticing a brighter smile. Your teeth are being regularly cleaned, so they should be at least a tad whiter.

If you do the cosmetics too soon it can be detrimental to your goals. For instance, if you have gum disease (and it sounds like you do), getting braces to straighten your teeth before your gums are healthy will cause your teeth to come loose and fall out. Then instead of straightening your teeth, you’re stuck replacing them.

Because you’re going to the dentist monthly instead of twice a year leads me to believe you have advanced gum disease. That’s your first priority. When that’s in check, there’s much more you can do cosmetically with your teeth.

One proactive step you can do on the cosmetic end, even while you have gum disease, is teeth whitening. I will warn you, the exposed areas where your gums have receded will be sensitive to the whitening gel. Though, with professional teeth whitening, it’s common for the dentist to custom design the trays to your bite. He can try to avoid those areas, while simultaneously making sure the coverage is such that you’ll have an even tooth color.

All of that being said, two years seem excessive with monthly visits. You should be able to spread them out more by now if he’s doing everything he can to help with your gum disease and you’re keeping up with your oral hygiene. You may consider getting a second opinion. Some dentists even give free second opinions so it may not even cost you anything.

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

CEREC crowns

Why Does My CEREC Crown Look Like a Piece of Chicklet Gum?

My dentist got in this new CEREC machine. He was so excited. In fact, I remember him talking about how he couldn’t wait to get it at my last appointment. So, when I needed a crown, he was almost giddy. He’d get to use his new toy. I was happy for him and happy about only needing one appointment. But, when I got the crown, it’s way whiter than the rest of my teeth and looks like a rectangular piece of Chicklet gum. I can’t believe my dentist was so excited about this. Is that was CEREC crowns always look like? I wouldn’t mind if it were a back tooth, but it’s a front tooth and very distracting.

Cyrill K.

Dear Cyrill,

I’m sure you’ve heard the phrase, “The only difference between men and boys is the size of their toys.” It sounds like your dentist was as joyful as a boy at Christmas with his new CEREC machine. While it is the CEREC which mills the crowns, it’s the dentist who designs the crown.

If your crown looks like unnatural, it’s not because it’s a CEREC crown. It’s because your dentist isn’t a skilled cosmetic dentist. Have you tried telling him how unhappy you are with the crown? He might be willing to re-do it, especially if it means he gets to use his new machine again. Or, he may give you a refund.

If the color difference is the only issue, you may want to consider whitening the surrounding teeth to match the crown. Any teeth whitening you do will not affect the crown. It only changes the color of natural tooth structures. However, you mentioned the shape being different from the other teeth too, so re-doing it is the only thing which will fix that.

If for some reason he refuses, you may want to get a second opinion on the crown. If it’s obviously mismatched to the surrounding teeth, that dentist could put pressure on him to refund your money. Dentists care about what their peers think of their work.

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

Sedation Dentistry

Can I Have Dental Sedation If I’m on Medication for PTSD?

I’ve served in the military for 12 years. I loved my service and the military dentists did the best job they could, but they’re designed to do patch jobs and get us back into service as quickly as possible. A lot needs to be fixed with my mouth, functionally and cosmetically. Unfortunately, I’m being treated for PTSD. If there are people over me, I lash out. I’m going to need sedation dentistry, but don’t know if I can with the PTSD meds I’m on. Any advice?

Allen H.

Allen,

Up front, I want to thank you for your service. You’re keeping our family’s safe. I am beyond grateful. Our country owes you a debt. Don’t think for one second you’re not appreciated. Secondly, the fact that you’re getting treatment for PTSD shows you’re not just brave, but intelligent and wise.

Sedation dentistry will be a great option for you in this situation and can be used with many medications. I recommend getting with the dentist ahead of time and discussing your medications. That way he or she can plan to use medications which have no contraindications with the medications you’re on.

Make sure you tell the dentist that you’re interested in cosmetic work, too. This will enable them to make the best decisions and give you all the options. There are some treatments which if you plan on doing teeth whitening at any point, you’ll want to have it done first. Things like porcelain crowns and fillings cannot be whitened after they’re bonded.

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.

Affordable Dentistry, Teeth Whitening

A more affordable treatment

I am looking for ways to make my dental care more affordable and I was wondering if dental bonding will save me money over porcelain veneers?

My teeth are very yellow even though I brush my teeth after every meal. It seems that you can see through the ends of my two front teeth. I’m unhappy with my smile but I don’t want it to look fake.

After the research I’ve done, I don’t think I want to have porcelain veneers done. They seem like they may not look natural and they are extremely expensive. I guess I’m wondering if simply whitening my teeth will work or if tooth bonding is a better choice for me. Or maybe I should get the bleaching done first and then the bonding? I don’t want to spend a lot of money and then have my teeth turn yellow again either. Can you explain how bonding works and let me know your thoughts.

Thanks,

– Tanya from Florida

Tanya,

After hearing your case, I don’t think dental bonding is the alternative that is right for you just because you are looking to save money on porcelain veneers. Teeth whitening sounds like the best solution from what you have described. This is because good dental bonding will end up costing almost as much as veneers and it won’t last as long. In fact it would probably only last about one-tenth as long as veneers.

Teeth bleaching will take care of the yellow color of your teeth and they will not return to their original color. Your teeth will pick up stains as time passes, but you can always do some touch up bleaching to keep your white new smile.

This post is sponsored by Glibert dentist Vista Dorada Dental.

Related link: affordable dentistry

Cosmetic Dentistry

How do I get rid of white spots?

I have always had white spots on my teeth ever since I was a kid. When I was a teenager, I also had braces to fix the alignment of my teeth. I think the braces actually made the white spots worse on my front teeth. My family dentist that I have been going to for quite some time said there is nothing wrong with my teeth and that they are perfectly healthy for my age. The problem is that the white spots make me want to hide my smile.

I have been looking into teeth whitening and porcelain veneers as a possibility to correct this problem. What I’m wondering is, would over the counter white strips, professional whitening, or Zoom whitening make the spots stand out more? This is my thought since they may end up whiter than the teeth that do not have marks? Or would you recommend porcelain veneers or Lumineers for this issue?

– Karen in Michigan

Karen,

Dentists are trained to fix things, bottom line. So, this mentality of “don’t fix what isn’t broken” is not surprising. It sounds like your dentist is offering an honest opinion and truly believes that your teeth are fine. To treat the white spots, you need to seek out the expertise of a true cosmetic dentist.

Teeth whitening will likely not do the trick, even though many dentists may go this route. You are correct that when you have spots on your teeth, the whitening may actually make them to end up looking worse.

Depending on how big the spots are, tooth bonding may be the way to go. Or porcelain veneers would remedy your problem giving you the beautiful smile that you are after.

You need to have a consultation with an experienced cosmetic dentist. They may recommend a combination of treatments. For example, it may make sense to whiten first and then have the spots fixed. There are many simple, long-lasting solutions that when performed by an expert cosmetic dentist will transform the way your teeth look.

Stick to your regular dentist for your routine dental care, but seek the talents of a cosmetic dentist for your white spots.

This post is sponsored by Gilbert dentist Vista Dorada Dental.

Cosmetic Dentistry, Dental Bonding, Uncategorized

Flouride stains on teeth

My little boy has spots on his teeth. They are brown in color and are from fluoride. He has had his teeth bleached by a local dentist to try and get rid of them. But it did not work. The brown stains are still there. Now the dentist is recommending porcelain veneers. Can you tell me how much more expensive veneers are than dental bonding?

– Laura from Florida

Laura,

Unfortunately, I think it’s time to find a new dentist. Brown fluoride stains will not be remedied by teeth whitening or bleaching, which you are now aware of.

Dental bonding is a possibility. But it all depends on how bad the staining is. It is imperative that you research an expert cosmetic dentist. Tooth bonding takes artistic talent and not every dentist can do it well.

Porcelain veneers tend to be a more expensive treatment but will give the best results. Pricing varies from dentist to dentist, so you will have to discuss cost comparison with the dentist you choose. Again, I would urge you to have a consultation with a cosmetic dentist that has trained with the American Academy of Cosmetic Dentistry. An AACD dentist should be able to provide you with the best recommendation and cost based on your specific circumstance.

This post is sponsored by Gilbert dentist Vista Dorada Dental.

Teeth Whitening

Can my dental bonding work be whitened?

I was wondering if it is possible to whiten teeth that have been bonded? I have dental bonding work on my front teeth which is pretty old. It was probably done close to 14 years ago now and I guess I should probably have it replaced but I can’t afford that right now. From what I have heard, the bonding doesn’t change color with teeth whitening. Is that correct, if I use bleaching will the bond be returned to its original color?

– Ted from New Jersey

Ted,

Teeth bleaching will not make your dental bonding any whiter and unfortunately it may make it look worse. What happens is the teeth whitening procedure will actually whitens your non-bonded, natural teeth. But, the bond will remain unaffected. This means that your teeth will appear to be two different colors.

Polishing may improve the look of your dental bonding. That is as long as the discoloring has occurred from surface stains and not from the bonding materiel itself. You can meet with a cosmetic dentist to see if polishing will work for your case.

Other than that, you may need to have the bonding replaced to get your desired look.

It is important to visit a true cosmetic dentist. Don’t compromise on quality or fall for a deal that sounds too good to be true. If it is not in the budget right now, start saving and have it done the right way.

Hopefully this information was helpful to you.

This post was provided by Gilbert dentist 16th Street Dental Care.

Teeth Whitening

Pain with teeth whitening

Hi there. I just started an in-home teeth whitening system. I have been using it for about two weeks now and haven’t had any issues. Except yesterday when I used them I had a sharp pain. It was on my front tooth and seemed very intense for about thirty seconds or so. I have a dental bond on this tooth that was orginally chipped and then reapaired over a decade ago. So I was wondering if this reaction means that my bond is going bad or nearing the end of its lifecycle? Or could the whitening treatments I’m using be weakening the dental bond? That is my guess. Thank you for your help.

-Jane from Texas

Jane,

It is unlikely that the bond was weakened by the teeth whitening system you are using. The common bleaching gel has not been known to weaken dental bonds. Also, if that was actually the case and the bond was weakened then it would mean that the repaired chip would most likely fall off. This would probably be causing much more pain.

The way you have described it, I think the bleaching agent may be irritating a sensitive part of the tooth. If the tooth was injured previously and repaired, there may be a senstive area that has become exposed due to some of the bonding agent that has wore off.

Your situation is a good example of why with any teeth bleaching treatment, it is important to consult and remain under a dentist’s professional supervision. My assumption is that you are working with a dentist. So, you should let your dentist know about your problem. Hopefully, they will be able to pin point the issue you’re having. If it turns out to be a sensitive spot then there are solutions to re-coat the area. You should be able to continue bleaching safely once this issue has been resolved. Make sure you get this checked out before continuing with your bleaching treatment.