Tag Archives: AACD

My Dentist Wants to Put A Metal Crown On My Tooth

I’m not sure if I should go forward with something my dentist wants to do. I need a crown. But, he wants to put a metal based crown on the tooth. My mother had one of those and it was horribly ugly. Would mine be ugly too or have their been more developments since then?

Ally R. – Idaho

Ally,

I haven’t seen your mother’s crown, nor do I know when she had it placed, so it would be hard for me to tell you if there have been advancements. However, I can tell you that cosmetic dentists (who care as much about form as they do function) would not put a metal based crown on a front tooth.

The reason for that is the appearance, as you’ve noted about your mother’s old crown. A metal based crown requires a more opaque layering in order to “cover” the metal. Plus, you will eventually develop a gray line at your gumline, which will be unattractive and distracting.

Instead, I’d recommend an all-porcelain crown. These are perfectly strong enough to be placed on your front teeth, and are much more attractive.

That being said, you’ll need to have a good cosmetic dentist to do it. Even the most beautiful materials need artistic hands to make their beauty shine.  Especially because it is a front teeth you’re talking about, I cannot stress how much the skill of the cosmetic dentist will make a difference on how the crown will look.

The best cosmetic dentists are accredited with the American Academy of Cosmetic Dentistry (AACD).

This blog is brought to you by Dr. Mike Malone.

 

Why would I need to do two procedures to get pretty teeth?

I want to have my teeth much whiter. I also have one front tooth that is a little crooked. Not much. I was told by a friend that porcelain veneers would take care of both of these things, but my dentist wants me to have ortho done and then veneers. Why would I need two procedures?

Jermaine – San Jose, CA

Jermaine,

You question leaves me wondering if there’s something unique about your bite that your dentist is recommending both procedures; because, you’re right, generally you would either do porcelain veneers or invisalign, not both.

Invisalign will straighten your tooth and ensure your other teeth are in proper alignment. You could also whiten them simultaneously. Your invisalign trays can double as whitening trays.

Porcelain veneers are a better option if you want to change more about your smile than just color or crookedness. For instance,  if you wanted to change there shape as well, I’d definitely recommend veneers.

If I were in your place I’d get a second opinion by a highly experienced, artistic cosmetic dentist. Ideally, you’d want someone who is accredited with the American Academy of Cosmetic Dentistry (AACD). If you don’t have one of those nearby, you can go on the mynewsmile.com website. They recommend expert cosmetic dentists by area.

This blog is brought to you by Dr. Mike Malone.

Do I need to go out of town for a smile makeover?

I live in a small town. We do have a dentist and he said he could give me lumineers, but my sister is saying I’d be better off going to Atlanta for the makeover. That’s an hour and a half drive. Is it really worth that?

Amy D. – Georgia

Amy,

If I were in your place, I would drive to Atlanta. I know it is a drive, but you’d only have to do it twice. I assure you it will likely make a huge difference.

If your dentist is saying he could give you lumineers it has me concerned. Many artistic cosmetic dentists feel that will not give you the beautiful smile you’re looking for. They often prefer other brands of porcelain veneers. Many inexperienced dentists place them because they’re marketed as being easy to place, but they tend to be bulky and opaque.

What you really want is a dentist who has expertise and an artistic eye.  It’s ideal if you can go to a dentist who is accredited with the American Academy of Cosmetic Dentistry.

A dentist with that kind of skill will give you an absolutely stunning smile. If you’re ging to spend the money on a makeover, you want to make sure you get a gorgeous one.

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

Can bulimics get smile makeovers?

I’m bulimic. I’m getting a little better about it, but to be honest, I still purge sometimes. My teeth are in bad shape. I was wondering if it’s possible for me to get a smile makeover with porcelain veneers or if I damaged my teeth too much?

Olivia B. – Minnesotta

Olivia,

Congratulations on working on your bulimia. I know it is a hard road. Because Dr. Malone has worked with pageant contestants, he understands the difficulty of your situation.

One thing to  be aware of is that while you’re still struggling with your eating disorder, it will continue to damage your teeth, even teeth that are cosmetically restored.

Depending on the condition of your teeth, it can still be possible to get porcelain veneers. Go see a great cosmetic dentist. Look for someone who is AACD (American Academy of Cosmetic Dentistry) accredited.  You will get a much more attractive smile that way.

Good luck with your treatment.

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

Can a general dentist do cosmetic dentistry?

I want to do some cosmetic procedures to my teeth. My dentist is a general dentist. Can you tell me if he can do the cosmetic procedures or if I need to go to a cosmetic dentist?

Frank C. – Oregon

Frank,

There is no recognized specialty in cosmetic dentistry. That means that everyone who does cosmetic dentistry is a general dentist. However, not all “cosmetic” dentists are equal.

You didn’t mention what type of cosmetic work you were planning on. If you were wanting something simple, such as teeth whitening, then any dentist could do it.

But, if you were wanting someting complicated, such as porcelain veneers, then you’ll want someone with specialized training.  In those cases, I would look for a dentist who is accredited with the American Academy of Cosmetic Dentistry (AACD). They’ll have the skill to give you a gorgeous smile.

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

My Crown Looks Awful

I got a makeover on five teeth. Four were veneers and one is a crown. The veneers look OK, but the crown looks different than the others. It’s like there is a shadow underneath it. My dentist says it is from the cement and that it isn’t noticeable. If that’s true, than how come I can see it? I asked if we could re-do it, but she said it wouldn’t match the others because they need to be done at the same time. Is that true?

Hannah S. – Little Rock, AR

Hannah,

Well, it may be true for your dentist, but it isn’t true for someone with expertise in cosmetic dentistry. There is a danger in letting a general dentist without a lot of training in cosmetic procedures. A true cosmetic dentist would not be satisfied if you didn’t like the way it looked.  That crown would go right back to the lab.

The problem is twofold: one, dentists are taught in dental school that they know better than the patient. That is not the case with those who have significant training in cosmetic. They are taught that the patient is the decision maker as to what is beautiful.  The second issue is skill. Now a great cosmetic dentist could match your crown to other teeth easily. Maybe your dentist doesn’t know who to do that. However, your dentist ordered the veneers with the crown at the lab. They should be able to match the specifications to the lab.

I’ll be honest, if you really want this done well, you’ll probably need to have it done by a different dentist. I recommend you see a dentist who is accredited with the American Academy of Cosmetic Dentistry (AACD). These dentists are in the top 1-3% in their field. They can give you a gorgeous crown.

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

 

Fixing protruded teeth

I have protruded teeth. I am wanting a cosmetic option to fix it, but don’t want braces. What are my best options?

Alina M. – Montreal

Alina,

Both the options I am about to share with you will repair protruded teeth. However, neither will work if your teeth are extremely protruded. My most important advice is to make sure you go to an expert cosmetic dentist. We’ll talk more about this in a minute. I’ll give you the options first.

Your first option is Invisalign. These are different than braces, which I can understand you not wanting.  They will repair your teeth, straightening them like braces, but there are no uncomfortable wires and brackets, plus they are no visible to other people, even at at conversational distance. No one will even know you are wearing them. If you’re open to that, then Invisalign would be one of your options. A good one too, because your teeth will be straight.

A second option is to get porcelain veneers. These will not actually straighten your teeth, but they will make them appear straight. Even though these don’t actually straighten your teeth, they do have a different kind of advantage. These can also change the shape and color of your teeth.  So, if there is more than just straightening your teeth you had in mind, these may be a better option.

That being said, if you ever get cosmetic work done of any kind, it is extraordinarily important that you use a highly skilled cosmetic dentist. Cosmetic dentistry is not a recognized specialty. Therefore, any general dentist can call themselves a cosmetic dentist. The skills necessary to do a beautiful smile makeover are not taught in dental school. It takes a considerable amount of post-graduate training to develop the skill and technique necessary. Plus, you want a dentist with an artistic eye.

So, how do you make sure you’re getting a qualified cosmetic dentist? My recomendation would be to find a dentist who is accredited with the American Academy of Cosmetic Dentistry (AACD). Only the top cosmetic dentist reach accreditation level.

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

 

Treating a huge tooth gap

If I have a large tooth gap. i measured it and it looks like it is a little over half a centimeter. if I wanted to treat that would it be better to do lumineers, dental  bonding, or something else?

Eric S.- Philadelphia

Eric,

Which treatment you use will depend in part about how you feel about your teeth in general. Are you happy with the shape and color of your teeth, but just want to fix the gap? Do you want to fix your gap and whiten? Or do you not like anything about your teeth and want a complete smile makeover? The only thing you mentioned that I would definitively say no to is the dental bonding. It is just too large a gap for that to be an attractive solution.

If you’re happy with your teeth and just want to fix the gap, then I would recommend Invisalign. These will straighten your teeth in less than half the time of traditional braces. The best part is the aligners are invisible. Even at a conversational distance people will not be able to tell you are wearing them.  It is also possible to do teeth whitening at the same time.

However, if there are other things, such as the size and shape of your teeth, that you want to change, then you might want to consider porcelain veneers. I know you mentioned Lumineers. I don’t know if you are aware that they are just a brand of porcelain veneers. Most expert cosmetic dentists are not happy with the quality of their product. Let me give you a word of caution. A gap the size you mentioned is large enough to fit another tooth into. Because of this, if you choose any type of porcelain veneers you had really better make sure you are going to an expert cosmetic dentist. I wouldn’t go to anyone who wasn’t accredited (which is different from just a member) by the American Academy of Cosmetic Dentistry (AACD). Only about the top 1% of dentists reach the level of accreditation. They’ll be able to handle a complicated case like yours.

This blog is brought to you by Lafayette LA Dentist Dr. Mike Malone.

Difference in veneers

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.

Congratulations to Dr. Chal

We wanted to give recognition to Dr. Arthur Chal in Phoenix who was recognized recently for 16 years of service as an accreditation examiner with the American Academy of Cosmetic Dentistry.

Dr. Chal served also as President of the AACD for 2001-2002, a couple of years before Dr. Malone. Dr. Malone and Dr. Chal have known each other for about twenty years, and we here in Dr. Malone’s office have the highest respect for Dr. Chal, the quality of his dentistry, and his dedication to the profession. For patients who live in the Phoenix area, we consider him the best dentist in Phoenix. He has expertise in cosmetic dentistry, implant dentistry, and TMJ treatment.

Congratulations, Dr. Chal

This blog is sponsored by Lafayette LA cosmetic dentist Dr. Mike Malone.