Tag Archives: expert cosmetic dentist

porcelain crowns turning yellow

I had some porcelain crowns done about six months ago. When I first received them, they were beautiful. I loved how they looked. Unfortunately, they are already turning yellow. I don’t think it is anything I’m doing. I do drink one cup of tea in the mornings, but water the remainder of the day and I brush regularly. Do you know what’s going on? I thought they were supposed to be stain resistant.


Dear Elaine,

woman smiling with a dentist

Yes, porcelain is very stain resistant. That means, if you truly have porcelain crowns, something went wrong. I haven’t seen your crowns so it is hard for me to tell you exactly what happened. However, I can give you some possibilities.

If you see a general dentist who doesn’t do much cosmetic work, then it is possible the hygienist or the dentist did something to damage the glaze on your porcelain crowns. It’s been six months since the crowns were placed and that is about the time you would have gone in for a checkup and cleaning.

Some things which damage the porcelain include:

  • The hygienist using a power prophy jet during the cleaning process. This would feel fine at the end of your appointment, as well as look normal, but the glaze would be gone and you’d quickly begin to pick up stains regardless of how good your oral hygiene was.
  • Acidulated fluoride. Some dentists use this, but it will chemically eat away at your glaze.
  • If your dentist made any adjustments to the crown, he could have ground away some of the surfaces.

Get a Second Opinion from a Qualified Dentist

As I mentioned earlier, not all dentists are familiar with cosmetic work. Because of that, they may not even recognize what went wrong with your crowns.

I’m going to suggest you see an expert cosmetic dentist in order to get a knowledgeable second opinion. To find that level of expertise, I’d like you to go to the mynewsmile.com website. Any dentist they recommend, will have the knowledge you need to get to the bottom of what is going on with your crowns.

It’s important you follow some basic guidelines when getting a second opinion to make sure the dentist isn’t influenced in his or her decision. Dr. Hall has a post on porcelain crowns. In the last paragraph, he gives some tips on getting an unbiased second opinion.

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

Why won’t my dentist let me get lumineers?

I want to get lumineers, but my dentist Dr. ———– says they’re not any good. Shouldn’t it be my choice?

Tara M. – Kentucky


I know the dentist you’re referring to. He’s actually a very good cosmetic dentist and he can give you a gorgeous smile. There are a lot of good cosmetic dentists who aren’t crazy about lumineers. Mostly that stems from the fact that the Lumineers company requires dentists to use their lab, which to be quite frank, isn’t that great.

Yes, it is up to you, but you’re going to your dentist for his expertise. Maybe you should trust his instinct. If you’re worried, you can tell your dentist that you want to approve the try ins. But, again, he’s a great dentist and would have you do that anyway.

One thing to bear in mind is that Lumineers are just a brand of porcelain veneers. There are several different brands of veneers. Each of them have their own characteristics and a great cosmetic dentist will know which one is the best option for the type of smile you want.

This blog is brought to you by 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


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.


How Do You Choose A Cosmetic Dentist?

Can you tell me how to choose a cosmetic dentist?

Analyia- Chicago


That is a great question.  An expert cosmetic dentist can give you a gorgeous smile. An average cosmetic dentist can give you a disaster of a smile.  It is one  of the areas of dentistry where you really need to only go the absolutely highest qualified.

Ideally, you want to find a cosmetic dentist in your area who is accredited by the American Academy of Cosmetic Dentistry (AACD). Accreditation is different than being a member.  Any dentist can join the organization. In order to get accredited, a dentist has to pass a stringent examination, demonstrate a thorough knowledge of technical skill, and prove their artistic ability by showing their samples of the work they’ve done on their patients.

Very few dentists reach this level of expertise, but it is well worth it for you to drive to another city for a smile makeover and ensure you get a breathtaking smile.

This blog is brought to you by Lousiana 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


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.