Tag Archives: Smile Makeover

Porcelain Veneers

Dentist Gave Me Crowns Instead of Veneers

I’d been talking to my dentist about porcelain veneers. Every email communication he gave me said porcelain veneers. When I went in  for the procedure, he ground my teeth down quite a bit and gave me what he called temporary veneers. After getting the permanent one, I started having  pain with my canine, but the dentist said it was normal. The pain got so bad that I had to go to an emergency dentist. He said the tooth has a massive infection. He also  told me that I didn’t get porcelain veneers but dental crowns. I checked with my insurance and he did bill them for dental crowns. That doesn’t make sense because all we talked about were veneers and there both pages on his website. I was very specific about what I wanted. Since that visit, I’ve needed three root canals. Is there anything I can do about this?

Whitney

Dear Whitney,

Comparison of crowns to veneers tooth prep

I am glad you wrote. I believe you have a case for a malpractice suit here based on everything you’ve said. If he had the two procedures on his website, then the dentist obviously knew the difference between porcelain veneers and dental crowns. There might be some excuse for him if he really didn’t understand the difference but that does not appear to be the case.

He has the information on his website. He was emailing you about veneers while he charged the insurance for crowns. Essentially, he gave you a procedure without your consent, which is a big no-no in dental care.

Sometimes patients ask for a cosmetic procedure that their dentist  did not get the post-doctoral training in. Porcelain veneers is an advanced cosmetic procedure that to do well requires post-doctoral training. Rather than being up front with their patients that they are uncomfortable with veneers, they will sometimes recommend a procedure they are more comfortable with, like crowns.

Unfortunately, instead of being upfront, your dentist just gave you the crowns. Worse, he didn’t even do that well. The large number of root canals you need suggests to me that he was a bit over aggressive when he did your crowns. I would talk to the emergency dentist who treated you and see if he will back you up if you decide to take this to court.

If that is more than you want to do, I would start by telling your dentist that you know he gave you an different treatment than he asked for. Tell him that you don’t want a refund, but rather for him to pay for this work to be redone by the dentist of your choosing. Then, make sure you choose an expert cosmetic dentist. If he gives you trouble, tell him you understand the strength of your case. You can even have a lawyer write a letter on letterhead. This is cheaper than a lawsuit and may be enough to convince the dentist.

This blog is brought to you by Lafayette, LA Cosmetic Dentists Drs. Foreman and Thimmesch.

Sedation Dentist

Can I Really Wake Up with a Whole New Smile?

I was at my dentist’s office for a check up and mentioned to him that I was thinking about improving my smile. Honestly, I was just thinking about whitening my teeth, but he’s suggesting something completely different. He wants to crown all of my teeth for a complete smile makeover. He said I could even use dental sedation which means I could go to sleep and wake up with a whole new smile. I don’t know why I feel uneasy about the situation. Maybe it just sounds too good to be true to take a nap and get a prettier smile. What do you think?

Laura

Dear Laura,

Woman resting in dental chair from dental sedation

You have good instincts. Dental sedation is a wonderful tool to help patients with dental anxiety get the care that they need without fear. While it is true that you can completely sleep through your procedure, I would not recommend that for any type of cosmetic work. One thing that is important when it comes to a smile makeover is that you get to approve the work before it is permanently bonded on. You can’t really do that if you’re asleep.

If you were an extremely anxious patient, then I would say it is okay to use nitrous oxide. This way your dentist can turn the nitrous to oxygen and you will be lucid and ready to approve or disapprove anything. I can’t say I trust your dentist at this point. It’s not just the recommending sedation, which is a big red flag in this situation. It’s also that he is recommending crowning every tooth.

You just wanted to whiten your teeth, which (believe it or not) is done with a simple teeth whitening procedure. Even if you wanted a total smile makeover, what your dentist is recommending is a huge overtreatment. The typical procedure for a smile makeover is to get porcelain veneers, which does not require grinding down your healthy teeth. Plus, at the most you would only cover the teeth that are visible when you smile and use teeth whitening for the remainder so that they blend in naturally.

If a dentist is suggesting porcelain crowns for healthy teeth, it is a sign that they do not know how to do porcelain veneers. So, they’re pointing you toward a procedure they do know how to do. Unfortunately, knowing how to do dental crowns and knowing how to do a smile makeover are completely different skills. If they’re not skilled in porcelain veneers I would not expect a beautiful result.

My recommendation is that you get just the procedure you originally wanted. While it takes real expertise to do a smile makeover, any dentist can do teeth whitening. If you find a dentist who does Zoom Whitening, you can get your teeth whitened in just one appointment.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Sedation Dentist

Sensitive to Novocain

I have a high sensitivity to Novocain and any type of numbing medication, but want to get porcelain veneers. A friend of mine with a similar condition said that when they put the numbing medication on her she became very shaky and had a hard time calming down. I don’t want that to happen to me so was wondering if there was a way around this.

Callie

Dear Callie,

a porcelain veneer being held up to a tooth

I think you are going to be okay to get the porcelain veneers. Your friend’s reaction is unlikely to be from the Novocain. There’s a very slight possibility that it would be in the epinephrine that is often present in Novocain, but I find that unlikely. The reason for that is the amount of epinephrin in Novocain would be significantly less than what is present in your body when you become fearful.

It is more likely that your friend has dental anxiety which made her shaky. If you have dental anxiety as well, then I would recommend you have your cosmetic dentist provide you with nitrous oxide. Don’t let a dentist talk you into a stronger sedation for your porcelain veneers procedure. It is not a painful procedure at all. This will relax you enough that you won’t have anxiety.

With nitrous, your dentist can switch it back to oxygen and you will be back to normal in just a couple of minutes and can approve or disapprove your smile makeover. If you use anything stronger, then you will be way too groggy to approve anything. You could end up with a smile you hate.

You also want to make sure whoever is doing your smile makeover has extensive post doctoral training in cosmetic dentistry. It would be ideal if they were AACD accredited. These are the top cosmetic dentists in the country and will give you a stunning smile makeover. At the very least, make sure that they have a beautiful smile guarantee which allows you to approve the smile. If you don’t love it, then they should be willing to go back to the lab and make any changes you want.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Invisalign

Do I Really Need Three Procedures for a Smile Makeover?

I hope to get a smile makeover. I thought it would just mean porcelain veneers. I have stained teeth and my two front teeth are a bit crooked. However, my dentist is suggesting that I get three procedures. First, Invisalign to straighten the crooked teeth, then, teeth whitening. Finally Lumineers, which he said are better because they do not need any tooth prep. Is all of this really necessary? I thought veneers could make teeth look straight.

Penelope

Dear Penelope,

Invisalign aligner

I am really glad you wrote. I’m concerned about the advice you are getting. While it is true that porcelain veneers can make teeth look straight, it actually takes an advanced cosmetic dentist to make it look right. I don’t think your dentist qualifies. He is suggesting Lumineers. This is a brand of porcelain veneers that is heavily marketed to inexperienced cosmetic dentists.

While a few smiles do okay without any tooth prep, most of them require some. Otherwise, the teeth will look bulky. I think this is why he is suggesting Invisalign. He doesn’t know how to make your teeth look right without the orthodontics.

This teeth whitening is okay and will actually save you money. Unless you want to get a porcelain veneer on every tooth, which would cost a fortune, you can get your teeth whitening first and then have porcelain veneers placed on the teeth that are visible when you smile. Because of the teeth whitening, the remainder of the teeth will will blend in.

However, I want to suggest something. You only mentioned that you had discolored and crooked teeth. You didn’t say anything about wanting to change the shape and size of your teeth. In that case, you can save a LOT of money by just having Invisalign and teeth whitening done. That will take care of both of those issues for you. In fact, Invisalign can double as teeth whitening trays. All your dentist has to do is provide you with professional strength teeth whitening gel to wear inside your aligners.

This means you can straighten and whiten your teeth at a fraction of the cost.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesh.

Sedation Dentist

Can I Use Sedation for a Smile Makeover?

I want to get a smile makeover but I am a nervous dental patient. Would I be better off getting dental sedation so they can just knock me out, do the work, and I wake up with a beautiful smile?

Candy

Candy,

Woman resting in dental chair from dental sedation

I am sorry for your dental anxiety. I want you to know that you are not alone in feeling this way. Hopefully, you go to a dentist who is understanding about your fears. It can be very helpful to go to a dentist who is compassionate with patients who are anxious.

While I am a big proponent of using dental sedation, the one concern I have about using it for your smile makeover is that, depending on the type of sedation you use, you won’t get to approve the smile before it is bonded on permanently.

If you are getting porcelain veneers, very little shaving needs to be done on your teeth. The dentist will give you something like Novocain, which will make you completely numb. If that still scares you, then you could have some nitrous oxide. Unlike oral conscious sedation, which will make you too sleepy/loopy to make an informed decision in approving the porcelain veneers, your dentist can switch the nitrous to oxygen once the porcelain veneers have been placed with a temporary try-in paste. This will enable you to be lucid enough to decide if they are to your satisfaction and ready to permanently bond on.

Never allow a cosmetic dentist to bond on your veneers without your getting to see them and approve them. If you don’t absolutely love how they look, the dentist should make the changes needed.

Unfortunately, smile makeovers are not adequately taught in dental school. In order to develop the technical skill and artistry necessary to create beautiful smiles, they will need post-doctoral training. I would look for a dentist who is accredited with the American Academy of Cosmetic Dentistry. AACD accredited dentists are the best cosmetic dentists in the world. You can feel confident that they will give you a stunning smile.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Invisalign

Fixing Misaligned Teeth Without Braces

I have some misaligned teeth, especially in the front. They’re not horrible, they’re just not in the right place. My dentist wants me to do a full set of braces. I’m not too keen on that idea. I’m 42 and have a professional job. Is there another option? I asked about Invisalign, but he said that the Invisalign treatment was not meant for misaligned teeth. What are they for then? If that won’t work, what will that isn’t braces?

Frank

Dear Frank,

Invisalign aligner

I am glad you wrote. I am not sure why your dentist said that Invisalign would not work for misalignment. That is exactly what the procedure is for. My guess is that he doesn’t offer the procedure and he is leading you to braces so you don’t switch to a dentist who has a broader service offering.

You mentioned that your teeth were not that bad, just a bit out of alignment. If that is the case, then you have a couple of options. The first is Invisalign. It will straighten your teeth. If you want to whiten them too, the aligners can double as teeth whitening trays. This will allow you to straighten and whiten your teeth at the same time. Both of these are simple procedures that pretty much any dentist who offers them can do for you.

However, if there are other things you would like to improve about your smile, you also have the option of getting a complete smile makeover. It will not actually straighten your teeth, but when done by an expert cosmetic dentist, it will make your smile look straight. Using porcelain veneers, you can change anything about your smile, including the shape, size, and color of your teeth all at the same time. This is the procedure that Hollywood celebrities go to in order to get their gorgeous smiles.

Unlike the first option, you will need to go to a dentist with serious cosmetic dentistry training to do your smile makeover. The best cosmetic dentists are accredited with the American Academy of Cosmetic Dentistry (AACD). If you want to go with the complete smile makeover, look for a practice that has an expert cosmetic dentist. For instance, at Camellia Dental Dr. Mike Malone does our cosmetic cases.

This blog is brought to you by Lafayette, LA Dentist Drs. Foreman and Thimmesch.

Porcelain Veneers

Dealing with Enamel Hypoplasia

I am have enamel hypoplasia on my teeth and it is very embarrassing. I try my best not to smile, but sometimes you just have to. I want to have a smile that I am not ashamed of. Do you know what are the best ways to treat this? I suspect with today’s cosmetic dentistry, there are solutions.

Pamela

Dear Pamela,

You are correct that there are some good solutions for this situation. An image with two examples of enamel hypoplasia

If you are reading this and wondering what in the world enamel hypoplasia is, it is when the enamel on teeth does not fully develop. This can happen because of a genetic defect, or because of an illness contracted during the formation of the the adult teeth. This is generally before age twelve.

Mild Enamel Hypoplasia

before and after dental bonding

Some cases of hypoplasia is mild, such as on the case on the left image, which gives a mottled appearance to the teeth. If this is your situation, dental bonding would be a good solution. This is done using a composite that is bonded directly to the tooth. It is often used to repair tooth gaps or chips in teeth, such as in the example above.

Severe Enamel Hypoplasia

porcelain veneer being placed

Some cases of hypoplasia are much more severe, such as with the image on the right. As you can see, the teeth are pitted and there is significant discoloration. Dental bonding will not work in this situation. Instead, I would look into having porcelain veneers done.

Both of these procedures are quite advanced and will require you go to an experienced and artistic cosmetic dentist. You may even want to look for an office that has an AACD accredited dentist. They are the top cosmetic dentists in the country.

Once you have this work done, you will no longer be ashamed to smile. In fact, a beautifully done smile makeover can completely change your life because of the confidence that comes with it.

I hope this helps. Enjoy your new smile!

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Invisalign

Lumineers or Orthodontics?

My nephew is graduating and I promised to get him orthodontics as a gift. His parents are struggling and I know his teeth bother him. However, his dentist told him that he could get his teeth fixed much faster with Lumineers. I looked into it and they are a LOT more expensive. Would these really be a better option for him than straightening his teeth?

Angie

Dear Angie,

Invisalign aligner

I am glad you wrote before moving forward. If the only thing his teeth need is to be straightened, than orthodontics are the way to go. To do Lumineers simply to straighten teeth would be a bit of an overtreatment, and an expensive one at that as you have noticed.

At his age, instead of traditional metal braces, I would suggest you look into Invisalign. This would allow him to straighten his teeth without anyone even knowing because it uses clear aligners.

If there are other things wrong with his teeth, like their shape or size, and you are willing to invest in a total smile makeover, than porcelain veneers would be the way to go.

That being said, I would not recommend the Lumineers brand. This particular brand is highly marketed to inexperienced cosmetic dentists as being easy to place. Additionally, their lab, which they force dentists to use, is not known to produce beautiful results.

Instead, I would look for a dentist who is accredited by the American Academy of Cosmetic Dentistry. They are the most skilled cosmetic dentists in the country and can give your nephew a stunning smile.

I hope this helps you with your decision.
This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Zoom Whitening

Getting White Teeth Fast

I had read on a dental blog similar to yours that over the counter Crest whitestrips actually works. I’ve been using them, but they seem to take forever. I want really white teeth, but need it faster because I have an event coming up. Is there a product for that?

Misty

Dear Misty,

Zoom Whitening Logo

While it is true that Crest Whitestrips really will whiten your teeth, the whitening gel concentration is pretty weak. That is why it is taking so long. It’s not Crest’s fault. Because they are over-the-counter, there are regulations on the strength they can use in order to protect patients.

If you are looking for something to get your teeth really white really fast, than I will suggest you see a dentist who offers Zoom Whitening. This is a procedure that you will do in-office and your teeth will be white in just one appointment. The gel is highly concentrated. Plus, there is a special light they use to activate the gel and kick the whitening process into gear. You’ll get remarkable results.

Make sure you ask for a take home tray so you can do upkeep and touchups in a year or so. That will save you money in the long run.

Getting a Complete Smile Makeover

single porcelain veneer being placed

Another option you have, if you’ve ever considered a total smile makeover is to get porcelain veneers. These use tiny wafers of porcelain that can change the shape, size, and color of your teeth simultaneosly. It is the go-to for Hollywood to get that celebrity smile they all seem to have.

It is quite an advanced procedure, though. You won’t want to let just any dentist do it. They need training, technical skill, and artistry. We have an AACD accredited dentist on our staff which means he is in the top 1% of cosmetic dentists in the country. If you decide you want to go the complete makeover route, find one in your area. If you have to drive to a nearby city or state, it will be worth it.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Zoom Whitening

Fixing My Teeth Without Porcelain Veneers

I have some crooked teeth. All of my teeth are discolored from age. I want to improve my smile. My dentist is very keen on me getting porcelain veneers and even showed me his brag book. I hope it doesn’t sound ugly to say I was not impressed. I don’t want to hurt his feelings, so I am looking for alternatives.

Callie

Dear Callie,

Zoom Whitening

Don’t feel bad about having a high standard for your cosmetic work. These are expensive procedures that affect your appearance. Your smile is one of the first things people notice about you.

If you do not want porcelain veneers, that is okay. There are options. The first thing I would suggest is to deal with the discoloration. Having brighter, whiter teeth can make you look years younger. One quick way to do that is with Zoom Whitening. It can deeply whiten your teeth in just one appointment.

side by side compairison of braces
Braces versus Invisalign

Then, to straighten them, you can either get braces or Invisalign. I recommend Invisalign for several reasons.

  • They are more comfortable
  • They are invisible even at a conversational distance
  • They work faster
  • They make it easy to keep up with your oral hygiene

Both of these procedures together are less expensive than porcelain veneers. While porcelain veneers require extensive post-doctoral training for a dentist to do them well, teeth whitening and Invisalign can be done by just about any dentist.

This blog is brought to you by Lafayette, LA Dentist Drs. Foreman and Thimmesch.