Tag Archives: Smile Makeover

Invisalign

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.

 

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My friend is a dental student. What about going to him for my smile makeover?

We saw a blog post where the person was asking about getting a smile makeover from a dental student. The dental student is her friend, and I think it appealed to this person because of the prospect of saving a lot of money.

Click here to read the post.

The blogger answered the question well, we thought. A lot of people don’t understand that cosmetic dentistry is art, and the culture in dental school is actually, unfortunately, often anti-creativity. And that’s probably how it should be. The first task of a dentist is to learn the technique and in doing so they need to learn standard procedures. They could get into all kinds of trouble by encouraging creativity.

This blog is sponsored by Lafayette dentist Dr. Michael Malone.

Porcelain Veneers

Porcelain Veneers when pregnant

Can you get porcelain veneers when you’re pregnant? I’m five months along.

Alissa M.- Birmingham, AL

Alissa,

Congratulations on your baby! Yes, it is perfectly safe to get porcelain veneers when you are pregnant. The procedure doesn’t require any anesthesia. Even if you needed novocaine, that is a safe drug that has been teste for use during pregnancy (one of the few ones).

I’d get the veneers sooner rather than later, because you don’t want to be in the late, uncomfortable stage of pregnancy, while sitting in the dental chair.

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

Porcelain Veneers

Choosing between Lumineers and porcelain veneers

I’ve been thinking about getting my teeth fixed for a long time, and have started looking into what that will involve. My top middle teeth are poorly shaped, with one being really thin and almost triangular, and one that looks as if it had a big chip out of it, though it hasn’t. My other top teeth are not as noticeably weird, though I think if I get the middle ones done, they will look really bad in comparison.

I haven’t talked to my dentist about this yet, and have just started trying to look stuff up on the internet. There is so much information! I am having a hard time even figuring out what to look for.

As far as I can tell, probably Lumineers or porcelain veneers would work for me. But I read a lot of criticism about Lumineers, and wonder if I should maybe chose porcelain veneers. What would you suggest?

Philip in Louisville, KY

Dear Philip,

For best results, you’ll want to change your thinking a little bit. First, Lumineers are a brand of porcelain veneers, so it is kind of like asking if you should buy a Dell or a laptop. There are many brands of porcelain veneers, and trying to figure out what would work best for you would be both time-consuming and ultimately a little pointless. Rather than focusing on the materials you want for your smile makeover, concentrate your energy on choosing the right dentist.

Cosmetic dentistry is not a legally recognized sub-specialty, so anyone can say they do cosmetic dentistry procedures, regardless of training. Check references and credential carefully, and look for evidence of specialized training beyond dental school in the procedure that you wish to investigate. Look for before and after pictures on the dentist’s website.

Though we do want you to focus on choosing the dentist and letting the dentist choose the materials, we do have a word of caution about Lumineers. Many cosmetic dentists refuse to use them, because they can appear pasty and opaque, and the no-prep technique can result in a bulky look and feel. That being said, some dentists have used them to create really beautiful smile makeovers. The choice will be up to your dentist.

Porcelain Veneers

Porcelain crowns for a smile makeover?

This may seem like it is coming after the fact, but I am curious about something. I recently had a smile makeover done. I thought I was going to have all porcelain veneers placed, but when I look at the backs of my teeth, it looks like the porcelain goes all the way around. Is it normal to place porcelain crowns instead of porcelain veneers for purely cosmetic reasons? I thought crowns were just for teeth that were damaged. I guess the reason this concerns me is that maybe my teeth were in worse shape than I though, if they needed crowns.

I’ve since seen my general dentist, and she seemed very impressed with the work, so I am not concerned about the quality of the workmanship. Is this standard, to have crowns instead of veneers for a cosmetic smile makeover?

Thanks for your insight,

Ben in Oregon

Dear Ben,

Porcelain crowns and veneers differ only in degree–there really is no specific line of demarcation where a veneer becomes a crown. The fee for a porcelain veneer is usually the same or nearly the same as that for a porcelain crown, because the effort to place each type of restoration is about the same.

It is actually quite common to see porcelain crowns used on the front teeth for cosmetic reasons rather than protective ones. If your teeth were not weakened or damaged, your dentist might have decided to go with crowns to control your bite.

It is surprising that the dentist did not discuss this in detail with you during the course of your treatment. Typically, smile makeovers involve a great deal of give and take between the dentist and the patient, because the dentist will want to make absolutely sure he or she knows exactly what the patient wants.

The simplest solution is simply to ask your cosmetic dentist why he decided to go with porcelain crowns rather than veneers. Crowns are the more aggressive form of treatment, and require more reduction of the natural tooth structure. Veneers require only a little bit of shaving on the front of the tooth. For that reason alone, I would expect your dentist to have a sound reasoning for choosing the crowns. Most dentists will always pursue the least aggressive form of treatment and strive to preserve as much of the natural tooth structure as possible.

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Question about Snap-On Smile

Is there some kind of temporary dental appliance that gives the illusion of straighter, whiter teeth? It fits over your teeth like a mouth guard would. What is something like that called? Is it expensive? Does it take a long time to be fitted for such a device, and does it hurt?

Alan in Sacramento

Dear Alan,

The dental apparatus you are referring to is called a “Snap-On Smile”, and it fits snuggly over your existing teeth. Such a device is used sometimes for a big event like a wedding, or by actors in the theater. Though it is not durable, it can improve your smile nicely for a short time. A Snap-On Smile is considered a very temporary smile makeover, and should not be confused with porcelain veneers or crowns.

It probably takes at least two weeks, maybe a little more, to complete the entire process to get a Snap-On Smile. A dentist will make a model of your teeth, which is then sent to a dental lab in New York where the appliances are manufactured. Your Snap-On Smile should be shipped to you about two weeks after the lab receives the model from your dentist.

When you receive your Snap-On Smile, no preparation is necessary for your teeth—the appliance just snaps into place. Expect the appliance to make your teeth look bulkier and larger, and remember that it needs to be cleaned after each time you eat.

We strongly recommend that you consult an expert cosmetic dentist to help you acquire such an appliance. He or she will help you get the best results.