Archives for October 2021

I Can Smell My Husband’s Dental Implants

October 30, 2021 by writeradmin

My husband has received his dental implants for some implant overdentures. Currently, he has temporary acrylic dentures but will be getting porcelain ones soon. The problem is I can smell this awful rubber smell coming from his mouth and I am certain they are his dental implants. I even have to sleep under the blankets with my face to avoid smelling them while we sleep. I would like him to remove them and get some non-metal ones, but his dentist says that the implants are not causing any smell and doesn’t want to remove them. Is there a way to prove it is the implants?

Alison

Dear Alison,

Implant overdentures

I am inclined to agree with your husband’s dentist. The metal used in dental implants is titanium. These are very inert and are unlikely to release any smell. You can even ask the dentist to let you see an implant so you can smell it. You will see it does not give off a smell. Switching out implants is not as simple as just taking some out and putting in some others.

When the implants are removed, they will take bone with them. That bone is necessary in order to retain the new implants. That will mean a second surgery for bone grafting before a third surgery for the new implants. That is a lot to put your husband through unnecessarily.

If there is a smell, the most likely culprit will be food and other bacteria getting caught under his acrylic overdentures. I would try having him use a Waterpik for his flossing. It will help him to get that debris out better and will clear up any smell. Once a week, it wouldn’t hurt to rinse with some peroxide. I wouldn’t do it more than once a week though or it could lead to him getting an oral yeast infection.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Getting Porcelain Veneers and Crowns to Match

October 18, 2021 by writeradmin

I have five porcelain veneers and one dental crown. The problem I am having is getting the crown to match the veneers. Right now the crown is actually whiter than the veneers. I think that happened because he is trying to overcome the dark stub. I’ve seen these match before on other people, so I’m wondering what I can do to help my dentist get this right. I like the guy, so I don’t want to just ask for a refund and go somewhere else.

Anthony

Dear Anthony,

I hope your dentist appreciates your loyalty and willingness to be patient as he learns. To answer your question, yes, there is a way to get this done to where your dental crown matches your porcelain veneers. One of the problems your dentist faces is that cosmetic dentistry isn’t really taught at dental school. they minimize the expertise required to do it well and tell dentists it is easy to learn. All while not teaching them some very basic color theory that will be essential.

There are two ways around this. One is directly with the porcelain at the lab. However, this would require a high level of skill and I am not confident the lab will have the skills. The other is for the dentist to add an opaquer to the tooth before he sends the case off to the lab. This is the way I am going to recommend. Your dentist will shave a little extra layer from the dark part of the tooth. Then, he can directly apply an opaque layer of composite. He will want enough room to create the translucent look with the porcelain that will bond on top of that, so the deeper the layer of opaquer, the more room he will have to do that.

If your dentist has a real interest in cosmetic dentistry, He should invest in some post-doctoral training and work toward becoming accredited with the American Academy of Cosmetic Dentistry. AACD accredited dentists have the skills and training to create stunning smile makeovers and are in the top 3% of cosmetic dentists in the country.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Tooth Dark After a Root Canal Treatment

October 8, 2021 by writeradmin

My left front tooth (central incisor) had a root canal treatment several years ago and has since turned a grayish color. My dentist was suggesting a dental crown for it, but I really would rather be more conservative with the tooth structure. He doesn’t think a porcelain veneer is a good idea and so I am wondering about composite bonding. Would that work? One thing I am worried about is that every time it has to be redone that I will lose more structure. I like my dentist but I’m starting to lose confidence in him. He’s just not interested in keeping this tooth as intact as possible. What would your advice be?

Matthew

Dear Matthew,

I’m glad you wrote. Either a porcelain veneer or some direct dental bonding will be fine, with a catch. You have to be careful who does it. If it is done right you won’t have to worry about losing structure during updates. Let’s start with the direct composite bonding. The benefit to this is the dentist can work with the color right there instead of having to go back and forth with the lab. This will last between three to five years. If well cared for, even longer. My suggestion, if you go with the bonding, is to use Supersmile Toothpaste. It is specifically designed for cosmetic work. The porcelain veneer will last longer, but will cost more.

Now for that catch I mentioned earlier. Matching a single tooth is super advanced. If your dentist is suggesting a dental crown on a healthy tooth, it tells me that he is not comfortable with cosmetic dentistry. I honestly think this is beyond the skills of your family dentist. It doesn’t mean that you have to give him up altogether if you like him. He may be a perfectly respectable general dentist. Many cosmetic patients go to one dentist for their general work and another for their specialized cosmetic work.

To match a front tooth, I would only go to an AACD accredited dentist. They are the top 3% of dentists in the country. These are the only dentists I would trust with such a difficult procedure.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Do they Do Crowns for Smile Makeovers?

October 1, 2021 by writeradmin

I am a little confused about my smile makeover. I thought I was getting porcelain veneers, but when it was done, they seem to cover the whole tooth, not just the front. Is this normal for porcelain veneers? Should I be concerned?

Penny

Dear Penny,

You are correct that porcelain veneers just cover the front of the tooth. If yours are going all the way around your tooth, then that means you were given porcelain crowns. Every once in a while, in the midst of preparing a smile makeover, a dentist may notice a tooth that has an issue and needs a crown instead of a veneer, but your dentist should have discussed this with you before going forward.

Preparing a tooth for a crown is much more aggressive than for veneers. It also weakens your teeth and puts them at a greater risk of breaking further on down the line. I would talk to your dentist and ask him the reasoning behind doing crowns? It was unethical to make the change or misrepresent what he provided you.

The thing to ask at this point is how your feel about the look of your smile makeover. Crowns or veneers, are you in love with the smile? If so, I wouldn’t ask for a refund. however, I will tell him you are concerned about the weakening of the teeth and ask him to take some responsibility if a tooth breaks as a result.

If, however, you are not pleased with the smile makeover, you are within your rights to ask for a refund. Then, I would like you to get this re-done by a skilled cosmetic dentist. In your place, I would look for an AACD accredited cosmetic dentist to redo your makeover.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.