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dentistry

How Long Do Composite Veneers Last?

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I’ve been looking at options for smile makeovers. Most people suggest getting porcelain veneers, but I am just curious about composite veneers. Would they be less expensive? How long will they last?

Carol

Dear Carol,

before and after dental bonding

In most cases, composite bonding is better used for small repairs, like a tooth gap or chipped tooth. The procedure has to be done freehand, which would take much longer in the dental chair than porcelain veneers will. In fact, many dentists will not do a smile makeover with composite resin for that reason. It would end up costing you more because of the tedious nature of the smile development.  On top of that, the composite bonding will only keep their luster a few years before they begin to pick up stains. On the other hand, well-cared for porcelain veneers can last upwards of twenty years.

My suggestion would be to look for an excellent cosmetic dentist. This is not a skill taught in dental school, nor is it a recognized specialty. If a dentist wants to become skilled, they would need to invest in post-doctoral training. It would be easiest for you to just look for an AACD accredited dentist. These dentists have proven skill and artistry. It will keep you from having to investigate the training of each dentist you look at. Any one of them can give you an extraordinary smile makeover.

Let them look at your teeth and talk to them about the look you want. They will be able to determine what procedure can give you the best outcome.

I hope this helps.

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

Does the Dentist Matter If They Outsource Their Porcelain Work?

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I am getting a smile makeover, which will include porcelain veneers on the top arch and some dental bonding for some broken teeth on the bottom arch. I understand that they outsource their porcelain work, so I don’t have to worry about that as much, but the dental bonding is done by the dentist in the office. How do I know if they can do quality bonding work or not?

Billy

Dear Billy,

before and after dental bonding

 

You are correct that dental bonding is tricky and that the dentist really needs to know what he or she is doing. Not only is it done in the office, but it is done freehand. However, be careful about thinking the dentist won’t matter for the porcelain veneers. That is like saying it doesn’t matter what doctor you go to because it is the pharmacist who gives you the medicine. The reality is the pharmacist can only do what is precribed. If the doctor makes the wrong diagnosis and prescribes the wrong medicine, the result will be a disaster even if the pharmacist fills it perfectly.

With porcelain veneers, the cosmetic dentist prescribes the map for the ceramist to follow. He can do the work perfectly according to the dentist’s instructions, but unless the dentist is skilled and artistic the results will be disappointing. So, I would say you will need to find an expert cosmetic dentist for every part of the smile makeover.

How to Find an Expert Cosmetic Dentist

The hands down easiest way to guarantee you will have one of the best cosmetic dentists in the country is to look for a dentist who is AACD accredited. In order for a dentist to reach accreditation with the American Academy of Cosmetic Dentistry. They have to pass oral and written exams as well as have a large number of cases they’re required to do examined in front of a board to ensure they have artistry. You can be assured that they will give you both stunning porcelain veneers and dental bonding. It will be the complete package.

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

Adult with Baby Sized Teeth

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I need to figure out if there is anything I can do to improve the appearance of my teeth. I am a 33-year-old adult with baby-sized teeth. It is very embarrassing to smile. One of the things I am considering is dental bonding to make the babyish teeth look better.  Is that a good solution? Is there a better one?

Lindsey

Dear Lindsey,

before and after dental bonding

While you could use dental bonding for this, there are drawbacks. First, dental bonding does better on tiny repairs, such as a chipped tooth. For larger repairs, such as what you are facing, you will be much better off with porcelain veneers. Compared to your natural enamel, dental bonding is quite soft. It will scratch and stain easily, making it only a short term solution.

Porcelain veneers, on the other hand, are stronger than your enamel when they are bonded to your teeth. They are also much more stain resistant. When well cared for, you can expect them to last a lifetime in many cases.

Who Should Do Your Porcelain Veneers?

It is important you find an expert cosmetic dentist to do this. Cosmetic dentistry is not a recognized specialty so any general dentist can “do” cosmetic dentistry. On top of that, smile makeovers do not get taught in dental school. If they want to learn how to do beautiful cosmetic work, dentists have to invest in post-doctoral training on their own.

So, how will you know which dentists have this training and which do not? The easiest way is to use an AACD accredited dentist. These dentists have passed stringent exams on both their technical skill and their artistry. They are the top cosmetic dentists in the country and any one of them can create a stunning smile for you.

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

Fixing Black Triangles

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My orthodontist did some shaving of my teeth to fit me for a retainer and it has resulted in black triangles. Is there a gum grafting procedure I can do to fix these? My smile looked great before he did the shaving.

Andrew

Dear Andrew,

example of black triangles

Black Triangles

 

I haven’t examined you so cannot tell you if the shaving was necessary or not. It is very likely that your orthodontist is planning on dealing with the black triangles when your procedure is over. If he doesn’t, there is a solution. I would not consider gum grafting. Our gums respond to the position of our teeth. If your teeth are straight, the gums will move back to the open position even after the grafting.

The solution to this when your treatment is done and your teeth are perfectly straight would be to have dental bonding placed in the open spaces on either side of the teeth. Be careful though. I would not expect your average family dentist to be able to do this procedure. Dental bonding is quite tricky and has to be done freehand. You will need an expert cosmetic dentist for this procedure. I would look for someone who is AACD accredited. These are the top cosmetic dentists in the country and will give you a natural looking result that blends perfectly with the rest of your teeth.

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

Should I Get My Veneers Online?

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I have a discolored front tooth. Previously, it was damaged from a fall. My dentist did a composite repair on it. It was okay, but there was some color disparity and a small gap. I want to cover four teeth. I am not as worried about the color difference because the whole surface will be covered. The problem I’m having is the cost. It’s pretty steep. I just saw a company online that does snap-on veneers. I can get a full set for $700. Would that be a better option for me?

Kevin

Dear Kevin,

before and after dental bonding

 

Let’s talk about the composite bonding first. Don’t do it. First, you mentioned your dentist had trouble repairing a chipped tooth. There was a mismatch in color as well as a small gap. I’m not sure if you meant a gap between your two front teeth or a gap between the composite and natural tooth structure. Either way, your dentist has a serious lack of skill. If the gap was between the composite and your natural tooth structure, that can lead to serious decay issues. I would love for you to have a thorough check up before moving forward with this just to ensure there is not any build up of decay in the gap.

If your dentist could not handle a chipped tooth, which should blend completely like the case pictured above, then you certainly do not want him doing large surface areas of your teeth. Plus, composite does not last nearly as long as porcelain veneers. You would have to re-do the work every few years. So, even if you could afford what your dentist is suggesting, say no. If you’re going to get a smile makeover, do it with porcelain veneers. Even then, you will want an expert cosmetic dentist, such as an AACD accredited dentist.

As for the snap-on veneers, the best of these options is made by a company that produces Snap-on Smile. You have to understand its limitations before investing. It is not made of porcelain so will not be as beautiful or natural looking. They are made of acrylic. They are not really designed for smile makeovers and are mostly designed to help people with really bad teeth get through an important event such as a job interview or special evening. They will look okay, not stunning. Because they fit over your teeth, they have the tendency to look a bit bulky too.

If you were going to get Snap-on Smile, I say only do it as a temporary measure while you save up for a true smile makeover with porcelain veneers. Done and cared for well, veneers can last your lifetime.

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

Getting Porcelain Veneers and Crowns to Match

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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,

a porcelain veneer being placed on a tooth

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

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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,

beautiful smile

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.

Best Solution for a Chipped Tooth

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I fell while my son was teaching me to skateboard and chipped one of my teeth. I wanted to just get bonding done to keep everything as minimally invasive as possible. My dentist said that dental bonding does not hold. Instead, she wants to give me a dental crown. I’m hesitant to do that because it is a healthy tooth. Plus, I have another crown and it really doesn’t look very natural. Thankfully, that one is toward the back, but this will be a front tooth. Is there an alternative to these procedures?

Patricia

Dear Patricia,

before and after dental bonding

Before I answer your questions, let me first say that you get the epic mom award. Now, onto why you really wrote. Unless you are an unusual case, dental bonding would be the correct fix for this. It can hold up well when done by an expert cosmetic dentist with the right materials. I think the bigger issue here is your dentist is not comfortable doing dental bonding and is, therefore, trying to steer you in another direction. You are right to be concerned about the dental crown.

Not only is it overly invasive, but it is extremely difficult to match a crown to a single front tooth. If she is not capable of doing dental bonding and your other crown looks fake, I would not let her anywhere near this chipped tooth.

My suggestion is you see an expert cosmetic dentist and let them do the repair. You are better off finding a dentist who has reached accreditation with the American Academy of Cosmetic Dentistry (aacd.com). AACD accredited dentists have to pass arduous examinations as well as have their cosmetic cases evaluated by a board of examiners. Those who reach accreditation are in the top 1-3% of cosmetic dentists in the world.

As a tip, I would recommend you get your teeth whitened before having your dental bonding done. While the bonding can be made to match any color exactly, once it is cured into place, the color cannot be changed. If you decide to whiten your teeth afterward, your natural teeth will whiten, but not your bonding. It will have to be completely re-done. If whitening is on the horizon, getting it done before saves you money.

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

Daughter’s Dental Bonding Is Yellow

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I took my twelve year old daughter to the dentist in order to deal with some discoloration on her two front teeth. We’d decided on dental bonding. When the dentist put it on, it was yellow. I thought that was like a step one, but she declared it done. I told her we really can’t accept my daughter having two yellow front teeth. The dentist did it again. Still yellow. Now she is talking about a porcelain veneer. I thought she’d be too young for this. What do we do? She can’t go around with two yellow front teeth.

Miranda

Dear Miranda,

before and after dental bonding

 

When done right, dental bonding should seamlessly blend in with the rest of your natural teeth. Your dentist is obviously unqualified to do this procedure. These types of cosmetic procedures are not really adequately covered in dental school In order to do them properly, your dentist would have to take significant post-doctoral training. Dental bonding especially is hard because it has to be done freehand along with understanding color theory.

The first thing I would do is ask your dentist for a refund. Even if your daughter were not too young, I doubt this dentist could do porcelain veneers either. What you will need, is an expert cosmetic dentist. The best are accredited with the American Academy of Cosmetic Dentistry (AACD). This is different than just being a member. AACD accredited dentists had to pass stringent exams as well as demonstrate their artistry in a large number of cases to a board of examiners. Those who pass accreditation are in the top 3% of cosmetic dentists in the world.

Schedule an appointment with one of them and he or she will be able to get your daughter’s smile shining beautifully.

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

Dental Bonding Disaster

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A couple of years ago, I had dental bonding done for a chipped tooth with a dentist from another city. This year, I relocated. A few months into the move, the bonding started to have some discoloration. So, I asked my new dentist to fix it. She said she’d need to bond both teeth for it to look right. I thought that was odd because my last dentist did not have to do that, but decided to give her a chance. I wish I hadn’t. The color doesn’t match my teeth at all, there is now a gap between my teeth that wasn’t there before, and now one tooth is longer than the other! I asked her about the gap and she said that is a common issue with bonding. Then I asked her to file down the long tooth, so it could be the same size as its partner. Finally, when I asked about the color, she said natural teeth aren’t all the same color. Her suggestion is that I wait a week and see if I change my mind about its appearance. Then we are supposed to meet again and determine if there is anything I still want her to change. Should I wait and give her a chance to fix this or just ask for a refund. She is nice, but honestly, my smile is worse than it was before.

Cadance

Dear Cadance,

before and after dental bonding

I think you need to ask for the refund and then find another dentist to do the work. Here’s the problem you are facing with this dentist. Cosmetic dentistry is not taught in dental school. She may have learned how to repair teeth, but learning to make them look beautiful and natural is a skill set they have to invest in during a post-doctoral course of study.

Dental bonding in particular is one of the most challenging of the procedures because it has to be done free hand. Additionally, they have to understand all the materials, such as colors, textures, and translucencies, and which ones go together in order to sculpt a true replica of the tooth. I don’t think this skillset is going to magically appear in a week.  In fact, I would not even wait the week. Call the office, tell them you want the refund and start your search for the dentist who can do this right.

Which Dentist Can Do Dental Bonding Well?

My first suggestion is that you look for a dentist who has reached accreditation level with the American Academy of Cosmetic Dentistry. AACD accredited dentists are the top cosmetic dentists in the country. They have the technical knowledge, skill, and artistry to create a beautiful result for you.  It is sometimes hard to find one, depending on where you live, but it will be worth it even if you have to travel to a nearby city or state.

If that proves impossible for you, your second option is to look on the mynewsmile.com website. They recommend excellent cosmetic dentists by zip code and the distance you are willing to travel.  The site is run by an AACD accredited dentist and he personally screens each dentist he recommends. A dentist cannot just pay to be listed on his site. Many are on their way to accreditation, which is a process that takes years.

One other thing I will mention. You may not even need this, but if you’ve been considering teeth whitening, I suggest you do it before having the bonding placed. The color of the bonding will mot respond to whitening agents, only your natural tooth structure will. If you try to do that after, you’ll end up with two different colored teeth.

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