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dentistry

Ugly Porcelain Veneers

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My girlfriend has what I think is a pretty smile but she’s always been uncomfortable with it. I understand it’s not perfect, but I like it. However, she’s determined to get porcelain veneers. Here is my concern. My sister got these several years ago and I actually thought her smile looked worse after the procedure. While they were whiter, they were so bulky to me it looked like she had horse teeth. I mentioned this to my girlfriend and she just shrugged her shoulders and said my sister probably had a bad dentist and we’ll need to do some research. How do we find the dentist that can give her the beautiful smile she wants?

Kevin

Dear Kevin,

a porcelain veneer being placed on a tooth

It is so refreshing to see a young man caring about his girlfriend. What I love the most about this is you’ve tried to make her feel good about her natural smile and haven’t pressured her to “improve it”. You’ve also recognized that she has to feel as good about her smile as you do. This may mean some cosmetic dental work, but she’ll be happier with her smile, which in turn will make her more confident.

Let’s talk about your sister’s case first. Your girlfriend is correct that an ugly cosmetic case has more to do with the dentist than the procedure. However, I feel there is a combo effect going on with your sister’s case. You mentioned they looked bulky and described them as horse teeth. This is a fairly common complaint with a brand of porcelain veneers known as Lumineers. One of the reasons for this is they are typically marketed to inexperienced cosmetic dentists as being easy to place because they don’t need the tooth to be prepared, as they are thinner than some other brands.

However, as you saw with your sister’s smile makeover, this doesn’t always work out as advertised. Yet, the dentist doing the case doesn’t have enough training to know when or why the teeth need preparation.

Finding an Expert Cosmetic Dentist

Porcelain veneers can look stunning. Celebrities know that as it is their go-to procedures. However, one of the problems patients face is there isn’t a recognized specialty in cosmetic dentistry which allows patients to know who has had the training and who hasn’t. Any general dentist can call themselves a cosmetic dentist regardless of the amount or quality of the training they’ve received.

To makes things even harder, doing smile makeovers isn’t taught in general dentist school. That means to get really good at it, dentists have to invest time and money in post-doctoral training.

One thing I suggest to patients looking for a great smile makeover is to go to an AACD accredited dentist. These cosmetic dentists are proven for both their technical knowledge and their artistry. In fact, they make up the top 1% of cosmetic dentists in the country because the accreditation process is such a high achievement, requiring the dentists to pass rigorous oral and written exams as well as provide visual evidence for a large number of cosmetic cases they have done proving their technique and artistry.

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

Malpractice Smile Makeover

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I feel like I’ve ruined my mouth and my hard-working husband’s finances. I had some chipped teeth and some other minor issues with my smile. I asked my dentist about possible fixes and she suggested I get a smile makeover with porcelain veneers. She said it is what the celebrities use to get their gorgeous smiles. My husband and I discussed it as it was a big chunk of change and decided to go ahead with it. I’ve regretted this decision ever since. I’m about to move and running out of time to get this fixed. Here are my problems:

1. The teeth (eight of them) were ground down to nubs. Disgusting little yellow nubs. This wouldn’t be such a big deal if it weren’t for the second problem.
2. They don’t stay on. In the course of this year, they have fallen off eleven times. One of them over a major holiday when I couldn’t get in to get them fixed. The humiliation of having those tiny, yellow nubs was almost unbearable.
3. She says I’m being too rough on them, but one of them fell out while I was eating pasta. How is that too hard?

Please tell me a way to get this to work. I’m worried after we move no one will help because it is another dentist’s problem.

Katy

Dear Katy,

I have to express how sorry I am for what has been done to you as well as the anguish you’re going through. It shouldn’t have happened. The good news is you have a pretty solid case for malpractice. Additionally, this can be fixed. The bad news is she has misled you and done some things which will affect the repair as well as how your teeth function for the remainder of your life.

Porcelain Veneers verss Porcelain Crowns

Based on your description, your dentist gave you porcelain crowns, not the veneers she said she would. I know that based on your description of the teeth being ground down to nubs. Look at the two pictures below:

tooth preparation for porcelain veneers

This is what teeth look like when being prepped for porcelain veneers. There is minor removal of tooth enamel, around the width of a fingernail. This is not what you described.

tooth preparation for a porcelain crown

This is closer to what you described and is the preparation for a porcelain crown. Yours may even be more aggressive than this. Here’s where she has done some permanent damage. We don’t currently have the ability to regrow tooth enamel. Because of that, even when this is repaired properly, you will always have to have porcelain crowns instead of the porcelain veneers you were told you were getting.

Here’s where some “good” news kicks in. First, she lied. You were told you were getting porcelain veneers, which incidentally is the go-to procedure for Hollywood celebrities, but instead received dental crowns.

Second, she’s had gross incompetence in her handling of the dental crowns. While smile makeovers, including the procedure of porcelain veneers, isn’t taught in general dental school and therefore isn’t a required knowledge for dentists, dental crowns are a staple. They should NOT be coming off at all, let alone as much as you’ve had them come off.

Her blaming you is unacceptable. You could have been eating steak and apples every day and your dental crowns should have stayed in place.

Getting this Fixed

She needs to pay to have this done correctly. I don’t want you just getting a refund, because it is very likely going to cost more than your original price. You can let her know up front what you want, but don’t get them fixed until you move. I want you under the care of a long-term provider for you.

After you get to your new location. I want you to look on the website for the American Academy of Cosmetic Dentistry (aacd.com) for an AACD accredited dentist. This is different from just being a member, so make sure you check the accredited dentist option. Accredited dentists are in the top of the cosmetic field and will give you a stunning smile.

If your current dentist refuses to make this right and you have to go to court, make sure to ask for additional money because giving you crowns instead of veneers has damaged your teeth and changed your care for the remainder of your life. I think her malpractice insurance will tell her to pay up quick, because if it ends up in court, you will likely get a substantial amount.

Again, I’m sorry this has happened to you. I don’t like dentists who give our practice a bad name either through incompetence or lack of ethics.

Keep your chin up. You will soon have a smile you will be proud of.
This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

What If You Don’t Like Your Smile Makeover?

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I wanted a smile makeover. I asked my dentist if he was a cosmetic dentist and he said no one is actually a cosmetic dentist they’re just dentists who did cosmetic work. He then asked what procedure I wanted. When I told him a smile makeover he told me that he could give me Lumineers. He showed me before and after pictures that looked good. When my porcelain veneers were first placed. I didn’t like them. I could tell that before they even put them on. They weren’t the right color. I told him that and he sent them back. When they came in the next time, I had a hard time seeing them on my teeth because they kept falling out. He assured me they could make adjustments after they were bonded on. It turned out that isn’t true. When I finally got a good look at them at home, I was super disappointed. First, they were whiter, but it had a chalky flat looking white, not a shiny one I was hoping for. Second, they are way bulkier than natural teeth. It was shortly after this that the quarantine started and his office closed. I called and left a message, but he hasn’t gotten back with me. I don’t know if that’s because his office is closed or he’s ignoring me. I’m hoping to get this fixed, but what if he’s actually just avoiding me?  The answering machine does say they’re checking messages and will get back with us, but he hasn’t.

Carol

Dear Carol,

A single porcelain veneer being placed on a tooth.

While technically your dentist is correct, there isn’t a recognized specialty in cosmetic dentistry, that doesn’t mean some cosmetic dentists aren’t more qualified than others. Doing smile makeovers aren’t taught in dental school. It is up to the dentist to invest the time and money into learning them well.  It doesn’t sound like your dentist has done that based on what you’ve described.

Problem One

The first thing that caught my attention was his recommendation of Lumineers. This is a brand of porcelain veneers that is highly marketed, especially to inexperienced cosmetic dentists as being easy to place. They say that because they are considered easy to place as they are an ultra-thin and don’t necessarily require any tooth preparation. However, they have two big problems working against them.

The initial problem is the inexperience of the dentist. Some smiles will look fine without tooth prep. Others will look bulky. A second big issue with Lumineers is their lab. Unlike other brands of porcelain veneers, the company that produces Lumineers require dentists to use their lab, which isn’t known for its high-quality work. In fact, many expert cosmetic dentists would consider it sub-par.

I know your dentist showed you before and after pictures, but did he say they were HIS before and after pictures. They may have been stock photos.

Problem Two

A second big problem I noticed is that your dentist either doesn’t know or doesn’t care about temporary try-in paste. If he didn’t know, he has done practically zero training with cosmetic work. If it is, instead, that he doesn’t care, then he is definitely NOT a dentist you would want working on your smile. So you’ll be aware for next time, a temporary try-in paste allows you to get a good look at your porcelain veneers on your teeth for an extended period of time, without them having to be permanently bonded.

Problem Three

Finally, he told you he could make adjustments after they were bonded on. Cosmetic Dentistry 101 teaches you that is not possible. Again an indication he either doesn’t know he’s doing or he doesn’t care. The good news is this last issue works in your favor. He told you something that absolutely wasn’t true. I think this can help you get a refund.

So, once you’ve got that juicy refund in your hand, who should you go to in order to have a beautiful smile crafted for you? Ideally, you’d get an AACD accredited cosmetic dentist. They are at the top 1% of their field. If that isn’t possible, my next recommendation is you go to the website mynewsmile.com. They recommend expert cosmetic dentists in every area. A dentist cannot just pay to be listed. They have to provide their cosmetic dentistry training as well as visual evidence with before and after pictures of cases they’ve done themselves in order to prove their artistry. Any one of the dentists listed there can create a stunning smile for you. Many of them are on their way to accreditation, which is a process that can take many years.

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

Help! I Look Like Jim Carrey!

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This quarantine has almost destroyed me. First, I tried to cut my own bangs which were almost down to the tip of my nose. Then, the other night I had WAY too much to drink and tripped, which resulted in chipping my front tooth. I seriously look like Jim Carrey in Dumb and Dumber. Help! My dentist still isn’t open but tell me there is a solution for this once he is. For now, I’m just going to hide indoors and ignore the doorbell. No one can see me like this.

Stephanie

Dear Stephanie,

Jim Carrey in Dumb and Dumber

Jim Carry in Dumb and Dumber

For the benefit of those who may not know Jim Carrey or the role he played in Dumb and Dumber, I’ve posted a picture above. Don’t feel too bad. This quarantine has been hard on us all. There are more than a few bad haircuts in the grocery stores these days. You’re also not the only one to hit the wine bottle either.

While a dentist can’t do anything about the cereal bowl haircut, you can certainly get that tooth repaired. The first thing the dentist will want to do is make sure there is no underlying damage to the pulp of the tooth from the trauma. If everything is okay there, the standard repair for a chipped tooth is dental bonding. This uses a composite resin that the dentist will sculpt on your tooth to make the tooth whole again. This is done freehand, so you don’t want your average dentist to do it. Dental bonding takes experience and artistry to make it look natural.

Finding an Expert Cosmetic Dentist

before and after dental bonding to repair a chipped tooth

Your family dentist may also be an expert dentist. Just make sure before having him work on your tooth. The top cosmetic dentists are AACD accredited. This means they have passed stringent exams on the technical knowledge and procedural process in cosmetic work. In addition to that, they also had to submit visual evidence of a substantial number of cases they’ve personally done to be examined by a board of experts for the quality and beauty of their work. Any dentist who reaches accreditation is in the top 1% of cosmetic dentists in the country.

What if Your Dentist Isn’t Accredited?

Just because your dentist isn’t accredited, doesn’t mean he can’t do beautiful work. This is a process which takes many years and there are some artistic dentists out there who are still in that process. I would first look to see if he is listed on the mynewsmile.com website. If not, then your next step would be to ask for before and after images of dental bonding cases he’s personally done. Don’t settle for stock photos. If you are not absolutely thrilled with the results, don’ t let him near your smile.

Expert cosmetic dentists are used to having patients come to them just for the one procedure and then staying with their family dentist when that is through. There is no shame in that. He’ll understand and your dentist should understand as well.

I hope this helps. Try to keep away from the booze for a while, you don’t want to end up needing dental implants. Hopefully, this whole Coronavirus mess will be over with soon. I know dentists are ready to get back to work!

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

Why Is there Too Much Shine on My Porcelain Veneers?

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I don’t know why, but my porcelain veneers have so much shine on them, they look fake. My dentist disagrees and thinks they are beautiful. He says it is because of the whiteness I wanted that they are so shiny. I did ask for very white porcelain veneers. But, I don’t understand the brightness. I have seen other white veneers and, while they shine, they still look natural. Mine look like shiny pieces of chicklet gum.

Tanya

Dear Tanya,

It simultaneously amuses and annoys me when a dentist puts the problem off on the patient, like it was their fault he didn’t produce a nice result. While I wish I had an image of your smile to be certain, I do have a sneaking suspicion of what is going on here.

It takes an expert cosmetic dentist to get porcelain veneers to look natural. Unfortunately, cosmetic dentistry isn’t recognized specialty so any general dentist can call themselves a cosmetic dentist. Even more unfortunate, smile makeovers aren’t taught in dental school. This means if a dentist wants to know how to create beautiful, natural looking smiles, they have to invest in post-doctoral training.

I want you to look at the picture below. Notice how the teeth have texture to them. If that texture isn’t added, the porcelain veneers will look flat, giving it an overly shiny appearance.

image of a smile after a smile makeover

The texture in the teeth needs to be varied as well. Plus, younger smiles have more texture because as we age, parts of that texture wears down. Believe it or not, one of the teeth in the image above is actually a dental crown. This is the kind of work a true cosmetic dentist does.

One thing I want to know is if your dentist bonded them on before or after you told him you didn’t like them. True cosmetic dentists will put your porcelain veneers in with a temporary try-in paste. They’ll have you look at them in various lights and make sure you absolutely love them. If you don’t, they’d go back to the lab.

If your dentist bonded them on and then you said you didn’t like them, you may not have much recourse. However, you could appeal to his ethics. You paid for a beautiful smile and should get one. If you got to try them on and told him you didn’t like them and he bonded them on anyway, then he didn’t have consent and you have the right to a refund. Ask for one.

Then, I would go to an AACD accredited dentist to get your smile makeover done. These dentists have proved their knowledge, skill, and artistry. In order to become accredited, a dentist has to pass stringent exams and turn in visual evidence on a large number of cases they’ve done.

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

Her Dentist told Her to Expect Her Porcelain Veneers to Fall Off!

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I just had six porcelain veneers placed on my teeth and, as I was leaving, the dentist told me to expect them to fall off every few months. I knew up front that I would no longer be able to eat crunchy foods, such as apples or nuts, but I really thought they’d stay on other than that. Do you know if I’m expected to pay for the rebonding every time?

Caitlin

Dear Caitlin,

a porcelain veneer being placed on a tooth

I’m astounded at what I’m hearing! First, let me start off by saying that one of the problems you are facing has to do with the fact that cosmetic dentistry isn’t a recognized specialty. This makes the standard of care a very low bar. It wouldn’t matter if they looked awful, as long as they were functional. That is actually the basis for a large number of cosmetic dentistry horror stories. They pay a fortune for a smile makeover and end up with a smile that looks worse.

The good news, though, is that your porcelain veneers falling off is NOT functional. It’s a basic standard of care. If your porcelain veneers fall off even once, go back and demand a refund. In fact, he should not have put eating restrictions on you at all. There are very few restrictions when it comes to porcelain veneers, such as not biting metal and wearing a nightguard if you are a teeth grinder. In your place, I’d go ahead and test the veneers by eating an apple the next time you feel like it. If they’re going to come off and need to be replaced (by a different dentist this time), it is better for you to know sooner rather than later. This way you can get a functional smile and not live in fear.

Finding an Expert Cosmetic Dentist

Without there being a recognized specialty in cosmetic dentistry, any general dentist can call themselves a cosmetic dentist. Unfortunately, creating beautiful smile makeovers isn’t taught in general dental school. Instead, a dentist has to invest in a significant amount of post-doctoral training as well as have an artistic eye.

It’s almost impossible for patients to know which dentists have done this and are truly qualified and which haven’t, essentially turning your trip to the cosmetic dentist into a gamble. The American Academy of Cosmetic Dentistry recognized this issue. As a result, they started an accreditation program. To become AACD accredited, dentists have to pass stringent exams that prove their technical knowledge of the procedures. Additionally, they’re required to submit a large number of specific cases they’ve personally done to show they can not only implement their technical knowledge but have the artistry required to create beautiful smiles.

If I were getting a smile makeover, I’d want an AACD accredited dentist to do it. When your porcelain veneers fail, and it sounds like your dentist is sadly confident they will, that is what you should look for in the dentist that will replace them.

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

Dentist Won’t Match Implant Crown

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I have had the dental crown placed on my implant three different times and none of them matched the adjacent teeth. My dentist said I’m being too picky and my tooth color is between A1 and A2 and I will never be satisfied. She’s refusing to do it again. I hinted I will try somewhere else and she said that puts my dental implant in danger of coming loose because she’s already removed the crown two other times. Now I’m worried. Am I stuck with mismatched teeth? I don’t want to risk the implant itself. Could I just whiten everything, crown included?

MaryAnne

Dear MaryAnne,

Using teeth whitening won’t help in this case. It will whiten your natural teeth, but the crown will stay the same shade, making the differences even more obvious. I’m very sorry that your dentist is treating you this way. She seems to be transferring her inability to match the crown for your dental implant to you. This isn’t your fault. Based on what you said, there are probably two problems going on with this. My first guess is this is a front tooth she’s trying to match. Those are trickier than others. Even top cosmetic dentists will do several try-ins before getting an exact match.

Notice I said try-in. There are temporary try-in pastes which allow you and the dentist to see what the dental crown will look like in place without using the permanent bonding materials that require her to grind your crown off every time you request a change. These are inexpensive. There are usually only two reasons a dentist doesn’t carry them. The first would be they don’t care what you think and will only look at it themselves. The second is they don’t know about it because they have not invested in cosmetic training, which has to be done in a post-doctoral setting. I believe your dentist falls into this latter category.

This leads me to her second problem. She’s just going by the standard Vita shade guides and expecting your tooth to be a perfect match. But, your teeth are between an A1 and A2. For back teeth, her method would work fine. However, a front tooth gets all the light when we smile, which shows the color and variations in striking clarity. The standard shade guide isn’t enough.

diagram of a dental color map This is an example of a color map a cosmetic dentist will send to the ceramist. Yes, it will have the basic shade, but there are also instructions for different tints to go in a variety of sections on the tooth, which changes the visual perception of the color. Our natural teeth aren’t one flat color. There are differences in opacity throughout the tooth. This is how you get a tooth to look natural and perfectly match its neighbor.

The truth is your dentist is in over her head. Ask for a partial refund and go elsewhere to get it done. See if you have an AACD accredited dentist in your state. They’re at the top of their field.

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

Getting a Smile Makeover Through Yelp?

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I’m having trouble deciding on which cosmetic dentist to use for my smile makeover. I’m looking at the top three recommended in Yelp. I was thinking of doing composite bonding because it is cheaper, but I can’t tell which of them would be better for that over porcelain veneers. Any advice?

Hannah

Dear Hannah,

Brunette with a beautiful smile

AACD accredited dentists are in the top 1% in the country.

I’m glad you are writing. I think I can save you a lot of grief and wasted money. Let’s start with the way you’re going about finding the dentist you want to do your smile makeover. While Yelp is a great resource for many things, I don’t think its algorithms are going to be useful in this case.

They make their recommendations based on reviews. However, they don’t really make a distinction on what type of dental work is done. For instance, if you were to look at many of the reviews of those dentists, how many are based on their work doing smile makeovers? Most are likely just about how friendly the office is or some of the general dental work they’ve had done.

I’ll discuss how to get the best cosmetic dentist for your smile makeover in a moment. Before we do that I want to talk about the two procedures you were considering. You won’t find many great cosmetic dentists who will do a complete smile makeover with composite bonding. It actually takes significantly longer to do it with composite than porcelain and get it to look beautiful. Because of that, they’d actually end up having to charge you more. Plus, composite doesn’t last nearly as long as porcelain, so your investment isn’t as durable. Dental bonding is best done with small areas, such as repairing a chipped tooth or closing a tooth gap.

If you’re going to invest in a new smile and want it both beautiful and durable, then porcelain veneers would be the better investment for you.

Finding a Cosmetic Dentist for Your Smile Makeover

There isn’t a recognized specialty in cosmetic dentistry, nor is doing smile makeovers taught in dental school. That leaves patients in a bit of a quandary. Because of that, the American Academy of Cosmetic Dentistry began an accreditation program. Dentists who pursue accreditation have to pass exams demonstrating their technical knowledge. They also have to demonstrate their artistry by presenting visual evidence of a large number of cases they’ve done. Those are examined carefully to ensure they meet the highest standards. Only then will they be accredited.

If I were getting a smile makeover, I would look for an AACD accredited dentist.

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

Can Porcelain Veneers be Re-done?

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I had four porcelain veneers placed. When he did the temporary ones, they were too long. I asked them the make sure they were a little shorter. However, they ended up too short. I wish I had gotten to see them the second time before they bonded them on. Plus, the two lateral incisors are different shapes, which looks weird to me. Is it possible to re-do porcelain veneers? Is it hard to do?

Caitlyn

Dear Caitlyn,

a porcelain veneer being placed on a tooth

Yes, it is possible to have your porcelain veneers re-done. It’s hard on your dentist, but if you are paying for a beautiful smile makeover, that is what you should get. One word of warning, though. Technically, if the porcelain veneers are functional he doesn’t have to replace them, so be nice about it (not that I think you won’t).

It seems like your dentist is likely a decent family dentist but he doesn’t do a lot of cosmetic work. A true cosmetic dentist would never bond on y our porcelain veneers until you had a good look at them and approved. There is a temporary try-in paste he can use.

I agree that your lateral incisors shouldn’t be two different shapes. You don’t want them to be exactly the same, but you also don’t want them different enough to be distracting.

If he gives you trouble about re-doing them, one thing which may help is to see an expert cosmetic dentist for a second opinion. If he agrees they need to be replaced it will put some pressure on your dentist. He won’t want to look unskilled to a peer.

Finding an Expert Cosmetic Dentist

Because there isn’t a recognized specialty in cosmetic dentistry, it is hard for patients to know who has the skills to create beautiful smiles and who doesn’t. The American Academy of Cosmetic Dentistry recognized that and started an accreditation program.

In order for a dentist to get accredited, they have to pass exams that demonstrate their technical knowledge as well as demonstrate their artistry by providing visual evidence of a large number of specific cases they’ve done.

If there is an AACD accredited dentist near you, that is who I would get to help you if your dentist doesn’t want to fix the veneers.

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

Dentist Gave Me a “Wallace & Grommit” Smile

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I have a disastrous smile makeover. The closest way I can describe it is he’s given me a Wallace & Grommit smile. My front teeth are way too big and make it hard to even close my mouth all the way! He also provided a few mini implants for missing teeth in the back of my mouth. What do I do? It is so bad that my friends ask me if they made my dentures too big. I don’t have dentures! That’s how ridiculous I look. My dentist thinks it is fine. What do you recommend?

Monica

Dear Monica,

Image of Wallace & Grommit

I’m sorry this has happened to you. I’ve put a photo of Wallace & Grommit here for the sake of those who may be unfamiliar with the reference. I’m afraid we hear about these smile makeover disasters way too often. Most of the problem stems from dentists who are inexperienced in cosmetic work. While cosmetic dentistry isn’t a recognized specialty, it does require specialized training. Smile makeovers aren’t taught in dental school, so they have to invest the time and training to study the skills in a post-doctoral setting. Not all dentists have invested in the necessary training or could just be he’s just started out. We have all had our first few cases.

Generally, if the problem with your case is simply it doesn’t look good, you don’t have much recourse. You could appeal to the dentist’s sense of integrity in his work or get another cosmetic dentist on your side to appeal to the dentist’s sense of peer respect. Another option is to threaten to write a bad review.

That being said, you are in a better position. Your mouth doesn’t close. This causes serious problems to your dental health and would not be considered a clinically sound case. When your mouth doesn’t close, it leads to dry mouth. This means you are not producing enough saliva. Our saliva is a key factor in preventing cavities. It contains minerals and other properties that help fight the bacteria in our mouths. People with dry mouth suffer from decay and gum disease and a much higher rate than normal.

Getting Your Smile Makeover Fixed

Frankly, your case needs to be redone. This is actually good news for you. I don’t want your current dentist doing the work. I’m concerned about what I”m hearing from you. You need a better cosmetic dentist. So, before you ask for your refund, I want you to see a better cosmetic dentist, preferably an AACD accredited dentist. While you are there, ask them to look at your implants too. I don’t like hearing he put mini implants in. While they are fine to help with securing a denture, they are not a good option for a single dental crown. For that, you would need a full-sized dental implant.

If your second opinion dentist thinks they are fine, then you can simply get a refund on the other work. If he thinks you’ve had the wrong tooth replacement then you will want to get a refund on both. Plus, have him pay the additional cost of the bone grafting which would be necessary to do the replacement.

You then have your second opinion dentist do the work or get another dentist.

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

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