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Cosmetic and
restorative
dentistry

Will These CEREC Veneers Look Good?

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I am going to a new dentist because of a job relocation. Before moving, I’d been saving up for porcelain veneers and now have the sufficient funds. However, my new dentist wants to do CEREC veneers which are 1.5mm thick. I’m worried that is too thick and he doesn’t have any before and after pictures to show me of cases he’s done in the past. My last dentist had something called a smile gallery. Should I be worried?

Elaine

Dear Elaine,

A woman smiling with a beauttiful smile

The most important factor in a smile makeover is the skill of the cosmetic dentist.

The materials and thickness of any smile makeover are not nearly as important as having the right cosmetic dentist do the work. Of course, a great dentist will choose the best materials, but it is their skill and artistry which matters. Doing smile makeovers are not taught in dental school. Instead, a dentist interested in doing cosmetic work must invest in post-doctoral training.

I’m a little concerned about the fact this dentist does not have any visual evidence for you. Any dentist who wants to be taken seriously as a cosmetic dentist will have what is known as a smile gallery. This should show before and after pictures of various cosmetic procedures which they have done.

Can CEREC Veneers be Beautiful?

You can get a beautiful smile with CEREC veneers as opposed to porcelain veneers, however, it is more challenging. I would say only about 1-2% of cosmetic dentists could do it well. Some dentists try to do this to save on fees with a ceramist which isn’t a great reason.

So how would you know if your dentist can pull this off before investing all your hard-earned (and saved) money? There are two great resources to tell you about skilled cosmetic dentists. The first is aacd.com. This is the website for the American Academy of Cosmetic Dentistry. They offer an accreditation program. In order for dentists to get accredited, they have to pass stringent exams as well as provide visual evidence of their artistry with a large number of specific cases. AACD accredited dentists are in the top 1-2% of cosmetic dentists in the world. When you use their search feature, make sure you check the box for an accredited dentist.

Your second resource is mynewsmile.com. They don’t allow dentists to just pay to be listed. Instead, they check their educational qualifications for cosmetic work as well as require evidence of cases they’ve done to ensure they have an artistic eye. Many of their listed dentists are either accredited or on their way to accreditation. Any of them can create a beautiful smile for you.

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

Smile Makeover During Pregnancy

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I was planning on getting a smile makeover but just found out I’m pregnant. Can I go through with it or do I need to wait?

Avery

Dear Avery,

A woman smiling with a beauttiful smile

Congratulations on your upcoming blessing. Babies are the best. Whether or not you can go forward with treatment depends on a couple of things. The first is what procedures you were planning. The second is whether or not you’re in a high-risk category in your pregnancy.

Let’s start with the procedures.

Teeth Whitening

Getting your teeth whitened hasn’t been officially cleared for pregnant women. It’s not because there is evidence of it doing harm to the baby, it is because we’ve had no tests to say it doesn’t do harm. As you can imagine, there aren’t a lot of women lining up to have their unborn child be a test subject.

I’m sure you can find a dentist to do it for you. Just make sure you understand the risks. By that I mean we don’t yet know the risks.

Invisalign

These are clear aligners you wear over your teeth to straighten them. It’s perfectly safe to use during pregnancy. However, if you are prone to morning sickness and vomiting, you may find this an inconvenient time to straighten your teeth. The aligners have to be worn almost full-time, with the obvious time exceptions being during meals.

Vomiting will mean thoroughly cleaning out the aligners so you don’t get stuck with anything acidic in them. This will lead to massive decay.

Porcelain Veneers

Porcelain veneers are a safe procedure, even during pregnancy. The only chemical used would be the Lidocaine which is used for numbing during tooth preparation. Lidocaine is one of the medicines which has been FDA approved as safe to use during pregnancy. It’s even sometimes used during the delivery process.

The only cautionary tale I’d offer here is to make sure you see an expert cosmetic dentist or you will be disappointed with your smile makeover results.

All that being said, if you are in a high-risk pregnancy group, you’ll need to scrap everything I just said and talk to your obstetrician and get clearance on everything first. There will likely be special considerations.

Best of luck to you and your baby.

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

Do I Have to See an Accredited Cosmetic Dentist?

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I’m thinking of getting a smile makeover and research says it is important to go to an accredited cosmetic dentist. There doesn’t seem to be any in my area. To get a beautiful smile, do I have to see an accredited dentist?

Mercy

Dear Mercy,

Brunette with a beautiful smile

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

For a dentist to reach accreditation with the American Academy of Cosmetic Dentistry, they have to pass both technical and clinical exams. The technical exam is to ensure they have the requisite knowledge to do the job skillfully. The clinical exams show they also have the artistry to create stunning smiles.

AACD accredited dentists are in the top 1% of cosmetic dentists in the country. However, there is no regulation to compel a dentist to seek accreditation in order to provide cosmetic work. In fact, there are no regulations necessary for a dentist to call him (or her)self a cosmetic dentist.

Getting a Beautiful Smile Makeover

While you don’t have to see an AACD accredited dentist to get a beautiful smile makeover, you do have to make sure the dentist has the expertise to do the work properly and with artistry. If you don’t have an accredited dentist in your area, you still have an additional resource where you can trust the dentists to know what they’re doing.

The mynewsmile.com website also screens cosmetic dentists. They won’t list them unless they have done post-doctoral studies in smile makeovers at a reputable institution and provided visual evidence of their artistic abilities. Some of these dentists are accredited. Some are on their way to accreditation. Some aren’t interested in going through the process. All of them can give you a stunning smile.

You may already know that the top of the line procedure for a smile makeover is to get porcelain veneers. It is not recommended to place them over dental crowns, so if you have those on any teeth, you will still have to have a crown. A good cosmetic dentist is skilled enough to match your crowns to your veneers. If they’re on visible teeth, they will give you an all-porcelain crown. Those are more natural-looking.

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

Cosmetic Dentistry Malpractice

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Can you advise me? I spent a small fortune to get my smile updated. I’d had some cosmetic bonding on my front teeth which was showing its age along with a dental bridge. I went to a dentist who advertises as specializing in cosmetic work. He replaced the metal bridge and then planned crowns on the remainder of the visible front teeth. When they put in the temporaries, they told me they wanted to be certain I’d like them. I’d brought them a very specific smile design I wanted so I was glad to hear them say that. Unfortunately, it proved not to be true. When the permanent ones came in they weren’t the same color. I mentioned that and they said they’ll look different in my mouth. They didn’t. I told them, they still looked dull. Then they said it was because I see them differently in this light. Which, by the way, was the same light I saw the temporaries. When we got in a different light I noticed, they didn’t match the metal bridge. Their response, was, “Of course they don’t. The bridge is metal.” Then they bonded them in even though I wasn’t happy with them and said I’d get used to them and love them. I don’t. I don’t know what to do. My teeth are not what I wanted and don’t match.

Patricia

Dear Patricia,

A woman smiling with a beauttiful smile

When you get a smile makeover, you should be thrilled to share your new smile.

You have a great case to have this re-done by a dentist who actually knows what they’re doing, but you are going to have to be tough. This dentist behaved quite unethically based on what you’ve said and I don’t think he cares whether you like your smile or not.

Aside from shoddy cosmetic work, they violated a very important principle of dental practice, which is informed consent. You did not consent to them bonding in your new smile. In fact, they badgered you into it by trying to make you feel unreasonable. This was after they promised you that you’d get to approve the smile and love it first.

Dealing with Shoddy Smile Makeovers

Because they didn’t have your consent, you have the right to have this done again. However, I wouldn’t trust this dentist to do it. Instead, have them pay for an excellent cosmetic dentist to re-do your work properly. You may have to involve a lawyer, but you’re on solid ground.

It’s unfortunate he ground all those teeth down for dental crowns. Porcelain veneers would have been a better option for you and is much more conservative on your tooth structure. Seeing as you had crowns done (through no fault of your own) you will have to have crowns done again.

This time, get them done by someone who’s invested time and training in cosmetic dentistry (which by the way isn’t a recognized specialty). In your place, I’d go to mynewsmile.com and see which dentists they recommend in your area. Anyone on their list will give you a stunning smile makeover you’ll be proud to show off.

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

Best Dentist for a Recovered Bulimic

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I’m looking for a dentist for my daughter. She’s a recovered bulimic. I’m super proud of all the steps she’s taken to get a healthy mindset again. She’s been out of recovery for six months and has done spectacularly. I thought it was time to reward her new habits with a smile makeover. When she was purging it did tremendous damage to her teeth. I want her smile to reflect her beautiful spirit. I am just not sure how to find the right dentist for this type of situation. Any advice?

Kaylee,

Dear Kaylee,

A woman smiling with a beauttiful smile

It is great that your daughter has such wonderful support from you. That will help her go far for the remainder of her life. It’s also great you are doing some research ahead of time. I can’t tell you how many cosmetic dentistry horror stories there are of patients who went to an inexperienced cosmetic dentist. This would be the last thing your daughter needs.

Most cosmetic dentists have experience with bulimic patients. They are sensitive to how they’re affected by their smile and will not be judgmental, which is important. Equally important is their skill in creating beautiful smiles. Sometimes porcelain veneers are sufficient, but depending on the severity of the damage, she may need some dental crowns as well.

Because of that, you’ll want a dentist who understands not only how to create beauty but knows how her bite should come together if a lot of crowns are necessary.

Finding the Best Cosmetic Dentist

There isn’t a recognized specialty in cosmetic dentistry. This leaves patients in the quandary of figuring out who is skilled and artistic and who isn’t. The American Academy of Cosmetic Dentistry recognized that issue and started an accreditation program to serve both patients and dentists interested in cosmetic work.

Dentists can take classes to improve their skills. Plus, they can strive for accreditation. To get accredited, dentists have to pass stringent oral and written exams. In addition, they have to provide visual evidence of a large number of cases they’ve personally done in order to show their artistry in their work.

In your place, I would look for an AACD accredited dentist. They are the best cosmetic dentists in the country and will give your daughter a smile she’ll be proud to share with the world.

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

Why Can’t Lumineers Make My Teeth Longer?

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I’m so frustrated right now and need some advice. I’m looking at the Lumineers advertisement holding it in my hands. They show before and after pictures of teeth being made longer. When I went to see my dentist, he said it could happen. All I wanted was whiter, longer teeth. Yet, when the lab sent them back, they weren’t any longer. My dentist called and they said that’s as long as they can get. I don’t get it? Do they falsely advertise?

Mischa

Dear Mischa,

Lumineers Advertisement

So, your biggest problem here is your dentist. Think about this. If the Lumineers lab is right (which they are not) shouldn’t he have known this? Also, He’s the doctor. The lab workers are technicians. They follow the doctor’s instructions, not the other way around. So, what is going on here?

Smile Makeovers Aren’t Taught in Dental School

Many people don’t realize that dental schools are for general dentistry. If a dentist is interested in learning how to do smile makeovers, they have to invest in the time and training for that post-doctorally.

Some dentists do it. Some don’t. Some invest more time and effort into it than others. As a result, some smile makeovers end up beautiful and some end up a disaster.

The Lumineers brand, in particular, is highly marketed to inexperienced cosmetic dentists in being easy to place. However, the brand forces dentists to use their lab, which isn’t known for its beautiful work. That means you have two things working against you– the inexperience of your dentist and the low-quality results of the lab.

How to Get a Guaranteed Beautiful Smile Makeover

Your dentist hasn’t provided the smile he promised. You specifically asked for longer teeth and he didn’t provide that even though porcelain veneers can accomplish that very request. In your place, I’d ask for a refund and start over with a true cosmetic dentist.

Then, go to aacd.com. This is the website of the American Academy of Cosmetic Dentistry. They have an accreditation program where dentists who truly want to excel in cosmetic dentistry can receive training and be tested for their skill and artistry.

They have to pass both oral and written exams as well as show visual evidence of a large number of specific cases they’ve personally done to demonstrate their artistry. Only then can they be accredited. Their website has a link where you can search for AACD accredited dentists in your area.

That would be the dentist I would go to in order to get a stunning smile makeover.

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

Blotchy Teeth After Bonding

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I had Dental Bonding done because of some chips and some wear of my enamel. The bonding itself was so bulky I couldn’t speak properly. My dentist said she’d remove it but when she did my teeth ended up looking splotchy. My dentist insists this is how my teeth looked before but I know it isn’t. What do I do?

Catherine

Dear Catherine,

before and after dental bonding

It sounds to me like your dentist, who may be a decent general dentist, doesn’t understand cosmetic work at all. If she’d done it right to begin with, your teeth wouldn’t have been bulky. This is especially true because you were only getting chipped and worn teeth fixed.

Look at the before and after picture above. This is a case Dr. Weiss did for a patient. Her teeth look natural and there is no added bulk. When dental bonding is done properly, the results are beautiful and natural.

I haven’t seen your case, but based on what you’ve described, I think I can guess what happened in her removal process. She likely went past the bonding and ended up taking off some of your natural tooth enamel. The structure underneath is a different color and will end up making your teeth look splotchy.

When Dental Bonding Goes Wrong

You can ask her for a refund. If she cares about her results, she should give you one. However, without a “before” picture to show what your teeth looked like before the bonding, you won’t have any proof that they didn’t look splotchy beforehand. There’s no way to hold her to a refund without proof.

Again, this is also evidence she’s not a true cosmetic dentist. They always take before and after pictures.

The only way to fix this is to have your case completely re-done. Please don’t use the same dentist. You need a great cosmetic dentist this time around.

In your place, I’d look for an AACD accredited dentist. These are the top cosmetic dentists in the country. They will give you a stunning smile.

Before you move forward with the procedure though, you may want to look into porcelain veneers instead. These are much more durable than dental bonding and will last for many more years.

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

Which Brand of Porcelain Veneers

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I’m going to be getting a smile makeover and am trying to decide between brands. I can’t decide if I should get Lumineers or the regular porcelain veneers. I hear with the regular ones you have to get your teeth shaved down. I’m not sure I like that idea. But, Lumineers have mixed reviews. Do you have a recommendation?

Kaleigh H.

Dear Kaleigh,

a single porcelain veneer being placed

Congrats on the fact that you’re getting a new smile. It’s an exciting time filled with possibilities. You will love the confidence it brings. While it is great that you’re doing research, you are asking the wrong question. While brands of porcelain veneers have different qualities, the biggest difference comes from the skill and artistry of the dentist.

A Tale of Two Dentists

You could have two dentists work on the same smile using the same material and they will end up with completely different results. One may create a stunning smile. The other, an average one… or worse.

There are way too many cosmetic dentistry horror stories. We’ve had quite a few people come to our office hoping we could fix the damage done by their cosmetic dentist. You don’t want to invest money in a smile makeover you end up disappointed in. Cosmetic Dentistry is an art form and requires an artist to bring you beautiful results.

Finding a Great Cosmetic Dentist

When it comes to getting a stunning smile, you want to make sure you find the right dentist. Be sure to check out their smile gallery. This is usually a page on their website which shows examples of cases they’ve done. Always ask if it is their actual work or if they are showing stock photos instead.

If you like their work, then you can check their reviews to see what type of experiences other patinets have had with them. Additionally, you want to make sure they are willing to stand behind their work with some form of a beautiful smile guarantee.

You’ll find the best dentists are accredited by the American Academy of Cosmetic Dentistry, as Dr. Weiss is. AACD Accredited Dentists are in the top 1% of cosmetic dentists in the country.

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

Solutions for a Tooth Gap

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I have a tooth gap which is really starting to bother me the older I get. I’m looking into solutions and wanted to opinion of a cosmetic dentist.

Ben

Dear Ben,

woman smiling with a tooth gap
There are several solutions for a gapped tooth

When you have a gapped tooth, there are three great solutions. Which you choose depends on what you’re going for with the rest of your smile.

Solution One: Invisalign

Invisalign Aligner
Invisalign Aligner

If you want to truly close the gap, you can use orthodontics. It’s no longer necessary for patients to wear unsightly and painful wire and metal braces. These days adults (and teens) prefer Invisalign. It uses clear aligners to straighten your teeth.

It has a secret benefit of allowing you to simultaneously whiten your teeth at the same time. Your dentist can provide you with the teeth whitening gel and the aligners will double as the trays.

Solution Two: Dental Bonding

before and after dental bonding

You can see from this case which Dr. Weiss did the gap is completely closed. He also reshaped her whole smile at the patients request. When done by a skilled cosmetic dentist dental bonding blends perfectly and looks completely natural.

You don’t have to have bonding done on the entire smile as this patient did. It can just close the gap. It can be matched to whatever color your teeth are. If you’re happy with the whiteness, just do the bonding. If you’d like them a little whiter, first whiten them, then have the bonding done after that is completed.

Solution Three: Porcelain Veneers

porcelain veneer being placed on a tooth
Porcelain Veneers

This is only a useful option if you’re unhappy with other aspects of your smile. Porcelain veneers can change everything about your smile.— the shape, the size, the color.

This is the go-to procedure for a complete smile makeover. It can give you the smile of your dreams. However, I would consider it an expensive over-treatment if all you want to do is close a tooth gap.

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