The Cosmetic Dentistry Blog

June 13, 2009

Shame on you, Dr. Hall

Filed under: Hate mail — iowasmiles @ 8:05 pm

Dear Dr. Hall,
I read your respose to Lesly [sic] (A Bad Experience with Lumineers) and was very shocked and disappointed that you without seeing the patient jumped to the conclusion that the treating dentist made an error and that his skills as a a cosmetic dentist are not up to the standards. As someone who claim that you try to educate and help the public you should be very objective and avoid judging your peers without knowing the whole truth…shame on you.

Dear Anonymous,
Shame on me? Before you talk to me about shame, I think you should have the decency to identify yourself. But your message came with no e-mail address, phone number, or first name. People who make comments behind a cloak of anonymity don’t have much credibility with me.

I am proud of what I write. So much so that I put my name on it, my address, my phone number, and all about the company I run. And I think Lesley is very glad that I didn’t pull any punches when I answered her question.

Lesley’s case was pretty clear cut – she had three crowns and three Lumineers placed on her front teeth and within a week, one of the crowns started turning dark. I think that any decent, self-respecting dentist would take responsibility for that. I certain would, if that happened with a case that I just inserted, and I don’t think it is out of line to expect that from her dentist. Do you think that is within the standard of care, to give a patient a dark crown on a front tooth?
Dr. David Hall
Phoenix, Arizona
Putting my name on everything I write.

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August 4, 2007

Cosmetic dentistry isn’t a specialty – so he says.

Filed under: Hate mail, Lumineers — iowasmiles @ 5:24 pm

Dr. Hall!
I cannot believe a member of my profession could possibly act as unprofessional as you have in putting down Lumineers. I just finished a course on Lumineers yesterday and in searching the ‘net last night I happened on your website.

Cosmetic Dentistry is not a recognized specialty, it’s an area of interest. You mention that ferric sulphate might have caused discoloration of a veneer. If a dentist was using Viscogel, he didn’t learn that from Denmat. We were told to not even consider doing veneers if there was marginal gingivitis. And Lumineer preps do not require gingival margin preparation, so where did the blood come from?

If you really think you expert cosmetologists are so hot, have a look at Peter Rinaldi’s videotape from the Chicago Midwinter Convention where he chops the teeth all to hell – right into dentin. This is endorsed by “powers that be” for continuing education points. And you have the unmitigated gall to criticize a non-invasive method of placing veneers?

I’m awaiting your feeble defence [sic], my friend. Because whatever you are going to say is not going to be evidence based, only the opinion of someone who has a lot of time on his hands and might think about taking a Lumineers course to see what it’s really all about.

- Dr. H – a 68 year old dentist. I’ve been around as long as you have, buddy. And I don’t criticize other dentists’ work, especially in a public forum.

My friend and fellow professional, Dr. H,
My web site is intended to benefit patients. And for their benefit, I say forthrightly what I think. I do understand that some dentists don’t like what I say, but I believe the highest professionalism comes not in circling the wagons in defense of fellow professionals, but in honestly answering the needs of the patients.

I believe that cosmetic dentistry is a specialty, though not a recognized specialty. :-)   It sounds like you disagree. I think of those who have taken the pains to become accredited, after their eyes are fully open to all there is to learn, that probably all of them would agree with me. Those that haven’t taken the discipline to that extent, many of them don’t think cosmetic dentistry is that difficult and think that it is just an “area of interest” as you say. But those who are swimming in the pool have a better understanding of what the water is like than those who are sitting in the lawn chairs just looking on, in my opinion.

In the Lumineers case you’re referring to (see post: porcelain veneers turning gray), I think you need to read it more carefully. It wasn’t a veneer that was discolored, it was a crown. I think emotions are getting in the way of clarity here.

And to those of us who are passionate about appearance-related dentistry, if the patient, after the seating of the case, says that her teeth look a little gray and they had lost translucency, to us that case is a failure. It maybe looks ok to the dentist, but it isn’t beautiful. But I know that many dentists think that “a little gray” and “lost a lot of the translucency” is not a big deal.

I think that a no-prep technique for porcelain veneers, as the Lumineers people recommend, can be appropriate in some circumstances. I think that’s what I say on my web site. I think that generally a light-prep technique is ideal, and I think most cosmetic dentists would agree. I don’t know any cosmetic dentist who advocates “chopping the teeth all to h-.”

I do have a beautiful Lumineers case posted on my web site, done by Vancouver cosmetic dentist Dr. Michael Drance. But I’m getting a lot of e-mail from unhappy Lumineers patients.
- Dr. David Hall

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July 17, 2007

This dentist claims any dentist can do cosmetic dentistry

Filed under: Hate mail — iowasmiles @ 1:26 pm

You are illusionists if your feel that only the “real cosmetic dentist” can achieve wonderful results. It would seem that you all are trying to promote the idea that only you all are “masters” of the art. As I see all the promotional articles it would appear that you all are masters of “hard sell.” I feel sad for the mentality that now pervades our once great profession. You may reply.
- Dr. Bob in California

Dr. Bob,
On the contrary, a good cosmetic dentist is very much a soft-sell person who tries hard to please the patient and who knows that any cosmetic dental treatment must be driven by the patient. If the patient is unhappy with his or her smile, then the case needs to be done. If the patient is happy with how they look, then no treatment is indicated. That’s what I was taught in my cosmetic dentistry courses. And a good cosmetic dentist knows that the case is a success only when the patient is happy with the results.

There is a distinct mental attitude difference between a technician-oriented dentist who is very good at what he or she does, and an artistically-oriented dentist who loves creating beautiful smiles and is very good at it.

Imagine yourself trying to convince Julia Roberts, for example, if she wants a new smile, that the dentist on the corner can do that just as well as say Dr. Debra Gray King in Atlanta, or Dr. Jerry Bellen in San Francisco. You’ll never convince her that there aren’t certain dentists that are excellent artists and many that aren’t. You and I know that she’s going to be very fussy about who she lets do that for her.

But I understand the sensitivity that many dentists feel when we discuss the differences in abilities between dentists. Every dentist wants to be an expert, and it takes a big person to admit that others, who have the same advanced degree that they do, are better at certain things. And the general public who visit this web site are very appreciative for our pointing out who are the great artists in this profession.

There is a philosophy of professionalism that wants to uphold the “status” of the professional and is hyper-sensitive to criticism. But I adhere to the philosophy that the greatest professionalism is to be of service to the public.

Dr. Dave Hall

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