Cosmetic Dentistry Blog Cosmetic and General Dentistry Questions Answered

November 17, 2015

What is the best crown for a front tooth?

We thank our advertisers who help fund this site.
.

Dr. Hall,
What is the best crown for a front tooth?
– Asra from India

Asra,
The best crown for a front tooth is the one your expert cosmetic dentist is most comfortable with.
Creating a crown for a front tooth, if you want it to look perfectly natural, is a work of art, and you need to let your artist work with a medium that he or she is comfortable with, and also a laboratory technician that he or she is comfortable with. If I were doing it, I would do it with feldspathic porcelain, but other cosmetic dentists might select a different material.
But please note—the dentist needs to be an expert cosmetic dentist, an artist. In saying that I have cut out 98 to 99% of dentists. And actually, in India, you may only have a handful of dentists in the entire country who would qualify as expert cosmetic dentists. That’s an important qualification.
A dentist who is an artist, for example, would never select porcelain fused to metal for a front tooth.
Dr. Hall

Do you have a comment? We’d love to hear from you. Enter your comment below.

Click here to ask Dr. Hall a question of your own.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

October 7, 2015

These crowns are not the color they appeared to be when they were tried in

 

We thank our advertisers who help fund this site.




 
.

Dr. Hall,

I have just had two all porcelain crowns made for my two front teeth, #s 8 & 9. The crowns were a wonderful color match to adjacent teeth and I unreservedly authorized them to be cemented in. After the cementing procedure, I looked in the mirror and IMMEDIATELY noticed a slight grayish hue to the teeth. I inquired about this, and the dentist stated that the cementing product he used was transparent in color. I have looked at the teeth in different light conditions over the past several days and STILL see this. Is there something in the cement or its curing that could have caused this?
– Sara from Florida

Sara,
Did the dentist try in the crowns dry? Or was there some type of try-in paste used between the crown and the tooth under it?

That is one possibility that could account for a difference in perceived color between the crowns when they were tried in and when they were cemented. If the crowns are dry, they don’t transmit the underlying color of the tooth as well as they would with a bonding medium between the tooth and the crown. Darkness, stain, or metal posts in the teeth underneath could cause a gray tinge to the crowns. What I did in my practice when my bonding cement was going to be transparent was use a clear glycerin to accurately mimic what the resulting color would look like when it was bonded.

If that’s not the case, then the only other explanation I can think of for a discrepancy in the color like this would be color metamerism, which is the property certain materials have to appear one color under one light and another color under another. Some porcelains may match the teeth under a cool fluorescent light but then won’t match in, say, daylight or under incandescent light. But a clear bonding cement made by a reputable manufacturer will not change colors upon curing and won’t impact the color of the final result beyond helping transmit the underlying color.

If the grayness is only very slight, maybe it isn’t really noticeable, and since both very front teeth are the same, it shouldn’t be distracting. However, if the grayness is significant and noticeable to others, I think your dentist should fix this. At his expense. It could be a great learning experience for him.

Dr. Hall

Do you have a comment to add? I’d love to hear from you! Please enter your comment below.

Click here to ask Dr. Hall a question of your own.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

September 30, 2015

How do you whiten porcelain crowns?

Filed under: Crowns for front teeth — Tags: , , — mesasmiles @ 5:09 am

 

We thank our advertisers who help fund this site.




 
.

Dr. Hall,
I have several front teeth that have caps on them. I’ve had them for approximately 30 years. They are not white like I would like them. What would you recommend for whitening my “fake” teeth. I’m assuming they are porcelain, but not 100% sure on the material they’re made up of. They were put in with posts and each one is individual.
—Missy from Pennsylvania

Missy,
If you have caps (crowns) on your front teeth and they are white and they’ve been there for 30 years, I’m pretty sure they have to be porcelain. Nothing else would last that long.

Unfortunately, the only way to whiten crowns is to replace them.

There is a company that is promoting the use of porcelain veneers to cover over old crowns, but that procedure makes no sense for several reasons, one of the biggest of which is cost. With most dentists, the cost of a porcelain veneer is pretty much the same as a new porcelain crown, so why wouldn’t you just replace the crown? Even if the veneer is cheaper, it isn’t cheaper enough to make it worth it.

First of all, if these crowns are 30 years old, there is a decent chance there could be some leakage or even decay under them.

Second, pasting porcelain veneers over old crowns creates some problems. This is a tricky bonding situation, and the bonding between the old porcelain and new porcelain is hard to get very strong, and it tends to be susceptible to stain. And it’s not going to last all that long. If these first crowns have lasted 30 years, why not get new ones and try to get another 30 years out of them? That makes way more sense than bonding some veneers over them that might last another five years.

No, just replace the crowns. It’s time a dentist looked under them to see what is going on there. It’s bound to be at least stained. Have the dentist clean it all up and put on some beautiful all porcelain crowns that can be as white as you want them. Bleach the rest of your teeth first, and then get the new crowns.

But go to an excellent cosmetic dentist. This is a new smile you’re talking about, and you need a dentist/artist to do this right.

—Dr. Hall

Do you have a comment? We’d love to hear from you. Enter your comment below.

Click here to ask Dr. Hall a question of your own.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

July 20, 2015

I want CEREC crowns on my two front teeth

Filed under: Crowns for front teeth — Tags: , , , — mesasmiles @ 3:26 pm

Dr. Hall,
I broke my two front teeth in an accident, and they both need crowns. I really want the same day crowns, and my dentist doesn’t do them. Should I ask him for a referral?
– Nolan from Florida

Nolan,
You THINK you want same day crowns, but I’m not sure you really do.
Your answer to this question will tell me whether or not you want CEREC (same day) crowns for these two teeth. Which is more important to you–that they look natural, or that you take care of this in one appointment without having to wear temporary crowns?
Your front two teeth are the most important teeth in your smile, and most people would be willing spend a little more or go through a little more inconvenience to get them looking just right. CEREC crowns simply aren’t that esthetic.

Let me illustrateshould you do a CEREC crown on a front tooth? with a close-up photo of a front tooth.

Look closely at the coloration in this tooth. Notice that there is a tannish color present at the base of the tooth that fades out as you get to the halfway point. Notice also some subtle white splotches in various places. There are a couple near the base of the tooth and some more subtle ones near the center. There is also some gray that you see near the biting edge and wrapping around the sides of the tooth a little. And the very biting edge has a whiteish halo.

A porcelain crown for a front tooth is stacked in layers, and a good ceramist operating from good instructions from a skilled cosmetic dentist and maybe from a photograph will build all of these different colors into your crown, so that it looks lifelike. A CEREC crown, on the other hand, is milled out of a single block of ceramic and so will be missing all of this characterization.

Now there are some highly skilled cosmetic dentists who can paint on these characterizations and make a CEREC crown look more lifelike, but you’re talking about fewer than 1 in 100 dentists who can do this and have the equipment to be able to bake these colors on. And even with them, it is still not as good, in my opinion, as having the color embedded in the crown the way it is in a natural tooth.

I should mention also that this is really a job for a skilled cosmetic dentist. The vast majority of general dentists would not be this attuned to the appearance of these front teeth.

Now if you don’t mind having two front teeth that have a flat color and are fake-looking, then go with the convenience. The temporary crown that you have to wear for a couple of weeks is annoying. But I think most people would put up with that for the result of attractive front teeth.

If you opt for the CEREC crowns, you don’t need a referral from your dentist. It’s easy to find a dentist who does CEREC crowns–just search for CEREC crowns with the name of your locality also in the search box.

By the way, there are other brands of same-day crowns. CEREC is the most popular. There is also PlanScan and E4D, which use the same on-site milling technology.

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

April 11, 2013

Finding a cosmetic dentist in the Cayman Islands

Hi there Dr Hall,
Many thanks for such helpful information on your website. Your support is greatly appreciated! I currently reside in the Cayman Islands, my front right tooth slightly overlaps my front left tooth. Is there anyone you could recommend in Grand Cayman, so many cosmetic dentists I don’t know where to start. I have visited one, whom suggested getting all my teeth whitened, then 2 zirconia crowns on both front teeth as sister teeth. Are there any other options to compare, or does that sound wise. I am 34 with 2 young kids and finally want not to be too embarrassed to smile.

Many thanks
– Denise

Denise,
What you’re telling me about what this dentist wants to do makes me nervous. The idea that he or she wants to do zirconia crowns on these front teeth rather than bonded porcelain makes me think that he or she is not comfortable with bonded porcelain. Bonded porcelain would be preferable to zirconia. Zirconia is great for back teeth or bridgework, but I wouldn’t recommend it for an esthetically critical situation on your two front teeth. And I would think the ideal treatment would be porcelain veneers anyway, not crowns at all. Doing two or more crowns on front teeth can put you at risk of breaking them off from lateral stresses.

I don’t understand all these cosmetic dentists you are talking about. I just googled cosmetic dentists in the Cayman Islands and looked at several websites and couldn’t find anyone I would trust with even the simplest cosmetic procedures, much less something as involved as what you are telling me. Even in the United States, fewer than one dentist out of fifty could do a beautiful job on your case. I would be surprised if you could find a dentist in the entire Caribbean area who could do a nice job on this. Quite frankly, I would fly in to Miami and have someone there do this. Dr. Sam Sadati near West Palm Beach is one I know personally who would do beautiful work for you. You could have your teeth whitened there locally and then get the two veneers or whatever your case requires done in Florida.

Why spend money to give you a mediocre cosmetic result and then possibly end up with damaged front teeth besides? Spend a little extra for a couple of trips to Florida and get it done right.
Dr. Hall

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

March 2, 2013

Do you need a crown on a front tooth with a root canal treatment?

Just had a root canal on the tooth right next to the front tooth. Is it necessary for a crown to be put on ? Can a post only be put in and if so, repair the discoloration with a porcelain veneer ?
– Ann from New York

Ann,
There’s a simple answer to your question and a more thoughtful answer, and I’ll give you both.

The simple answer is that dentists were taught in dental school that if a tooth has a root canal treatment, it is weakened, and thus it needs a crown to strengthen it and prevent tooth fracture. Plus, after a root canal treatment, a tooth will turn dark, so a front tooth should have a crown to preserve its appearance.

The more thoughtful answer differs from this approach in two ways. First, on the “likelihood to break” issue:
– Yes, a tooth is weaker after it has had a root canal treatment. But there is a difference between back teeth and front teeth. Back teeth, because they have a flat chewing surface and cusps are prone to splitting – the chewing force comes down between the cusps and this pressure tends to force the cusps apart. A crown will prevent splitting of the tooth. A front tooth, however, doesn’t have these forces. The risk with a front tooth is that chewing creates a horizontal force that may break off the tooth. A crown, since it requires removing 1-2 millimeters all around the circumference of the tooth, will actually weaken it against these horizontal shear forces and make it MORE likely to fracture.

On the discoloration issue, yes, teeth with root canal treatments will discolor. However, if the root canal cement and the root canal filling material are carefully cleaned out of the inside of the crown of the treated tooth, that discoloration will take years to occur and will be mild.

My preference for a front tooth would depend on the amount of healthy tooth structure remaining in the tooth. If, say, 70-80% of the tooth is healthy tooth structure, I would recommend restoring the tooth simply with a translucent or white fiberglass post and composite. Then, when the tooth begins to discolor, that could be corrected with a porcelain veneer or a crown at that point. If substantial amounts of tooth structure are missing, I would use the same white or translucent post with an all-ceramic crown.

Dr. Hall

Click here to ask the dentist a question.

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

June 9, 2012

Why can’t my dentist get this color right on my implant crown?

Dear Dr Hall,
I was not happy with the color of the crown attached to my implant, so I returned to my dentist who said he thought it was fine and sent me away to “think about it.” I returned and he very reluctantly agreed to re-do the color. I recently had the revised crown attached again, but the color is worse – it is now quite noticeably darker. Both times I visited the lab for color assessment. And both times the dentist did not bother to check the color before attaching the crown. I am very disappointed, but do not want to return to this dentist as he obviously is not able to improve. He also had considerable difficulty with attaching the crown which resulted in considerable discomfort and left me wondering whether the attachment to the implant has been damaged. Post-procedure, I cannot eat on that side of the mouth at all. This implant has cost me a considerable sum. I would like to know what my options would be for correcting the color of this crown, and if the attachment has been damaged, would I need to get a whole new crown and implant, and who should pay for this? Is it possible to place a veneer over the crown? Thank you for your help.
– Mary from Australia

Mary,
Your case is a great illustration of the great difference between dentists when it comes to aesthetics. Only about 2% of dentists, from my experience, are very good at aesthetic dentistry, and I have people all of the time having a hard time believing that and wanting to know why. (And that 2% is in the US – probably less in Australia). But dentists become dentists because they like to fix things – they’re just not into works of beauty.

Your dentist clearly has a low degree of interest in the aesthetics of his work, and that is the reason this isn’t working. And you have given clear indication here in your e-mail of his indifference. Any dentist who is seriously trying to do beautiful cosmetic dentistry will be very attentive to your opinion and if you thought the color didn’t match well would not try to tell you that it was fine. Such a dentist would actually make sure the color was right in your eyes before cementing the porcelain crown and would not hesitate to send it back to the lab. But your dentist did not have enough confidence in his own color-matching skills to match the color himself but instead sent you to the laboratory. And then, after being burned once and having to re-do the crown, rather than trying it on and making sure you liked the color this time before permanently cementing it, he just puts it on.

You have figured out that you cannot rely on this dentist to get this right. If you want this done right, you have to find a dentist who actually wants to be good at aesthetic dentistry. I wish you had told me where in Australia you are and I could give you some guidance on that, because good cosmetic dentists are few and far between in Australia.

When a dentist sends you to the laboratory technician for the “color check”, that is a pretty good sign that the dentist knows he or she isn’t very good at tooth color, and those cases often end up looking very poor. All the technician can do is look at the tooth that needs to be matched and take notes about the color. Then he or she dismisses you, goes into the laboratory, and tries to follow the notes that were made. The dentist is supposed to have a higher level of skill than the technician, and should know how to make those notes and instruct the technician. And nowadays, with digital photography, it is very easy for a dentist to hold up a shade guide tooth to your tooth and snap a color-correct photograph and e-mail it to the technician, with notes. The technician can then use that photograph and the notes during the fabrication of your crown, and this is often the best way to get an accurate match.

Do not – absolutely do not try to get a veneer placed over the crown. The crown is difficult enough by itself. Get the crown re-done. If that is done correctly, it will not damage the implant at all. Trying to do a veneer over it and get the color right makes it all the more complicated. Besides which very few dentists know how to properly bond a veneer onto a porcelain crown. That could turn this from a simple bad dream into a true nightmare.

If you need any more help with this, please write back.
– Dr. Hall

P.S. – I see you found our website by searching on “dental catastrophe.” I had not thought of that search term before, but it is appropriate!

Click here to read my blog posting about how to ask for a refund from your dentist.

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

May 19, 2011

My dentist won’t do the crowns unless I do the braces

Hi, I went to dentist today to inquire about replacing the crown on my two front teeth. They were put on about fifteen years ago and are discolored and embarrassing. I was told I need full ortho braces before I can get the crowns replaced. I do not have the money for that and I don’t see why I can’t just get new crowns and do the other stuff later. My front teeth in question are a little crooked and bucked out but not that terrible. What should I do?
– PJ from Wisconsin

Dear PJ,
I don’t like it when dentists put these restrictions on their treatment – they will only do the perfect treatment or nothing. People have budgets and sometimes less than ideal is the only thing within their budget.

You certainly should be able to get these crowns replaced without doing the orthodontic treatment. You could forgo the braces entirely, or you could do it later. The dentist should still be able to do great crowns and get them looking great.

I would find another dentist who is a more sympathetic and understanding type who will work with you and your budget.

And I would be sure to do all-porcelain crowns on your front teeth. Otherwise they will tend to look fake and will end up showing a dark line at the gumline. Make sure your dentist feels comfortable with this type of crown. Don’t press your dentist to do a certain type of crown – but ask what type the dentist recommends, all-porcelain or porcelain fused to metal. And if he recommends porcelain fused to metal, you’re in the wrong office. Just quietly exit and find a dentist who loves doing the all-porcelain.
– Dr. Hall

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

April 7, 2011

Which looks better and is more durable, e-Max or Lava crowns?

Hi Dr. Hall,
I am about to go through a procedure that will hopefully change my smile. I currently have a metal crown in the front right tooth and it looks TERRIBLE. In addition to that the left front tooth has a very bad discoloring but also has deep fillings, and next to it, the tooth also has major fillings. My dentist initially recommended that I restore my smile with Lave Crowns, and then decided that he would use e-max crowns.

Is there a difference between these two products? I keep on searching the web to see which is better but I usually find sources that support both products. In addition to this I want the product to look as natural as possible. Is one better than the other? My dentist told me that the e-max crowns usually cost more, but that he would leave it as the same price as the Lava Crowns (which – according to him -cost less). Is this also true? And my last questions would be, what is the durability of each of these? Please help.
– Angie from California

Angie,
The key questions in how these crowns are going to make your front teeth look are not going to be anything about which brand of ceramic crown your dentist uses. The key questions are going to be, “How artistic is your dentist?” And, “How artistic is the dental lab that your dentist has chosen?” Both questions center around your dentist, because an artistic dentist will make sure that the dental lab he or she uses produces highly esthetic work.

The Lava Crown and the e.max Crown are both fairly similar. Both have a high-strength zirconia core that is milled rather than cast and then have a layer of porcelain over them. Lava comes from the 3-M corporation, and the outer layer is usually a baked feldspathic porcelain. The e.max crown comes from Ivoclar, and it can be covered with either a baked feldspathic porcelain or a pressed ceramic. I don’t think either of them is the very most esthetic crown. If it’s esthetics, I would lean toward a pure feldspathic porcelain that is bonded to the tooth. Both e.max and Lava are high strength, and I couldn’t tell you which is stronger. Pure feldspathic porcelain isn’t as strong, but it will last as long in the mouths of most people as long as you don’t have an abusive bite. Some esthetic dentists think the pressed ceramic is the most beautiful, but more lean toward the feldspathic porcelains. Some esthetic dentists will choose one or the other depending on the demands of a particular case.

But again, the key ingredient is the dentist. Let me ask you this. If you were asked by your community to commission an oil painting for the foyer of a local concert hall, would you research the brand of paint, or would you focus on the selection of the artist and let the artist pick the paint he or she felt most comfortable using? I think you would pick the artist. But you’re approaching the creation of a life-like reproduction of your two front teeth as if it is some commodity to be purchased at a discount store, and all you have to worry about is the brand. Dentists vary greatly in their artistic abilities. 98% of dentists have very little artistic inclination – they chose a career in dentistry because they like to fix things. Some dentists rise to the top in artistic abilities, and they become renowned among celebrities who will fly across the country to see a particularly artistic dentist. On the mynewsmile website, I cater more to the general public and I search out from among the top 1% of artistic dentists and list them here for the benefit of my visitors. I have a lot of e-mails from disappointed patients who make the same mistake of thinking the dentist on the corner, by virtue of having a dental license, is an artist. It doesn’t work that way.

As far as a choice between e.max and Lava, I think probably more cosmetic dentists use e.max, but they tend to use it for teeth that aren’t right in the front – it’s used more for premolars and some molars. I have an e.max crown on one of my premolars. But, done well, in the right hands, it can produce a nice result for front teeth. Depending on the amount of discoloration in your one front tooth, Lava or e.max can help block out some of the unwanted color. But I would still prefer straight feldspathic porcelain in that situation with a great lab technician who knows how to use opaquing porcelains. I think e.max may tend to cost a little more, but that’s going to depend mostly on the laboratory that’s doing it. Costs for both will vary greatly depending on the laboratory technician that is using it.

Dr. Hall

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

March 1, 2011

Perfectly matching a crown on a front tooth

Dr. Hall,
I recently got a porcelain veneer crown on a tooth that I chipped when I was 10 years old. The first permanent crown that was put on did not match my other teeth, so I had to get it redone. I just got my 2nd one put on and after everyone in the office said it looked great, the color is still off and it is darker than my other teeth. I know a perfect match is difficult, but I would rather it be whiter than darker because that would be less noticeable. I was wondering if I were to get the crown redone again, if this would have any long term side effects on what is left of my tooth underneath my crown? Please let me know what advice you can offer and if it would be safe for me to try to get another crown remade.
– Kyle in Ohio

Kyle,
I’m not sure what you mean by a porcelain veneer crown. I think you may be referring to a porcelain fused to metal crown – because that has a metal foundation and has porcelain veneered over the metal. To get the best match to a natural tooth, it’s best to use an all-porcelain crown, because that can be made to have the same translucency as a natural tooth. But if your dentist hasn’t brought up doing an all-porcelain crown, then I wouldn’t mention it. That’s a recipe for trouble if you start pushing a dentist out of his or her comfort zone – rarely will they admit to a patient that they’re uncomfortable with a newer technology.

And yes, it is possible to get a perfect match on a single front tooth,  so that you couldn’t tell, even at very close range, any difference between the crown and the other natural tooth. But this requires extra training and talent that most dentists don’t have. This is why I publish this website – to help people find excellent cosmetic dentists that can do this work.

Dentists generally choose that field because they like to work with their hands and they like to fix things. So they approach things from an engineering mentality. They aren’t good at subtleties of color. And tooth color is very complex. There is a lot of variation in all the colors that are within a single tooth – from the gumline to the biting edge there is a color gradient, plus there are spots where the color is slightly different. Add to this that tooth enamel is fairly translucent and the dentin underneath it is only partially translucent. So matching a tooth gets very complex.

When everyone in the dental office was trying to tell you that this tooth matches so great, that to me is a big red flag. Really good cosmetic dentists don’t act that way – they listen to the patient. So when we would try on a crown, we would ask the patient what they thought. I would pay close attention if there was any hesitation on the part of the patient, and I would insist that they be happy with the result. I would never tell a patient that a tooth or a smile looked great if they didn’t think so. And for a single front tooth, even for an excellent cosmetic dentist, it may be three or four try-ins before the lab would nail the color exactly.

On the other part of your question, it shouldn’t hurt the tooth at all to do this again, as long as the dentist knows what they are doing and is reasonably careful. But don’t try this with a general or family dentist. I would say that about one dentist in maybe fifty or a hundred could do this well.
– Dr. Hall

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

Older Posts »

Powered by WordPress

Categories