I had crowns put on 9 of my front top teeth 25 years ago. I hated the color of my teeth—they were yellow-gray. I just wanted white teeth. They talked me into a shade I hated. I am now having these crowns replaced hopefully to the white shade I originally wanted. My dentist recommended B1. He made my temporaries in the B1 shade so I could see how the color will look. I don’t feel like they are that much whiter than my previous crowns. My dentist said because I have post under a couple of my teeth anything whiter the post would show through. I would like a shade lighter than B1, but obviously don’t want the post to show through. Do you think I could go with M4 or BL4? I want white teeth without looking fake. Help, I’m having the permanent ones put on soon!
I searched for Hollywood white crowns.
(See Dr. Hall’s answer below.)
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Based on your comments, I’m worried that your dentist is not an expert cosmetic dentist. And for getting your new smile you really need an expert cosmetic dentist.
Your dentist is confusing color with translucency. Making a crown more white will not make it more translucent. If the posts aren’t showing through with shade B1 crowns, they won’t show through with BL4 shade crowns, or for super-white crowns, say BL1.
For a smile makeover, the dentist should ask you what you want—what shape, what color, and anything else about the appearance. When a dentist tries to push a patient into something they don’t want, cosmetically, it’s often because the dentist has some feeling of discomfort with the procedure, usually from a lack of expertise and experience. So I’m wondering if your dentist has ever made a crown with one of these bleached shades. I would ask him that, and that will help you know about his level of expertise here. Ideally, your dentist should be able to show you photographs of a smile makeover case he did with one of these bleached shades. I can’t imagine an experienced cosmetic dentist not having a case like that in his or her photo album.
So here’s my advice about how to proceed. Note that I have not said that your dentist doesn’t have the expertise you need here—I’m only trying to guess what is going on. Let’s try to assume he can do this correctly. Tell him exactly what color you want and insist on that. Then be sure you have a good look at the new crowns in your mouth before they are cemented or bonded and make sure you’re happy with how they look. An expert cosmetic dentist will routinely have a try-in and will be making sure that you love the appearance before moving forward. If your dentist doesn’t do that, you can still insist on that. Have a good friend or family member with you if you want, to be a support for you and a second set of eyes. And then insist that you are perfectly happy with how they look before they are cemented or bonded. Don’t let him water down your expectations.
If your dentist won’t do what you want, or is unable to do it to your satisfaction, then you need to change dentists. This is a very do-able smile makeover. If you let me know where you are, I can maybe help you find an expert cosmetic dentist who will have no problem giving you what you want.
– Dr. Hall
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About David A. Hall
Dr. David A. 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 advanced internet marketing for dentists.