Cosmetic Dentistry Blog Cosmetic and General Dentistry Questions Answered

August 10, 2017

This cosmetic bonding went bad

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Dear Dr. Hall,

I recently had four of my front teeth bonded. My two very front teeth overlapped one another slightly and the dentist ground down both of them. The lateral teeth were set back in my mouth, and those are filled out to make it look more like a normal arc. My teeth are very uncomfortable and sharp feeling inside where he did the grinding down of the teeth. In other words, he “sacrificed” the one front tooth by grinding down the side of it in order to make the other front tooth look straighter. In addition, he also made the teeth a shade that is yellowish to “blend in”, no matter how much I protested. I have had such terrible regrets about doing this. I wish I could go back to the way my teeth were before the work because they were still intact and not damaged as they are now. I know there is no going back but would love your opinion on my options at this point. I have also had a problem at the gum line for a couple of years now, with there being a gap that has had to be bonded a couple of times before this work was done. I went with the bonding because I did not want to do anything drastic, but in fact that is what I had happen. I would like my teeth to be whiter and also not have that “damaged” feel to the back and sides of them. They were ground down quite a bit. I am very upset and this dentist is very difficult to deal with. I know this is rambling but if you have any advice for me, I would greatly appreciate it. Thank you for your time and assistance.

Alani from Washington

Your explanation of what happened is clear enough that I can help you with what to do from here.

This type of cosmetic bonding work is really beyond the ability of, I would estimate, 98% of general family dentists. It requires some artistic sensitivity, stocking a variety of dental bonding materials beyond the ordinary inventory that most dentists have on hand, and a fair amount of training and experience beyond dental school in shaping, coloring, and polishing the dental bonding materials, besides the shaping of the teeth.

I would need a photograph to see exactly what went wrong here, but I can tell enough to be able to say, with a fair level of confidence, that you aren’t going to get a pleasing result from this dentist. This is not to disparage him. I imagine he did the best he could and the work is probably up to the standard of care for general dentists. Your case was just over his head.

The good news is that there are a couple of excellent cosmetic dentists in Washington who are not too far from you. Go into our find a cosmetic dentist directory, type in your zip code, and it will pull up the recommended cosmetic dentists near you, either of which I’m confident could get you an attractive, comfortable result.
– Dr. Hall

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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.

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