Tag Archives: AACD Accredited Dentist

Should I Have Gone to a Cosmetic Dentist for a Root Canal?

Both my sister and I received root canals within the last year. My dentist put a crown on mine, which meant filing down the tooth to a nub. It’s not that attractive either. It’s toward the back so isn’t completely visible but it still bothers me. My sister sees a cosmetic dentist. When he did her root canal, he put a porcelain veneer on hers. It looks so much nicer than mine and she hardly had any of her tooth structure removed. Did I make a mistake not going to a cosmetic dentist?

Betty

Dear Betty,

Porcelain crown on left and porcelain veneer on right

You should know there isn’t a recognized specialty in cosmetic dentistry, which means every cosmetic dentist is just a general dentist who prefers to also do cosmetic work. However, before we get into choosing a dentist to do cosmetic work, let’s talk about a root canal restoration.

Whether or not you get a dental crown or a porcelain veneer restoration depends on a few things. First, the location. If it’s a back tooth, a crown is more important. After a root canal, a tooth becomes more brittle. The crown will protect it from the biting forces which affect your back teeth.

If it’s on the front teeth, you may have a choice. Most of the time crowns are done because there was so much decay on the tooth there is not enough structure left for anything but a crown. However, if the tooth needed treatment because of trauma and is still fully intact, then you could get a porcelain veneer. This is more effective because of the type of forces your front teeth undergo.

However, you’re talking about getting a porcelain veneer on a single front tooth. This requires a cosmetic dentist with superior aesthetic skills.

When You Need a Skilled Cosmetic Dentist

Most of the skills required to do a beautiful smile makeover are not taught in dental school. The dentist has to invest post-doctoral time in learning the skills required. However, there is an aspect that can’t be taught— an artistic eye.

Like any art form, there are different skill levels. So, how do you find the right dentist? The American Academy of Cosmetic Dentistry realized the quandary patients found themselves in. To remedy that, they began an accreditation program.

To become accredited, dentists have to pass stringent oral and written exams. Additionally, they have to provide evidence of a list of cases they’ve done showing they can give beautiful results. Any AACD accredited dentist can give you a gorgeous smile makeover. They can also match a single porcelain veneer to the rest of your teeth.

If you’re ever in the need or porcelain veneers, make sure you go to aacd.com and find an accredited dentist in your area.

This blog is brought to you by Lafayette, LA Dentist Dr. Mike Malone.

What If I Can’t Get Porcelain Veneers?

I’m disappointed with my smile, but my dentist said I can’t get porcelain veneers because I grind my teeth. Is there anything else I can do to improve my smile? I have a gap between my teeth and they are quite discolored.

Mandy

Dear Mandy,

A single porcelain veneer being placed on a tooth

I think your dentist may be a little confused. If the only issue is that you grind your teeth, there is a way for you to get porcelain veneers. It’s possible that he’s not comfortable doing smile makeovers and rather than admit that he’s trying to discourage you from moving forward with that. Don’t pressure him. You will not be happy with the results.

Here’s what I’d recommend. The first thing I want you to do is to get a second opinion. But, make sure you do it with a dentist who’s accredited with the American Academy of Cosmetic Dentistry (AACD). These are the top cosmetic dentists in the country.

In all honesty, in order to get the gorgeous smile you’re hoping for that’s the type of dentist you’d want to do your veneers anyway.

If Porcelain Veneers Aren’t an Option

There are some cases, where other work has to be done before you can get porcelain veneers, such as when you have gum disease. In other cases, they’re good candidates, but this type of makeover is just over their budget. That doesn’t mean you can’t get an upgraded smile. Here are some great, affordable options:

  • Teeth Whitening: This is the most affordable way to brighten your smile dramatically. It will make you look years younger.
  • Invisalign: This is a great option to straighten your teeth without anyone knowing your wearing orthodontics. Plus, it works in half the time of traditional orthodontics.
  • Dental Bonding: This can repair chips and gaps on teeth.

As you can see there are many ways to upgrade a smile. However, no matter what you do, you’ll want to protect your teeth, especially after investing money in improving it. If your dentist hasn’t suggested a night guard to you, knowing that you’re grinding your teeth, then it may be time to get another dentist.

This is a simple orthotic device you’d wear over your teeth and it will take the pressure off of your teeth when you grind them. Without this, your natural teeth will eventually be worn down to nubs, requiring you to get each tooth crowned.

This blog is brought to you by Louisiana Cosmetic Dentist Dr. Mike Malone.

Cosmetic Dentistry Disaster

My dental bonding for a chipped tooth needed to be replaced. I had a new dentist who suggested I get porcelain veneers instead. He’d do four so they could match. Then, when he saw one of them had a cavity, he said I’d need crowns. So, now I have four crowns on my very front teeth and even though he said he had to do four in order for them to match, the two very front teeth look a weird grayish color. What do I do?

Valerie

Dear Valerie,

Porcelain Veneer being placed on a tooth

There are so many things which went wrong here I hardly know where to start. First, any dentist who says you have to do more than one crown or veneer is not a qualified cosmetic dentist. Yes, it takes skill and artistry to match a single front tooth, but isn’t that what you’re paying them for when it comes to remaking a smile—skill and artistry?

Second, you can still have porcelain veneers bonded to a tooth which has a cavity as long as that cavity isn’t so large that it would require a crown under normal circumstances. That would have prevented you from having to grind down healthy tooth structure.

Sadly, the only way to do this is to have the two front teeth re-done. Hopefully, he’s the type of dentist who cares about the quality of his work and will be willing to replace the crowns free of charge.

However, that’s not enough. You need to make sure he’s willing to get a professional try in the paste. These are clear enough to show the color of the underlying teeth on them, giving you a clearer picture of what the crowns will look like once they’re permanently bonded. Then, he needs to let you try them in and get a good look them in several types of lighting and you’ll approve them before they’re bonded.

If he’s not willing to do that, you aren’t likely to get any better results. In that case, it’s in your best interest to find an expert cosmetic dentist.

Finding an Expert Cosmetic Dentists

Unfortunately, now that you’ve had crowns placed, you have to replace them with that forever. However, a skilled cosmetic dentist can give you gorgeous porcelain crowns. There are two places you can look to find a qualified cosmetic dentist in a reasonable distance from you. The first is at AACD.com. Do a search for an accredited cosmetic dentist. You need to check that you want them to be accredited and not just a member. There’s a difference.

The second is mynewsmile.com. This site only lists artistic and skilled cosmetic dentists who can give you a beautiful smile. You’ll be safe with anyone on their list or anyone who’s been accredited.

Best of luck to you.
This blog is brought to you by Lafayette Cosmetic Dentist Dr. Mike Malone.

Crowns for Tetracycline Stains

I’ve consulted with two dentists in my desire to improve my smile. I’ve got tetracycline stains which have embarrassed me for years. I’ve spoken to two dentists. One suggested porcelain crowns. The other suggested I get porcelain veneers. Is one a better treatment than the others?

Ariana

Dear Ariana,

Brunette woman with beautiful smile
Beautiful smiles require great dentists!

It’s great that you’re doing your due diligence. To help with this, I want to shift the way you’re approaching this just a bit. While I do have a treatment that I think is better than this and will tell you which it is, the more important decision is what type of dentist do you need.

Tetracycline stains are among the most difficult type of cosmetic issues to treat. Whichever procedure you decide on has to be opaque enough to cover the stains and translucent enough to be beautiful. It takes a truly skilled cosmetic dentist with an artistic eye to create the type of smile you’ll want.

As for the procedure, porcelain crowns can be made to be beautiful. But, it’s quite aggressive. You’re removing healthy tooth structure for no reason. From then on you’ll be stuck with crowns. You can never go back. The only dentist that would recommend crowns for a smile makeover is one who’s not comfortable placing porcelain veneers. That alone tells me he’s not a skilled cosmetic dentist. You should pass.

Now just because the other dentist picked porcelain veneers, doesn’t mean he’s a skilled cosmetic dentist. You’re going to have to check.

Finding a Skilled and Artistic Cosmetic Dentist

It’s almost impossible for a patient to distinguish the skill of one cosmetic dentist from another without doing hours of research. Fortunately, the American Academy of Cosmetic Dentistry (AACD) does that for you. They have an accreditation program that helps patients to know what dentists can offer a beautiful smile guarantee and really provide it.

I’m going to suggest you go to aacd.com and look up accredited dentists in your area. If you don’t have one in your immediate area, it is truly worth it to travel a bit for the smile of your dreams.

This blog is brought to you by Louisiana Cosmetic Dentist Dr. Mike Malone.

Invisalign AND Porcelain Veneers?

I had asked my dentist for ten Lumineers. I have one crooked tooth but I heard veneers can make that look straight. What I’m really after is a brighter smile, plus masking that one tooth. My dentist said he’d like me to do Invisalign and then porcelain veneers. He also said he didn’t like Lumineers because they’d make my teeth look bulky but would give me a different brand. I’m not crazy about spending money on both treatments. Do you really think this is necessary?

Catherine C.

Dear Catherine,

Image top: A woman putting on her Invisalign aligners. Image bottom: a woman smiling with Invisalign on her teeth

I’m a little confused here. On the one hand, what your dentist says about Lumineers is true. They tend to make the teeth look bulky. Plus, their lab is sub-par in following the dentist’s directions properly and rarely give gorgeous results. That tells me he has a decent understanding about at least that brand.

However, his other instructions make me think he’s not a skilled cosmetic dentist unless there’s something you’re not telling me about your bite. Generally, a cosmetic dentist would recommend either Invisalign or porcelain veneers. Not both. A skilled cosmetic dentist can make a single crooked tooth look straight.

Porcelain Veneers or Invisalign?

Which procedure you do depends on your needs. It sounds like you’re fairly happy with your smile with the exception of the crooked tooth and the stains. If that’s the case, you’d save a lot of money just getting Invisalign and teeth whitening.

Invisalign works faster than traditional braces and has the added benefit of enabling you to do both procedures at once. The aligners used to straighten your teeth can double as whitening trays.

However, if you feel there are other aspects to your teeth which need changing, such as the size or shape of your teeth, then I’d recommend getting a smile makeover with porcelain veneers.

With the Invisalign option, pretty much any dentist will do. But, if you go with the smile makeover, you will need an expert cosmetic dentist to do your porcelain veneers. I’d make sure you get a dentist who’s reached accreditation level with the American Academy of Cosmetic Dentistry. That way you’d be guaranteed to get a sublime smile.

This blog is brought to you by Louisiana Cosmetic Dentist Dr. Mike Malone.

Does Teeth Whitening Require a Specialist?

I think I’m ready to get my teeth whitened. I keep hearing you have to go to a certain expert dentist for cosmetic work. Is that right? What type of dentist do I need?

Caryn

Dear Caryn,

Teeth Whitening trays
Teeth Whitening Trays

While it’s true in some cases you have to choose your cosmetic dentist carefully, teeth whitening isn’t one of those procedures. It’s fairly simple. The dentist is their mostly to design custom-fitted trays along with keeping an eye on the health of your teeth and gums throughout the procedure so no complications pop up.

As we get older, we accumulate stains. That gives our smile an aged appearance. Teeth whitening is a fantastic way to brighten up your smile and give you a much more youthful appearance.

When is an Expert Cosmetic Dentist Necessary?

There are procedures which sincerely need to be done by a dentist with significant post-graduate training. But, beyond that, they need to be artistic. The procedure that is the most important is porcelain veneers. These require some significant training both in technique and artistry.

It’s hard for patients to know which dentists are artistic and which aren’t. You can have two dentists do the very same smile makeover and achieve vastly different results. There are many horror stories about cosmetic dentists ruining a patient’s smile.

How Can a Patient Find an Expert Cosmetic Dentist?

The easiest way to find an expert cosmetic dentist is to go to the American Academy of Cosmetic Dentistry (aacd.com) and look for an accredited dentist in your area. Accreditation is completely different from membership.

To reach accreditation, dentists have to pass stringent oral and written exams. In addition to that, they have to demonstrate a large number of cases they’ve personally done to demonstrate their artistry. They’re among the best cosmetic dentists in the country. You’d be pretty much guaranteed a gorgeous smile.

This blog is brought to you by Dr. Mike Malone.

Solutions for Tetracycline Stains

My twin sister and I both have tetracycline stains from some medicine we took when we were young. She decided to get something done about them. I kind of wanted to wait until I saw how hers turned out. She went to her family dentist. He crowned all her upper teeth and whitened the bottom teeth. He told her the bottom teeth wouldn’t look exactly like the top because tetracycline stains are hard to whiten. We were prepared for that. The crowns took him a couple of tries before he got something my sister was happy with. Though she likes them, I’m not too thrilled with them. To me, they’re so opaque they look like the porcelain you’d find in a bathtub. Is there a way to get it more natural looking? Yes, I know it’s still better than my teeth, but I’m wondering if a different dentist could have done a better job.

Morgan L.

Dear Morgan,

Porcelain Veneer being placed on a tooth
It takes an expert cosmetic dentist to treat tetracycline stains beautifully.

It takes an expert cosmetic dentist to create a beautiful solution for tetracycline stains. Most cosmetic dentists don’t have the technical skill and artistry necessary. It is among the most challenging of cosmetic cases. Because the tetracycline stains show through tooth structure, both natural and manmade, most cosmetic dentists go too far the other way, as your sister’s dentist did. They make them so opaque to cover the brown of the stains, their teeth end up looking like bathroom porcelain.

That doesn’t mean your case will have to turn out that way. In fact, I’m sad to say, those dentists who are highly skilled in their field spend a great deal of their time fixing subpar cosmetic procedures other dentists have done. We’ve had patients come to us from other offices in tears begging Dr. Malone to fix their smile.

I’m curious as to why your sister’s dentist used crowns on all her teeth. Did she have issues on them which required crowns? I don’t understand why he’d remove so much tooth structure if her teeth were otherwise healthy. Generally, I’d use porcelain veneers to cover tetracycline stains. This only requires mild shaving on the front of the tooth.

Finding an Expert Cosmetic Dentist

Even if there were a recognized specialty in cosmetic dentistry, every dentist’s skill level and artistic eye vary. How in the world is a patient to know if one cosmetic dentist is better than another? Would you even know what to ask if you had an opportunity to interview the dentist ahead of time? Of course not!

This is exactly why the American Academy of Cosmetic Dentistry (AACD) formed. They wanted patients to have a resource where they could find expert cosmetic dentists. Any cosmetic dentist can join as a member, however, they have an accreditation program.

If a dentist is AACD accredited, they’re in the top 1% of cosmetic dentists in the country. They’ve passed stringent exams, both oral and physical. They’ve also had to demonstrate their artistic ability by giving examples of a large number of specific cases they’ve personally performed.

I’d go to their website and look up which AACD accredited dentists are near to your area. It’s worth it to travel just a little if you need to.

This blog is brought to you by Dr. Mike Malone.

Can’t Get CEREC Crowns from My Dentist

I’m so sick of temporary crowns that fall off all the time. Every time I’ve gotten a crown it’s been a disaster from the get-go. I get a temporary and it falls off at every meal. It’s impossible to deal with. Now I find out I need another crown. I told my dentist I want a CEREC crown so I don’t have to deal with a temporary. He insists they’re not as good. I’m seriously considering switching dentists over this. What do you think?

Fanny,

Dear Fanny,
A tooth receiving a CEREC crown

I can understand your frustration. While temporary crowns do occasionally fall out (after all, they’re meant to be temporary) what you’ve experienced is way beyond normal. It says a bit about the skill of your dentist. I wouldn’t normally suggest switching dentists simply because you want a one-day crown, but it seems like your dentist lacks skill.

I’m not sure why he means they’re not as good. They’re just as strong as their traditional counterparts. The biggest difference and the only weakness I can see in comparison is CEREC crowns are milled out of a single block of porcelain. Some dentists feel that for your very front teeth it would look better for you to have a traditionally made crown so the dentist can craft it from several blocks of porcelain giving it more natural variety.

Cerec Crowns and Teeth Whitening

One other thing to consider. Hopefully, your dentist told you that once crowns are milled, their color is permanent. If you want your teeth whitened, you should do it before getting this latest crown if it is in a visible part of your smile.

That way your dentist will match your crown to the new color. Of course, if any of your old crowns are visible, those will need to be re-done to match. If they’re on back teeth which don’t show while you smile, I wouldn’t bother changing them though.

Picking a New Dentist

If you do decide to switch dentists over this issue. May I suggest you consider every type of procedure you may want, even future. If it’s just a good general dentist you want, who keeps up with the latest technology, that won’t be too hard to find.

If, however, you have more cosmetic interests in your future you’ll want to find a highly skilled cosmetic dentist. If they keep up with the advances in cosmetic work, you can be almost positive they keep up with the general side as well. So, how do you find an expert cosmetic dentist in your area? I’d check the American Academy of Cosmetic Dentistry’s website. You’ll want to be certain to get a dentist who’s reached accreditation level.

This blog is brought to you by Dr. Mike Malone.

Do I Get a Dental Implant or a Dental Bridge?

I lost a tooth. It’s my own fault. I waited too long to deal with it and now I have to replace it. My dentist is suggesting a dental implant, but I’m not too keen on the idea of surgery. Would a dental bridge do something close?

Kevin C.

Dear Kevin,

It depends on how close you’re wanting to get. Both a dental implant and a dental bridge are acceptable tooth replacement options. Both are permanent and secure. There are important differences though. I’ll explain both options. Then, you can discuss with your dentist what fits your situation best. His job isn’t to pressure you into an option, but rather to give you your options and a recommendation. The final decision is yours.

Dental Implants

Dental Implant DiagramYou already knew that a dental implant required surgery. The diagram on the left shows why.

As you can see, the implant is placed directly into your jawbone. The benefits to this are it’s like having your own natural tooth back, it preserves your jawbone, and no other teeth need to lose tooth structure for its placement.

Dental Bridge

Illustration of a dental bridgeA dental bridge is also permanent however, in order to bond them, it requires grinding down the adjacent teeth. Additionally, if part of it breaks the whole unit will have to be redone. They also do nothing to preserve the bone underneath.

When Does a Dental Bridge Make More Sense?

While it may sound like I’m suggesting dental implants are the better option, there is a time when a dental bridge makes more sense. For instance, if the adjacent teeth need to be crowned anyway then it’s like getting two procedures in one. Then, you’re not grinding healthy tooth structure.

The key is good communication with your dentist. He or she knows your teeth. If finances are a consideration as well, many dentists will let you pay out a procedure like dental implants which are a little more costly than simple procedures like a filling.

Who Should Do Your Tooth Restorations?

When you’re looking at replacing teeth, it’s important you choose the right dentist. The especially important when the tooth is in a visible part of your smile. You want it to look natural and beautiful. Not every dentist can pull that off.

Look for a dentist who’s accredited with the American Academy of Cosmetic Dentistry (AACD). These are the top cosmetic dentists in the country. One other thing to consider. Once your implant crown or dental bridge is made, the color cannot be changed. If you want a whiter smile, be sure to have your teeth whitened before your tooth replacement procedure is done. That way your restoration will match your bright white smile.

This blog is brought to you by Dr. Mike Malone.

Can a Cosmetic Dentist Fix Spaces Between My Teeth?

I have some spaces between my teeth that I want fixed, but I don’t want metal braces. Are there cosmetic options?

Fiona L.

Dear Fiona,

A woman with a gorgeous smile created by cosmetic dentist Dr. Mike Malone
A gorgeous smile created by cosmetic dentist Dr. Mike Malone

You have quite a few options to fix the spaces between your teeth. If you want to close the spaces, you have options other than traditional metal braces. Invisalign is a brand of orthodontics which uses invisible aligners to straighten your teeth. They’re very effective, working in less time than traditional braces.

The aligners have the benefit of being able to double as teeth whitening aligners. That way you can whiten your teeth and straighten them at the same time.

Cosmetic Dentistry Options for Closing Teeth

  • Tooth bonding: Depending on the size of the gaps between your teeth, dental bonding is a fantastic, fairly inexpensive option for you.
  • Porcelain veneers: If there are other things you want to change about your teeth, then veneers are your best option. They can change anything—the shape, size, color, and character.

Choosing your Cosmetic Dentist

If you choose the cosmetic option over the orthodontic option, it’s important you choose your cosmetic dentist carefully. You want to make sure the smile you get will be a beautiful one. Not every dentist can pull that off. It takes both technical knowledge as well as an artistic eye. It’s very challenging for patients to know who is capable of that type of advanced cosmetic work.

Because of that, the American Academy of Cosmetic Dentistry (AACD) started an accreditation program. It’s designed to test dentists on their technical skill and their artistic ability. There are stringent oral and written exams and they have to show a series of cases they’ve done of specific procedures to make sure they create not just technically proficient but gorgeous as well.

If you want a beautiful smile, go to an AACD accredited dentist.

This blog is brought to you by Dr. Mike Malone.