My Dentist Won’t Do CEREC On My Front Teeth

I have had a CEREC crown before and LOVED it. The convenience. I go in once and done.  No ugly, uncomfortable temporaries. No missing work for two appointments. However, now I need a crown on a front tooth, but my dentist won’t give me a CEREC. He insists those need to be done the old fashion way. Why?

Maria Mae – Ohio

Maria Mae,

If I were to take a guess, I would say that your dentist also does a significant amount of cosmetic dental work as part of his practice.  Your teeth are made of different layers, each having a different mix of colors and opacity. When a crown is made the “old fashion way” as your dentist is suggesting, these layers can be shaped to have that variety.

A CEREC crown, on the other hand, is milled from a single block of porcelain. That limits the variety significantly. When you’re talking about teeth not in the forefront of your smile, those subtle differences don’t matter as much. CEREC crowns blend in fine with the rest of your teeth in those cases.

Front teeth, however, are a different story. The way the light hits your front teeth, combined with their visibility, puts the standard of natural looking crowns significantly higher. Your dentist, who cares about the aesthetics of your appearance, wants to make sure you have the most beautiful, natural looking smile possible.

I hope this helps you understand his position.

This blog is brought to you by Dr. John Theriot.

Dealing with Dental Anxiety with Wine

I’ve struggled with dental anxiety in the past. It’s been getting worse every time. The last time, I left the waiting room before my appointment.  Drinking wine often relaxes me when I’m extremely anxious. Would it be okay if I drank some before my appointment?

Maelen – Denver

Maelen,

While it is fine to drink some wine, you need to be sure you tell your dentist. It will interfere with some medications he might need to give you, so it’s important he’s aware of everything you’ve taken.

I may have a better solution for you. Dental anxiety is not uncommon. Because of that, many dentists offer sedation dentistry. It’s a way for you to have a pain-free appointment.

There are several levels of sedation: nitrous oxide, oral conscious sedation, and IV sedation.  Talk with your dentist about your level of anxiety. That will help determine which type of sedation will serve you best.

This blog is brought to you by Dr. John Theriot.

An Affordable Dental Implant Dentist Ruined My Smile

I saw an ad for affordable dental implants visited the dentist to check it out. He seemed really confident and thought the procedure was just what I needed.  My lower two front teeth were loose and had been for some time. He priced out the surgery and placement of the posts/implants, the abutments, and the crowns for two teeth. He also suggested that I get extractions done right then and there, as well as something called “bone beads” to help me heal, which insurance did not cover. Six months of healing and no teeth, I went back for the surgery and he said he couldn’t do it without more procedures. He says I still don’t have enough bone and that I need gum treatments. He never told me about these needed procedures ahead of time. I have no teeth. My smile is ruined! How should I proceed?

Joshua W. – Austin, TX

Dear Joshua,

Warning bells rang when reading your message about affordable dental implants. First, it sounds like the reason your teeth were loose was never addressed. This is a huge concern. If it was due to periodontal disease, you wouldn’t have been a candidate for implants. That would have needed to have been brought under control first and would explain the need for additional “gum treatments” now.

The doctor should have discussed this with you from the start. There’s no telling if the teeth that were extracted could have been saved now that they’re gone, though the lack of information given to you is a huge concern.

Unfortunately, going forward, you probably do need other treatments before you can undergo the surgery and have your dental implants last. It’s a good idea to consult with another dentist before you do anything else, just to make sure you’re getting the right treatments.

There’s also no reason why you shouldn’t have been offered some form of temporary replacement teeth. It’s typical for an office to offer to create a flipper or partial denture, to prevent the other teeth from drifting, help maintain adequate space, for aesthetics, and so you can eat easier. This is still an option now. Book a consultation with another dentist or perhaps even two, to see where you stand.

This blog is brought to you by Dr. John Theriot.