Dr. Anthony Mobasser’s Answers to Frequently Asked Questions

Dr. Anthony Mobasser is answering questions asked by his clients. – FAQs

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Q: How to reduce my gummy Smile ?

Judging from my photos would I be a candidate for this or would raising the maxilla cause too large a gap vertically between upper and lower teeth? As I am having surgery to advance upper and lower jaws I am wondering if also RAISING the upper jaw in addition would complicate the procedure significantly or not and what would it consist of surgically?

A: I personally am against raising Maxilla or Oral surgery if you can do it more judiciously

You must have a consultation with periodontist and an expert cosmetic dentist, to give you few options.Also know that a great Periodontist, can lower the lip line, without raising maxilla, We have treated many gummy smiles to great success without surgical jaw intervention, mostly with gum surgery and placing veneers. The patients loved the results.

Web reference: https://www.celebritydentist.com//before-after/gummy-smile-ba/

Q: A piece of porcelain broke off my bridge (the four front teeth) can the piece of porcelain be fused back on to the bridge?

A: What should I do if a piece of porcelain broke off my front bridge? Porcelain repair?

You have 3 options depending on where the piece is broken off:The best option is of course get a new bridge, the second best option is see a cosmetic dentist to repair the fracture via dental bonding, and check your bite. I have treated many patients with dental bonding for repair of porcelain fracture, and they are still doing well five years passed. There is possibility of minor staining, since bonding is not the same material as porcelain, however polishing the bonding , will make it look like new again.If the broken piece is on the edge of tooth where you tear food, then your other option is possibly to have a partial veneer, substitute on the broken edge which will cost you again way less than changing the 4 unit bridge.

Web reference: https://www.celebritydentist.com//before-after/porcelain-repair-ba/

Q: Food gets stuck between two crowns is this normal?

 I have two crowns on my lower back teeth where food (worse with steak/ chicken etc) always gets stuck between. When I floss, it’s very hard to get the food out. The floss also catches on something on one of the crown’s lower edges- like there is an overhang on the crown. Then, when I get the food out, the area is very sensitive to cold (like when I swish water around to clear the area). The dentist is aware of the part that catches on the floss, but did not seemed concerned enough to fix it.

A: Getting food stuck can cause periodontal breakdown of the bone and the gums, also can cause cavities on the roots of your teeth.

You must address this as soon as possible with your dentist to avoid further breakdown!
Most food can get stuck between teeth, due to pathologic migration, meaning tooth movements as the result of your bite and occlusion, in some instances bite adjustments can remedy the problem, however if food impaction continues , your dentist must close the contact between teeth, either via redoing the crown, or restoration, or in some cases orthodontic intervention,  (for patients who did finish teeth movement, had orthodontics, however they do not wear the retainers ), to prevent caries, and gum disease.

Q: What Can I do Besides Braces for My Smile ?

My teeth started to shift as a child. Poor family, never went to the dentist, therefore restorations, a root canal, and now braces have been or are now needed. Not sure what to do 🙁 Braces chit, Takes a lot of paper work, and most of the time the request gets denied. Since I’m young, most dentists recommend braces and no to veneers, so I’m in a tough situation. Looking for someone to help me through this journey. Im so ready to make a change! I just took some more pictures.

A: Your Best choice is to have braces, possibly Invisalign, they both will take quite some time.

Your other choice is to find a cosmetic Dentist to have a consultation for dental porcelain veneers in combination with thin veneers to beautify and cosmetically enhance your smile.After a complete evaluation you can request a wax up of your smile, if you did agree to the dentist’s treatment plan.
Keep in mind veneers or thin veneers costs more than orthodontics, invisalign or braces.
Again, since I do advocate the least invasive dentistry, possibly you can do combination of braces and veneers.

Q:  Do I need Veneer, if I have a Crack On the tooth ?

Do I need a veneer? What other options do I have? My Front tooth shows Vertical Crack!

A: Since your crack on your front tooth is vertical and not horizontal, and it hardly shows with no sensitivity, you do not need veneer dental treatment necessarily.

Your options are as follow:  Do not do anything, wear a night guard, seal the tooth and observe, place dental bonding to again seal and repair the crack, possibly a no prep veneer, such as lumineer and last option is to have dental porcelain veneer.

Keep in mind, that Porcelain veneer is irreversible dental cosmetic procedure, meaning tooth structure needs to be removed and prepared.Lumineers however is a no prep,( no removal of tooth structure) but is will slightly be bulkier than veneer, but again it all depends on your clinical examination. You need to try to avoid chewing on ice,and be more cautious regarding biting on hard foods, since you do have a crack.

Porcelain veneer can strengthen your tooth, but again before having it done, many factors must be considered vs a no prep or lumineer or other options mentione above.

If you do have any further questions, do not hesitate to call our office at 310-550-0383

Q: Is it possible to improve the appearance of my teeth? Treatment of Black Triangle showing between my gums ?

A: Looking at your teeth, If you are satisfied with the color and the shape of your teeth, then your best bet is to have conservative dental bonding done to close the black triangles.

Due to lack of papillae and no gum between your teeth, and of course you can improve the color before dental bonding with teeth whitening before starting the dental bonding. But be informed that teeth whitening results are not permanent. If you are looking for a complete drastic change such as smile makeover, and your gum disease and recessions after 2 years of periodontal therapy is stabilized, then I suggest dental veneers consultation. Although I specialize in this procedure and have placed more than 8000 veneers successfully for my patients, a complete evaluation and consultation with your periodontist is necessary so you would be informed regarding the pros and cons, so you can make an intelligent decision.

Q: why black lines around my gums after having crowns or caps place ? what do I do ?

I have dark gums, due partly to smoking and also because my three front upper teeth have crowns and I think there is no blood circulation in that area since all the blood vessels may have been removed after the trauma to my teeth and the surgery after that. It happened about 20 years ago when i was still in my teens, but the gums weren’t so bad to begin with. So it is a combination of smoking and the accident. Can i regain some pinkness in my gums?

A:  You Had porcelain fused to metal crowns done, which does show the metal of your crown

and a dark black line at the neck of your crown and around the gum. This is mostly due to recession of your gums, meaning your gums by age and other factors have receded. Your best solution is to see a cosmetic dentist to have a consultation for possibly gum grafting,and then changing your metal porcelain crowns to all porcelain crown without any metal.The next question will be what type of all porcelain crown?
that depends on the xrays, your bite and occlusion , and if you had root canal treatments done on your teeth.

Web reference: https://www.celebritydentist.com//porcelain-crowns/

Q: Should I go back to the dentist to have him correct an issue where food gets stuck between two crowns or is this normal?

I have two crowns on my lower back teeth where food (worse with steak/ chicken etc) always gets stuck between. When I floss, it’s very hard to get the food out. The floss also catches on something on one of the crown’s lower edges- like there is an overhang on the crown. Then, when I get the food out, the area is very sensitive to cold (like when I swish water around to clear the area). The dentist is aware of the part that catches on the floss, but did not seemed concerned enough to fix it.

A:  Getting food stuck can cause periodontal breakdown of the bone and the gums, also can cause cavities on the roots of your teeth.

You must address this as soon as possible with your dentist to avoid further breakdown!
Most food can get stuck between teeth, due to pathologic migration, meaning tooth movements as the result of your bite and occlusion, in some instances bite adjustments can remedy the problem, however if food impaction continues , your dentist must close the contact between teeth, either via redoing the crown, or restoration, or in some cases orthodontic intervention,  (for patients who did finish teeth movement, had orthodontics, however they do not wear the retainers ), to prevent caries, and gum disease.

Web reference: https://www.celebritydentist.com//periodontal-disease/

Q: How much grinding in total considering tooth veneers have to be replaced every 10-20 years?

I’m deciding between regular porcelain veneers or the no-prep kind. I understand that some tooth preparation is needed regardless. My question is, since the veneers have to be replaced every 10-20 years, will my teeth have to be ground down every time replacements are needed? So e.g. if I get veneers at the age of 25 and 0.3 mm of tooth structure is removed, when I replace the veneers at say age 40, will another 0.3 mm of tooth structure have to be removed again?

A:  Porcelain Veneers vs Lumineers (no prep Veneers), requirements for shaping and tooth reduction from enamel, guidelines:

Teeth preparation is required for dental porcelain veneers, to mimic natural thickness of teeth and get the best desired shapeand color, as per wants of the patient. If at some time in future a redo is necessary, there is no reason to prepare and cut further the tooth structure, IF the patient was satisfied with the results originally.
Keep in mind the lumineers or no prep veneers, does not mimic natural teeth, they are usually bulky, since it is added to the tooth structure, and usually mono color, or opaque, and it may not be healthy for your gums. NOT every one is a candidate for Dental lumineers !
Removing dental lumineers are not as easy as you think, and if for any reason you do not like the results, upon removal there is possibility of nicking the original tooth, but later smoothing it, and it does take quite a long time to be removed.
Also the preparation of 0.3 mm is not necessarily true, the preparation of teeth depends on your original alignment, the existing color, and what color you desire, the shape of your teeth, you desire and your bite and occlusion.
You may reach our office at 310-550-0383 for your one on one consultation.

Web reference: https://www.celebritydentist.com//lumineers-vs-porcelain-veneers/

Q: Why am I experiencing pain after getting my crown put on?

I just had a crown put on my rear molar a week ago and continue to have pain. I have not even chewed on this side due to the discomfort. I am not sensitive to cold or hot but every time I bite down I can feel the pain. The crown was recommended by my doctor but I had no pain prior. Could he have drilled too deep striking a nerve to cause this pain? Am I really going to have to get a root canal now?

A:  There are many possibilities that causes pain, and sensitivity after you got your new Crown :

If your Crown is sensitive to hot fluids, there could be a nerve problem, If too cold, it might be reversible.
If the dental crown is sensitive to chewing pressure, then the crown might be high, to your bite or occlusion.
Did your dentist warned you about any sensitivity before cementing your crown ? MAYBE DUE TO DEEP CARIES ? and possibility of root canal exists ?
The above are just possibilities, but there are many other factors that can cause sensitivity and discomfort, including nerves, gums, bite, and the method of cements used to seat your dental crown, and the type of crown you have. Is your crown an Emax? zirconia ? of porcelain fused to metal ? each crown have specific cement protocol, and if not followed can cause sensitivity, or pain also.

Web reference: https://www.celebritydentist.com//porcelain-crowns/

Q: Can my teeth be corrected without jaw surgery?

I had braces and a palatal expander when I was she 13 until age 16. I did not turn the expander as directed by my dentist, nor did I wear my retainer. I’m now 22, and my teeth have shifted. I went to 2 orthodontist, both of which said I would need jaw surgery to have a “perfect” bite. However, I am against jaw surgery, and it’s not something I’m willing to do. One orthodontist suggested invisalign for 24 months. What types of problems do you see with my teeth, and what do you suggest?

A:  Absolutely ! you will be needing combination of orthodontic and veneers (which are least invasive dental procedure compared to crowns), in combination with dental bondings.

You do not want to have crowns at this early age, and the least invasive dentistry is the best!
Your bite at present will cause severe wear of your back teeth, so best is if you find an expert Orthodontist and a great cosmetic dentist to plan the outcome of your bite (occlusion). I personally am against surgery unless it is the last choice.

Web reference: https://www.celebritydentist.com//cosmetic-dentistry/

Q: What Are Two Main Differences Between Crowns and Porcelain Veneers?

What are the couple of reasons one should opt for a crown over veneers?

A:  The most important difference and benefit to you as a patient is less precious tooth removal, therefore less sensitivity, less problems on the long run. You want to have the least invasive dental procedure for your restorations !

Dental crowns require a 360 degree tooth reduction and removal, once the dentist cuts, you can not add on the the precious tooth structure.
Unfortunately I have seen thousands of patients thinking they have porcelain veneers, or their dentist told them they are getting veneers, where in fact most of the tooth is shaved down, and it is almost like a 3/4 crown , or 7/8 crowns.
There is no going back from a dental crown to porcelain dental crown, if any problem arises the next stage is root canal, or possibly extraction and last dental implant.
However, if a problem arises on dental veneer, that can not be repaired or make anther veneer, worst case scenario, a crown can be fabricated.
The next big advantage is the cosmetic effects, in which in my opinion veneers will look much more natural than crowns.

Web reference: https://www.celebritydentist.com//dental-veneers/

Q: What do I do if My veneers Keep coming Off and falling off

We started about six months ago with the process of having permanent veneers put on her front top 8 teeth. They keep falling off when she eats and we do not know what to do! We have been back to the dentist many times and they have not provided a solution to theses major issue. We need a solution that is permanent. Please advise.

A:  Unfortunately your dentist might have cut your teeth too radically, or he might not follow the protocol for proper veneer bonding.

Veneers need to be bonded or cemented properly.
Since I have not seen the preparation, I can not tell you if the teeth were prepared too much? or you might be needing crowns at this stage !
I do recommend your dentist to bond with 4th generation bonding agent, and use actual composite rather than resin cement, and I hope not all enamel was cut aggressively, if so now you are candidate for a crown.
The preparation of veneers, and the method of bonding, and bite analysis directly impacts the longevity and the results.

Web reference:https://www.celebritydentist.com//porcelain_veneers/

Q: What should i do? I got Porcelain Veneers and not happy with color due to paint on top layer of veneer

I got 16 veneers fitted-and not happy with color. I’ve chosen B3 and I liked temps look,but when my veneers were fitted I have noticed that they are more yellow than the sample-close to gum was at least shade darker than the ends. I was told top layer of veneers gets painted to give more natural look and it can be easily removed.But now surface is not even-it look partly glossy partly mat.Is it better to redo upper veneers,or more polishing better option? Also,is it normal veneers to be painted?

A:  Ask your dentist to have the darkened color polished out with a diamond instrumentation and polishing wheel.

If that does not satisfy your wants, then unfortunately you might need to change your veneers!
In Certain cases, I have done reverse bleaching from the back of teeth, in which the veneers appeared lighter, due to REVERSE BLEACHING.
But I need to see your teeth clinically.

Web reference:  https://www.celebritydentist.com//before-after/porcelain-veneers/

Q:  Should I get porcelain veneers or crowns for my teeth? Can I have these procedures shortly after a chin augmentation?

My front tooth i had a previous root canal (it appears darker) and can any of the two procedures straighten my bottom crooked teeth? my goal is a whiter more nicer smile what are my options between the two that dont involve invisalign ? and can i get the procedures done shortly after a chin augmentation?

A:  I recommend you have your chin implant delayed, and have your cosmetic dental treatment with veneers and crowns done first

so the surgeon would look at the final teeth arrangement in your smile before chin implant!
Your best bet is to have dental veneers done rather than porcelain crowns, since the veneer procedure is less invasive, meaning less tooth structure is required to be removed from your natural teeth, and they will last you longer due to preservation of your teeth, however unfortunately I have seen many patients that thought they got veneers, but they actually got crowns, due to over preparation of teeth by their dentist.
You can always go from a veneer to a dental crown if need be, however if you do have a crown , you can not get veneers!!
your lower crooked teeth, can be planned to have veneers, however your best treatment is braces, if you choose not to have orthodontics , I have done many cases like yours with veneer dental treatment (Instant orthodontics), and a bite analysis is vital before you proceed.

Web reference:  https://www.celebritydentist.com//cosmetic-dentistry/

Q:  Looking for some feedback on my temporary veneers. Are they good or bad? I need to make sure before I get finals.

My temporary veneers are they Good, or Bad? What should I tell my dentist ? Do I need to be concerned if my temporaries do not look good ?

A:  The more important question is if you like them ? Do you like the final permanent results to look like your temporary veneers or crowns ?

Is the length and width what you desire? Do you like the shape? Did you communicate with your dentist, any requirements ? It is best to discuss these issues to your dentist at this visit, and if you are satisfied then your dentist can give you the exact results or tweek themif necessary.
In my opinion Your right lateral tooth will be looking a bit longer than your left lateral after final veneers are bonded in, this is due to discrepancy on the gum heights, also your left central looks like is not as straight as opposed to your right central., both issues can be fixed easily if communicated with your dentist and the lab technician.

Web reference:  https://www.celebritydentist.com//cosmetic-dentistry/

Q:   I want veneers on my front 2 teeth. Do they last and how much does it cost?

my 2 front teeth have become discolored due to know having both root canal treated due to another dentists mistake. I am very self concious about them and long longer smile how I used to, I have even got very upset about it. A friend suggested veneers but I am worried they will look odd and about having to afford them as I have many other bills. I am only 20 and need something costwise and lasting. can anyone help please?

A: Depending on the discoloration and the exact color match of your teeth to the adjacent teeth, the cost of veneers vary, and I do need to see you clinically.

The Cost of veneers also varies depending on the expertise of your treating cosmetic dentist!
Since your FRONT teeth are discolored, and it is vital to you, I would not select my choices only to how much it cost, but to which dentist is the best!
Having said that, you might be a candidate for internal bleaching, (whitening the discolored teeth due to root canal), if the root canals have been done properly.This procedure is called walking bleach also.

Web reference:  https://www.celebritydentist.com//dental-veneers/

Q: Would composite veneers or porcelain veneers be better in this case? The top and bottom rows of my teeth do not connect.

My top row of teeth and bottom row of teeth do not connect. Only the front teeth and I want to fix this problem sooner than later. I’m kind of scared of porcelain veneers since they shave my actual teeth down so I did some research and heard of composite veneers which I was told just goes on top of my existing teeth. I just want to take a bite out of something without looking weird tearing it away from my mouth. I also don’t mind getting braces before either procedure.

A:  Just Porcelain Veneers Is not your most ideal treatment of choice in your case !

You Do have a Classic open bite, with too much space !  So your best option is to have a consultation with an Orthodontist first.
There is possibility of surgical intervention to achieve the results you want.
If for some reason you do not want surgical intervention or braces, then you can ask your cosmetic dentist if he can do a mock up for you , or possibly a wax up of your teeth, so you can see the results before committing to veneering your teeth !
Even with porcelain or composite veneers looking at your picture you will still end up with an open bite,but not as large of a space and you should not close your open bite all the way since your teeth will look too large and not pleasing to the eye.

Web reference:  https://www.celebritydentist.com//dental-veneers/

Q:  Is it a good idea to get veneers just for look?

I am 23 years old, having healthy straight teeth, (braces before)….my teeth are not that yellow. But i want whiter teeth that is noticeable in a natural way, should i really need veneers to achieve this?

A: Cosmetic Dentistry is all about “want” not “needs” !

Porcelain veneers can definitely improves your smile if done by an expert Cosmetic Dentist. Having said that if your natural teeth looks straight, aligned, you like the length and width of your teeth, and the issue is color,
then I would explore all my options ! and I do not recommend having porcelain veneers done right away.
Porcelain Veneers are irreversible procedure, once you do it, you can not go back to your natural teeth.
You must get an in depth consultation, re all your options, including dental teeth whitening, and possibly dental bonding.
Depending on what you like to achieve,start with the least invasive procedure!
Also know that there are few veneer dentists who can give you veneers, that are totally natural white, and not look, fake white!

Web reference:  https://www.celebritydentist.com//dental-veneers/

Q: Are porcelain veneers still a possibility with an open bite? (Photo)

I am considering replacing my top 8 teeth with porcelain veneers (to widen smile/fix stained, cracked teeth) and I am wondering if my bite could potentially be an obstacle. I’m afraid that when it comes time for my consultation in January, I will be told that I need orthognathic surgery prior to getting veneers. Thank you

A: Absolutely ! Depending on the Health of your teeth after a complete evaluation and bite analysis you can definitely widen your Smile, by placing 10 veneers on the top teeth

and you must know that possible occlusal adjustment (shaping the enamel of the opposing teeth) might be necessary on the opposing teeth, to get the desired look.
Having said that, if you are inclined to have Orthognathic surgery, or any Orthodontic (braces) dental treatment done, then I would wait till you have done your surgery and teeth movement first.
However if you do want a more youthful and broadened smile (a zygomatic ) smile, then an expert cosmetic dentist can definitely do that for you.
You must ask re other options, pros and cons for each procedure, so you do make your choice more intelligently based on your needs.

Web reference:  https://www.celebritydentist.com//porcelain_veneers/

Q: How Can I Improve My Smile ? And How much it Cost ?

Basically I hate my smile. My parents never took me the dentist. When they did it was always what costs “less”, over quality. I have a crooked alignment, a mouth literally full of black fillings, and an infected crown. I had a root canal done on my front tooth which is now extremly discolored and chipping, which caused the other tooth to chip as well. I have all 4 of my wisdom teeth, one is coming in but has no room. And 2 gaps, top left, bottom right, where teeth were pulled due to convenience.

A: Best recommendation is to find an expert Cosmetic Dentist and have an Evaluation and Consultation.

Consultation to meet the doctor can be complimentary, so you meet the cosmetic dentist and have recommendation of what are your options are and where you should start?

Most probably after that visit, you will be needing a complete dental evaluation and records ( in which will cost you from $200 to $1500 depending on the expertise of the cosmetic dentist and the severity of your case), so the dentist can present your options to you. This visit consists of detailed look at your dental health via complete xrays, diagnostic models , bite analysis, series of intra oral photos, smiling photos of your teeth alignment in all directions, examination of your gums and nerves.

The next visit all options and costs must be presented to you, and depending on financial, you will be choosing. Of course the best option and the ideal dental treatment is presented to you first and then others.

Keep in mind, your first decision must be concentrated to improving the overall health and foundation of your mouth, if you ignore that treatment and skip to cosmetic dentistry, rest assured that the cosmetic dentistry done will fail also.

Also make sure you choose the least INVASIVE treatment, since your teeth are precious,and the more conservative the preparation of your teeth are, the longer you will keep them for the rest of your life.

Always ask the treating Cosmetic Dentist how many of these procedures he has done, and his success rate.
You may also ask the dentist to do a mock up in your mouth if possible , or have a wax up of your new SMILE MAKEOVER presented to you. A smile makeover can cost as little as few thousand dollars to well excess of fifty thousand dollars, depending on the severity of the case and the expertise and know how of your cosmetic dentist.

Web reference:  https://www.celebritydentist.com//smile-makeover/

Q: Does medical insurance pay for partials?

A:  Most Medical Insurances will NOT pay for dental services.

After a lengthy pre authorization process which they (insurance) require, they will usually deny dental services, unless it is an Oral surgical intervention and in some cases they will allow for sleep apnea appliances.

Web reference:  https://www.celebritydentist.com//cosmetic-dentistry/

Q: What Can I do Besides Braces for My Smile ? What is Instant Orthodontics?

My teeth started to shift as a child. Poor family, never went to the dentist, therefore restorations, a root canal, and now braces have been or are now needed. Not sure what to do 🙁 Braces chit, Takes a lot of paper work, and most of the time the request gets denied. Since I’m young, most dentists recommend braces and no to veneers, so I’m in a tough situation. Looking for someone to help me through this journey. Im so ready to make a change! I just took some more pictures.

A: Your Best and ideal cosmetic dental services is to have braces, possibly Invisalign, and know: they both will take quite some time

INSTANT ORTHODONTICS, usually is a procedure that cosmetic dentist will use via placing veneers, or dental crowns to make teeth look straight and aligned. If there is severe crooked teeth or crowded teeth, Instant orthodontics is not recommended as the only dental treatment.
Your other choice is to find a cosmetic Dentist to have a consultation for dental porcelain veneers in combination with thin veneers to beautify and cosmetically enhance your smile.After a complete evaluation you can request a wax up of your smile, if you did agree to the dentist’s treatment plan.

Keep in mind veneers or thin veneers costs more than orthodontics, invisalign or braces.
Again, since I do advocate the least invasive dentistry, possibly you can do combination of braces and veneers if time is a factor.

Web reference:  https://www.celebritydentist.com//cosmetic-dentistry/

Q:  How much to restore my bottom teeth with Dental Implants?

I live in Florida and I was quoted 16,500 just for my bottom and that was only 6 posts, why is it so high?

I’m 4’9 and I use to weight 100 pounds but with out teeth It hard is anyone on here works in Jacksonville and can help me for less than 20000 please let me know

A:  You have many choices and many Implant Dentists!

Depending on the level of your existing bones and the severity of your Implant placement and treatment, the fees varies. Keep in mind Implant dentists all have varied amount of knowledge and expertise, and dentistry is not a commodity, consequently there are different fees for services rendered , however the quality of service varies tremendously.
The fee quoted to you to place 6 implants and fixed porcelain bridges, as a Los Angeles Implant Dentist is reasonable in Los Angeles CA, and maybe even in the low end, however you might be able to have 4 dental Implants and a hybrid prosthesis that functions the same for less. But then again a complete evaluation is needed, to determine if the 4 dental implants would suffice.
Having a second opinion is great, but keep in mind not all dentists experience, vision in cosmetic dentistry field and care is the same, and you might be paying more for the best dentist to treat you, which in my opinion is well worth it.

Web reference:  https://www.celebritydentist.com//dental-implants/

Q:  Why does my tooth still hurts after 3 months of a root canal and crown?

I had a root canal & crown in May. My tooth continued to hurt, radiating to the jaw, as well as the gum tissue at the new crown site. Saw my dentist & it was decided I needed a mouthguard. The xrays showed my tooth was fine. I have been trying to wear the mouthguard for about 2 weeks now & it seems my tooth hurts more than ever. I’ve had adjustments done on the mouthguard. I can’t seem to bite on that side and it hurts more when I tap the top of it. Why am I having this pain and it’s worse now?

A:  I recommend you find another Dentist to rule out possible fracture or micro crack in the root of your tooth

and also to check if there are any other lateral canals (auxiliary nerves that was missed) and needs to be filled !
I do recommend you do see another Endodontist.

If all checked out fine, then the fit of your crown might be compromised and it is impinging too much in your gum. The sooner you check above the better off you are !

Definitely rule out and make sure your tooth is not cracked, and the fit of your crown is satisfactory.

Web reference:  https://www.celebritydentist.com//

Q:  What is the best concentration gel for bleaching or whitening teeth?

I used some for half hour for two weeks. There’s some improvement. But still no where where my whiting needs to be. How long should I breach and how frequent in order to get the results I want? I don’t smoke, drink coffee, or tea.

A:  First let your dentist guide you, to make sure the discoloration of your teeth are not intrinsic (meaning it is not internal discoloration),

it can be difficult to bleach teeth with internal staining, such as tetracycline staining on teeth. Other means of permanent whitening are available which is beyond the scope of this question.
The whitening bleaching gels are 2 categories, one is with with carbomide peroxide , the other is hydrogen peroxide derivative.

The hydrogen peroxide will give you a boost of color change much faster and in a shorter time.
Your best bet is (after you make sure your gums are healthy and No Roots are exposed and your fillings if any are not leaking) then get custom trays done. The custom trays are of vital importance to the final results.

Then my recommendation will be use either 12-14% hydrogen peroxide gel or 22-36% carbomide peroxide gels. The duration for hydrogen peroxide bleaching must be limited to max 5 to 15 minutes, however for carbomide peroxide duration can go up to one hour a day for a week or two.

If there is hypocalcification spots (white chalky spots after your bleach ), then stop the whitening, also if there is any sensitivity stop whitening immediately and contact your dentist. If there is no change in color after a week, without sensitivity consult a cosmetic dentist for further guidance.

Web reference: https://www.celebritydentist.com//teeth-whitening/

Q:  I have a gap in the front two teeth and want to close it. What procedure would you recommend? (photo)

A:Looking at your pictures the least invasive dental treatment is Dental bonding since none or not much tooth removal is required

and can produce amazing results. As a matter of fact the bonding can be done without removal of any tooth structure .
I do recommend you get a mock up in your mouth before the composite bonding is permanently placed, so you do check out how it looks in your mouth. A cosmetic dentist most certainly should be able to do that.
If for any reason you were not satisfied, you can then choose porcelain veneers.
Porcelain veneers are more invasive than dental bonding, and do require 2 visits and are more costly, however it can produce amazing results with color stability and strength.
Understand that you can always go to porcelain veneers if the bonding ever fails, however you can not go back to dental bonding if the dental veneer fails.
Your third choice is to have orthodontic treatment, and close the spaces and gaps, in which the treatment time is quite longer.

Web reference: https://www.celebritydentist.com//dental-bonding/

Q: How Do I Find the Best Cosmetic Dentist?

I am tempted to pick someone who takes my insurance plan. Are there better ways to find someone good at cosmetic dentistry vs. general dental work?

A: Finding the best cosmetic dentist requires a little of work on your part, but the little effort certainly out weighs the benefits you will gain.

Your best bet is to to do your research on line, regarding the dentist background, the reviews posted and the before and after cosmetic treatments the dentist has performed similar to your needs and wants.Then making appointment with 2 or three of your top cosmetic dentists, you selected, for a consultation. At the consultation observe how detailed is their examination and consultation, and address all your questions, such as:How many procedures similar to what I want have you performed?
Is it a few times, or hundreds or thousands?
Usually a cosmetic dentist expert has performed at least a few hundred times that particular cosmetic procedure.
Can the Cosmetic dentist show you a “mock up” in YOUR MOUTH, of how the results might look like ?
Does the cosmetic dentist, listens to your needs?
Do you have one option or several?
Listen if the cosmetic dentist is going over the pros, cons, risks and benefits of the procedure with you? and over all the options?

With these few questions, you will be getting a feel, If you want that cosmetic dentist to do the dental procedure for you or you are ready to move on.

Of course the next questions will be in regards to how many visits it takes? how long of an appointment time ?
Does it involve any discomfort ? do you have an option to have sedation dentistry done while you have your cosmetic dentistry done ?

After, inquire regarding the cost, How much is the cosmetic dentistry going to cost ?
Do not get shocked if there are huge price differences, each cosmetic dentist fee differs, and it usually depends on the reputation, the expertise and the knowledge and know how to give you the best possible results in an efficient manner, AND use the least invasive procedure on you, to give you what you really want.

Web reference: https://www.celebritydentist.com//how-to-choose-a-cosmetic-dentist/

Q: How do I improve the look of my smile? My teeth are not level and there’s a small gap between my two front teeth

Hello, I have a question regarding the aesthetics of my teeth. I have a couple pictures of my smile right now and a picture of how I want them to be. My main concerns have to do with the length of my teeth not being level with one another and a small gap between my two front teeth. What would I need done and how much would it typically cost? Thank you very much!

A: You have many options for your new smile makeover:

Y1- cosmetic re contouring of your teeth
2- Dental bonding
3- Orthodontics
4-Dental porcelain veneers
You do have a young smile, and a step on your centrals, which in hollywood most older people want to have a step in their front two teeth. Depending on your age,your bite (occlusion) and how big the nerves of your teeth are, I advise you to have the least invasive treatment. The cost of treatment can be anywhere from $250 to thousands of dollars.

Web reference: https://www.celebritydentist.com/smile-makeover/

Q: Do I need a veneer? What other options do I have?

I have a slight vertical crack in my front tooth. There’s no pain and it is not very noticeable except to me and my dentist. He mentioned getting 1 veneer (I’d get 2 if it’s my only option so the 2 front teeth match) but is there something else I can do and worth looking into?

A: Since your crack on your front tooth is vertical and not horizontal, and it hardly shows with no sensitivity, you do not need veneer dental treatment necessarily.

Your options are as follow:, Do not do anything, wear a night guard, seal the tooth and observe, place dental bonding to again seal and repair the crack, possibly a no prep veneer, such as lumineer and last option is to have dental porcelain veneer.Keep in mind, that Porcelain veneer is irreversible dental cosmetic procedure, meaning tooth structure needs to be removed and prepared.Lumineers however is a no prep,( no removal of tooth structure) but is will slightly be bulkier than veneer, but again it all depends on your clinical examination. You need to try to avoid chewing on ice,and be more cautious regarding biting on hard foods, since you do have a crack.Porcelain veneer can strengthen your tooth, but again before having it done, many factors must be considered vs a no prep or lumineer or other options mentione above.

Web reference: https://www.celebritydentist.com/lumineers-vs-porcelain-veneers/

Q: Because I’m in the military, braces aren’t really allowed. What else could I do?

My teeth started to shift as a child. Poor family, never went to the dentist, therefore restorations, a root canal, and now braces have been or are now needed. Not sure what to do 🙁 Braces chit, Takes a lot of paper work, and most of the time the request gets denied. Since I’m young, most dentists recommend braces and no to veneers, so I’m in a tough situation. Looking for someone to help me through this journey. Im so ready to make a change! I just took some more pictures.

A: Your Best choice is to have braces, possibly Invisalign , they both will take quite some time.

our other choice is to find a cosmetic Dentist to have a consultation for dental porcelain veneers in combination with thin veneers to beautify and cosmetically enhance your smile.After a complete evaluation you can request a wax up of your smile, if you did agree to the dentist’s treatment plan.Keep in mind veneers or thin veneers costs more than orthodontics, invisalign or braces.
Again, since I do advocate the least invasive dentistry, possibly you can do combination of braces and veneers.

Web reference: https://www.celebritydentist.com/lumineers-vs-porcelain-veneers/

Q: How severe is my cracked front right tooth?

My previous intimate partner Yanked a glass bottle from my mouth while I was drinking and it cracked my front right tooth next to my left front tooth. What is the best and affordable option. I haven’t seen a dentist yet so I’d like to go with some professional advice please help. Thank you for your time and consideration

A: You need to see a dentist to have your cracked tooth examined for sensitivity, and possibility of horizontal or vertical cracks.

Advise you to have xray of the tooth and make sure the nerve is not involved, and there is no sensitivity upon percussion (tapping on the tooth).Now cosmetically you have several options:
1- Dental Bonding, which is a quick fix, for pros and cons you can visit our website, and it is the least expensive procedure
2- Dental porcelain veneer, is stronger and strengthens your tooth, it is more durable permanent restoration than dental bonding.I do not recommend lumineer for your tooth since it will look bulkier than your other front tooth, but a thin veneer can match your other teeth!
although to have a one veneer front tooth, can be challenging !
3- Consider a dental crown depending on your dental examination of the front tooth!
that is a more radical approach, which I try to avoid if possible, since it involves a more radical preparation by dentist to fit a crown for your tooth VS dental bonding or veneer.Best is to to have the least radical dental treatment, and the least invasive dentistry, and evaluate! You can always go to a more radical treatment if you started with the least conservative treatment.

Web reference: https://www.celebritydentist.com//dental-veneers/

Q: How can I make my two front teeth look shorter?

My two front teeth are sort of long, on the right side of my two front teeth, the tooth is crooked and makes one of my two front teeth look extremely long. How can I fix this?

A: If you do have long teeth or need to correct the shape of existing tooth, it is best to find a good cosmetic dentist, that is experienced in COSMETIC CONTOURING of your smile line.

The dentist must know how much can be removed from the enamel, and not expose the dentin on your tooth.In some cases if indicated, tooth movement is your other option, if you do not want your existing teeth to be contoured and shaped, in which that will take longer time to get the results.Best of Luck !

Web reference: https://www.celebritydentist.com//how-to-choose-a-cosmetic-dentist/

Q: Can A Cavity Be Reversed Naturally?

Read so many studies that a small cavity can heal itself and decay gone by remineralization using fluoride and xylitol. Is this true? Can you actually heal a cavity by this method? Studies said rinsing with ACT( or any other fluoride rinse) & xylitol daily will actually reverse a cavity. I find it hard to believe. Once you have a cavity, small or not the only way is to fill it. But a dentist wrote that she has patients she has seen cavities gone in a few months with this method. Is this true?

A: Depending on the extent of caries, possibility of cavity reversal exists.

If the cavity is in the enamel, and has not penetrated thru DENTIN, then your cavity can be remineralized.It all dependy on your oral hygiene, the quality and the quantity of your saliva, and your diet.
Generally the more acidic your saliva, the more prone you are to cavities or gum disease.Ask your dentist regarding the products available to aid you prevent decays, and gum disease.

Good luck !

Web reference: https://www.celebritydentist.com//periodontal-disease/

Q: What can I do to get bigger teeth and a bigger smile?

I find that either my teeth are too small or my lips are too big. But then I think about all the people I know of that have bigger lips and a huge smile where their teeth show. Mine doesn’t show much and I’ve gotten so self conscious about it, if i laugh or smile with my mouth open, it almost seems like I have no teeth. FIY I’ve also had a revision rhino and Its still in the healing process so excuse my swollen nose…

A: It is best to visit a cosmetic dentist and consult your plastic surgeon.

Looking at your teeth , yes porcelain veneers or dental bonding can make your teeth longer, but it might not last a long time depending on your bite, and how many veneers we are placing to make your smile cosmetically pleasing, and FUNCTION the right way, so it can feel good and last a long time.The Length of your roots, and the level of your bone determines what can be done in combination with your existing bite.You will need a comprehensive dental evaluation to get the answers!in your case possibility of surgical intervention to lift up your lips in combination with dental veneers might work great, just looking at your pictures.This can give you a huge lift on how you feel about yourself, although it might be pricey, the outcome is well worth your investment. If you do have a cosmetic dentist, you need a complete evaluation.Best of luck,

Web reference: https://www.celebritydentist.com//porcelain_veneers/

Q: I have protruding and dark gums which can be seen when I smile.

Only maxillary gums

A: Dark gums can be turned to pink gums, via Gum bleaching.

Gummy smiles can look super natural, to boost your confidence. Not all dentist is aware of the treatment to turn dark black gums to pink gums, and it does require special training. It is not like whitening your teeth!You can inquire if your current dentist can do the treatment, if not you can make an appointment in our office for gum bleaching. To learn more about gummy smile treatment , please visit our website, the good news is that there are available dental treatments for dark or black gums and gummy smiles and possibly a smile makeover to change your life..
Best of luck !

Web reference: https://www.celebritydentist.com//before-after/gummy-smile-ba/

Q: Can my four front teeth be fixed? They are huge and over lap my bottom teeth.

They are big and small ones

A: There are many options for your front teeth, Orthodontics can straighten, close the gaps, and fix the overlap.

However, If you do not like the shape of your teeth or the color, you must consult the cosmetic dentist near your area, to discuss, whitening, cosmetic re contouring of smile line, dental bonding,and porcelain veneers for a more permanant result.
the cost varies, the pros and cons of each procedure varies also.
You can even do combination of restorative and invisalign procedure, however ask your DDS to do a wax up for you, so you will know the end picture.
You really need a full mouth Evaluation for all above.
Hope I have helped you. Best of Luck!

Web reference: https://www.celebritydentist.com//porcelain_veneers/

Q: What are my options for my smile?

I have always been unhappy with my smile and I was thinking about bonding due to the fact that it is more affordable. Do you think that would be a good option for my teeth?

A: Your best option is to have a cosmetic dentistry evaluation and consultation, and go from there, your options are the following:

HConsider orthodontics, or invisalign, due to gaps and spaces you have, this will take some time, if you want accelerated results (orthodontics or invisalign is not for you ).If you are not happy with the color, first do whitening of your teeth, to boost the desired color, understand that the bleaching procedure is not a permanent whitening of your teeth!To close the gaps and make your teeth more proportioned, (see Da Vinci golden proportions) and to restore natural beauty, you can consider dental bonding, which is the least invasive procedure (that is the good thing), however it can stain , and is not as permanent and strong, compared to dental porcelain veneers.The benefit to you, is that not much tooth removal is required, it can be done in one visit, the cost of dental bonding (depending on the expertise of the dentist) is lower compared to veneers, or dental porcelain crowns.The only draw back is possible staining, and the composite bonding material is not as strong compared to their counter part, Porcelain, meaning it can fracture or break.

If you are looking for a permanent restoration, you can consider dental porcelain veneers, in which the color you and your dentist choose will be stable, and the porcelain is strong, lasting you many years.The cosmetic dentist experience is of vital importance to prepare your teeth judiciously, and make your veneers last 20 plus years, consequently the costs of porcelain veneers vary tremendously depending on which cosmetic dentist you go to.
If you want the best, then probably you pay a higher fee for the dexterity, the artistic ability, and the know how of the cosmetic dentist.

Cost of dental treatments mentioned above vary, depending on each DDS and their experience, to give you the best and lasting results. Generally teeth whitening is the least expensive, followed by dental bonding, and invisalign, and the high end cost is when you choose to have porcelain veneers for the most permanent restoration.

Lastly Make sure after dental treatment is completed you are enrolled in a preventative care program, by your dentist, to protect your investment (best advice).

Good Luck!

Web reference: https://www.celebritydentist.com//dental-bonding/

Q: What procedure would work best to close my gap Veneers or Bonding?

need to close this gap asap..tried 6 month braces didnt have a gap for 6 months and now i do..Help!

A: The Best way to close your gap, if you do not mind to have wider teeth is via dental bonding,
The benefit to you:

not much enamel removal is necessary, no second visit is needed, no anesthesia is needed, and can last a long time, and lastly dental bonding procedure is less cost than Porcelain veneer.The disadvantage: it is not as strong or permanent compared to dental veneers.
If you do not like your teeth to look wider and bigger, then you must find an expert cosmetic dentist to do an evaluation regarding your 4 front teeth, measure the space, and then do a wax up to properly divide the space for your 4 front teeth to show you the final outcome via veneersThe Advantage: you will have a permanent restoration, strong, that does not stain, and the shape of your teeth are more proportioned( read about Da vinci principal of golden proportion, and natural beauty, which you can find in our website.

The disadvantage: tooth removal is required, the cost will be much more also, and you will be needing couple of visits.
Depending on your budget, and what exactly you want, the above apply.
hope I helped you, and good luck!

Web reference: https://www.celebritydentist.com//dental-veneers/

Q: Should I go back to the dentist to have him correct an issue where food gets stuck between two crowns or is this normal?

I have two crowns on my lower back teeth where food (worse with steak/ chicken etc) always gets stuck between. When I floss, it’s very hard to get the food out. The floss also catches on something on one of the crown’s lower edges- like there is an overhang on the crown. Then, when I get the food out, the area is very sensitive to cold (like when I swish water around to clear the area). The dentist is aware of the part that catches on the floss, but did not seemed concerned enough to fix it.

A: Getting food stuck can cause periodontal breakdown of the bone and the gums, also can cause cavities on the roots of your teeth.
The benefit to you:

You must address this as soon as possible with your dentist to avoid further breakdown!
Most food can get stuck between teeth, due to pathologic migration, meaning tooth movements as the result of your bite and occlusion, in some instances bite adjustments can remedy the problem, however if food impaction continues , your dentist must close the contact between teeth, either via redoing the crown, or restoration, or in some cases orthodontic intervention, (for patients who did finish teeth movement, had orthodontics, however they do not wear the retainers ), to prevent caries, and gum disease.

Web reference: https://www.celebritydentist.com/periodontal-disease/

Q: Why am I experiencing pain after getting my crown put on?

I just had a crown put on my rear molar a week ago and continue to have pain. I have not even chewed on this side due to the discomfort. I am not sensitive to cold or hot but every time I bite down I can feel the pain. The crown was recommended by my doctor but I had no pain prior. Could he have drilled too deep striking a nerve to cause this pain? Am I really going to have to get a root canal now?

A: There are many possibilities :
The benefit to you:

If your Crown is sensitive to hot fluids, there could be a nerve problem, If to cold it might be reversible.
If the dental crown is sensitive to chewing pressure, then the crown might be high, to your bite or occlusion.
Did your dentist warned you about any sensitivity before cementing your crown ? MAYBE DUE TO DEEP CARIES ? and possibility of root canal exists ?
The above are just possibilities, but there are many other factors that can cause sensitivity and discomfort, including nerves, gums, bite, and the method of cements used to seat your dental crown, and the type of crown you have. Is your crown an Emax? zirconia ? of porcelain fused to metal ? each crown have specific cement protocol, and if not followed can cause sensitivity, or pain also.

Web reference: https://www.celebritydentist.com/porcelain-crowns/

Q: Is the cost of lumineers and veneers the same?

In all of my research it seems that the dentist has a lot less work with the lumineers. It stands to reason lumineers should be more cost effective.

A: The cost of lumineers must be LESS COST than porcelain veneers, since lumineers will takes less of the doctor’s time.

By definition lumineers are no preparation veneers, meaning the dentist is not going to do any preparation on the patients teeth, and the dentist need to only take impressions and bond them properly. If preparation is required on the teeth, then they are considered thin veneers, or porcelain veneers.
Please Note: lumineers is not for everyone !Porcelain veneers however require total planning, time of the DDS, skill as far as the preparation, the dexterity of the practitioner, and the know how, and the artistic eye of the cosmetic dentist to manifest what the patient wants.So Definetly comparing lumineers vs veneer cost, the porcelain veneers are more costly.

Web reference: https://www.celebritydentist.com//lumineers-vs-porcelain-veneers/

Q: Can cocaine damage lumineers?

A: Drugs such as cocaine, does not damage the restoration itself ( such as veneers or dental lumineers), however it does cause dryness of your mouth, in which that can cause damage to the supporting structure of your teeth, roots, and gums by causing decay, and periodontal problems, besides the systemic problem it causes.

Cocaine can cause also grinding and clenching of your teeth, in which can fracture your porcelain veneer, or lunineers.
Alcohol can also cause dry mouth, in which can cause decay, and gingival dental problems.

Web reference: https://www.celebritydentist.com//lumineers-vs-porcelain-veneers/

Q: Am I a candidate for having maxilla raised vertically to reduce gummy smile?

Judging from my photos would I be a candidate for this or would raising the maxilla cause too large a gap vertically between upper and lower teeth? As I am having surgery to advance upper and lower jaws I am wondering if also RAISING the upper jaw in addition would complicate the procedure significantly or not and what would it consist of surgically?

A: I personally am against raising Maxilla or Oral surgery if you can do it more judiciously.

You must have a consultation with periodontist and an expert cosmetic dentist, to give you few options.
Also know that a great Periodontist, can lower the lip line, without raising maxilla, We have treated many gummy smiles to great success without surgical jaw intervention, mostly with gum surgery and placing veneers. The patients loved the results.

Web reference: https://www.celebritydentist.com/before-after/gummy-smile-ba/

Q: Am I a candidate for having maxilla raised vertically to reduce gummy smile?

Hi, I recently had a root canal on my front tooth. It is still noticeably grey, by no means black though. I want to use that tooth as one of the abutments for a dental bridge, as I have a tooth missing next to it. Will a dental bridge cap completely cover the grey tooth? My dentist has brought up internal bleaching before doing so because the fake teeth are translucent and the grey may show through, though I’m not sure if he just wants me to pay more… Any help is appreciated, thanks!

A: Your dark tooth due to root canal, can definitely be covered if your dentist uses a porcelain fused to metal bridge, either precious metal or gold.

However if you do want to have a non metal bridge, it is best to use lava, with an opaque core, however I have seen even with a lava bridge, some grey showing, in that case depending on the integrity of the tooth and the root canal performed on the tooth,I suggest you do internal bleaching.
If your dentist is going to use Lithium Disilicate, such as Emax, which is usually translucent, Definitely the gray color must be addressed before preparation, Since your DDS must know the gray will show much darker after the preparation of your tooth, and will be flashing through the porcelain, on your new dental bridge.

Web reference: https://www.celebritydentist.com//emax-crowns/

Q: What is the best concentration gel for bleaching?

I used some for half hour for two weeks. There’s some improvement. But still no where where my whiting needs to be. How long should I breach and how frequent in order to get the results I want? I don’t smoke, drink coffee, or tea.

A: First let your dentist guide you, to make sure the discoloration of your teeth are not intrinsic (meaning it is not internal discoloration), it can be difficult to bleach teeth with internal staining, such as tetracucline staining on teeth.

Other means of permanent whitening are available which is beyond the scope of this question.
The whitening bleaching gels are 2 categories, one is with with carbomide peroxide , the other is hydrogen peroxide derivative.The hydrogen peroxide will give you a boost of color change much faster and in a shorter time.
Your best bet is (after you make sure your gums are healthy and No Roots are exposed and your fillings if any are not leaking) then get custom trays done. The custom trays are of vital importance to the final results.Then my recommendation will be use either 12-14% hydrogen peroxide gel or 22-36% carbomide peroxide gels. The duration for hydrogen peroxide bleaching must be limited to max 15 minutes, however for carbomide peroxide duration can go up to one hour a day for a week or two.

If there is hypocalcification spots (white chaulky spots after your bleach ), then stop the whitening, also if there is any sensitivity stop whitening immediately and contact your dentist. If there is no change in color after a week, without sensitivity consult a cosmetic dentist for further guidence.

Web reference: https://www.celebritydentist.com/teeth-whitening/