Archives for November 2020

Do zirconia crowns cause a dry tongue?

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I think I need to switch to a holistic dentist. After I received three new zirconia crowns in July, my tongue is dry, my throat burns, and my voice is hoarse. I think I am allergic to the crowns, but my dentist says that zirconia crowns don’t cause a reaction. He advised me to see an ENT because of the issue with my throat, but the ENT said that he doesn’t see anything that’s causing the burning sensation. My sinuses are okay. I also went to a gastro doctor who ruled out reflux. I guess that I will get allergy testing next.

My other concern is about my options after removing the zirconia crowns. I feel safer with a new dentist, and as I mentioned, a holistic dentist. Besides, when my dentist installed the crowns, he used so much water that I felt like I was drowning. I threw up some of the water. I read online about a few other people whose dentist used so much water that it was overwhelming. What are my options other than zirconia crowns? Thank you, Isaiah from Maryland

Isaiah,

Your experience with getting zirconia crowns sounds stressful. We disagree with telling a patient that they can’t be allergic to a specific dental material. Each person has unique circumstances, and immune systems can be unpredictable, even if you have no known allergies.

You visited multiple specialists to identify the cause of your burning throat and dry tongue but still don’t have a diagnosis. We are considering another possibility—burning mouth syndrome.

What Is Burning Mouth Syndrome?

Burning mouth syndrome is a condition characterized by a burning sensation in your mouth or on your lips or tongue. It can also cause your tongue or mouth to feel dry. Symptoms can linger for days or months. Women are five times more likely than men to experience the symptoms.

What Causes Burning Mouth Syndrome?

Damage to pain and taste nerves is the suspected cause of burning mouth syndrome. Other possible causes include:

  • Allergic reaction
  • Nutritional deficiencies
  • Certain medications
  • Medical conditions, including reflux, endocrine disorders, and fungal infections
  • Anxiety, depression, or stress

Allergy Testing

Photo of woman sitting back in a dental chair with her eyes closed; for information on Baton Rouge sedation dentistry during tooth extraction.

Sedation can help you relax and change your view about dental visits

A dentist who offers holistic—or biological—treatment can help you find resources for Clifford Materials Reactivity Testing. The testing will reveal if you have an allergy or sensitivity to any dental materials, including zirconia.

But if your allergy tests are negative, consider the possibility that your stressful dental experience triggered burning mouth syndrome.

Your new dentist can explain your treatment options for metal-free crowns and how sedation can help you relax during your appointment and help you get the treatment you need. If you don’t have allergies or sensitivities, your anxiety and discomfort may improve as you develop trust and confidence in a new dentist.

 

Steven Brooksher, DDS, of Baton Rouge, sponsors this post.

 

I thought I was getting a smile makeover

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Although my dentist said she could use dental bonding to give me a smile makeover, it didn’t work out. She was supposed to fill in gaps and chips in my teeth. My teeth looked and felt bulky, and they caused me to pronounce some words with a whistling sound. I asked my dentist to remove the bonding, and now my teeth are discolored and blotchy. My dentist says that’s just the way my natural teeth look, but I have pictures of my smile before the bonding. And my teeth didn’t look the way they do now. I don’t trust her to do anything else with my teeth. Is the damage permanent? – Danae from MS

Danae,

Although Dr. Brooksher would need to examine your teeth, your description sounds like your general dentist doesn’t know enough about cosmetic dentistry to give you a smile makeover.

Bulky Dental Bonding

A cosmetic dentist uses dental bonding to fill in or conceal imperfections in your teeth. If you had chips and wear on your teeth, a cosmetic dentist would apply bonding to those areas and seamlessly blend in it with your natural teeth. But your dentist made your teeth so bulky that it affected your speech. It sounds like your dentist overdid it and applied bonding on the entire surface of each tooth.

Although some dentists can apply bonding to conceal a chip, it takes advanced training in aesthetics and artistic talent to create a smile makeover with dental bonding. A dentist must have the right tools and a variety of shades of composite to blend, match your teeth, and give you beautiful results.

Removing Dental Bonding

Advanced cosmetic dentists use specific tolls to remove dental bonding without damaging your tooth enamel. Three instruments a cosmetic dentist might use to remove bonding include:

  • Sandpaper disc
  • High-speed carbide drill
  • Air abrasion
Dental bonding smile makeover before and after photos from Steven Brooksher, DDS of Baton Rouge, LA

Accredited cosmetic dentist Dr. Brooksher used dental bonding for this beautiful smile makeover

But if a dentist grinds off composite without noticing where it ends and where your tooth enamel begins, it’s easy to remove the enamel mistakenly. Before treatment, trained cosmetic dentists take pictures of your teeth. And they take “after” photos so you can see how the treatment improved your smile.

Although you can show your dentist photos of your smile, she probably won’t be able to restore your teeth and give you the smile makeover you want. But the pictures will back up your claims of faulty work and a request for a refund.

Get a Dental Bonding Second Opinion

Ask friends or family members if they know an experienced cosmetic dentist. Otherwise, you can search online for a dentist with accreditation in the American Academy of Cosmetic Dentistry or the American Academy of Dental Esthetics. If it increases your comfort, you can schedule consultations with two cosmetic dentists to discuss your smile goals and treatment options for a successful smile makeover.

 

This post is sponsored by Steven Brooksher, DDS, a Baton Rouge dentist and accredited member of the American Academy of Cosmetic Dentistry.

Her Porcelain Veneers Are the Wrong Color – Again?

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In October, I went to my dentist to get a second set of six porcelain veneers on my front teeth because he can’t get the color right. The first set of porcelain veneers looked horrible. On this new set, my dentist allowed me to speak with the lab tech. I chose a specific white shade that is whiter than what my dentist likes, but it still looked natural. When I went to get the veneers bonded on, they were darker than what I requested. I complained, and my dentist said that he asked the lab tech to add color.

I’ve read too many horror stories online about porcelain veneers, so I didn’t let my dentist bond them to my teeth. I asked him to hold while I am thinking about what to do next. Is there a way to lighten the veneers? Or will I need another new set to get the color corrected? Thank you! Carlie from S. Carolina

 

Carlie,

We are sorry that you’ve already had two bad experiences with porcelain veneers. Unfortunately, your dentist puts his preferences above yours. Dr. Brooksher would need to examine your veneers to explain accurate treatment options, but we will discuss the possibilities.

Can Porcelain Veneers Be Lightened?

It is impossible to lighten porcelain veneers if a dark shade is within the porcelain. But if a stain was applied over veneers to add color, an advanced cosmetic dentist might be able to remove it. Over-the-counter products will not lighten porcelain veneers.

  • Over-the-counter products – Neither teeth bleaching gel nor whitening toothpaste will whiten porcelain veneers. Abrasive toothpaste might scratch the surface.
  • Cosmetic dentistry polishing – If the lab technician applied stain to your veneers to add color, an expert cosmetic dentist might be about to polish or grind out the color. Afterward, the cosmetic dentist can polish the veneers to improve their appearance. After examining your veneers, a cosmetic dentist will let you know if this is an option. But don’t ask your dentist to complete the work. It seems that he has limited skill in aesthetics.

Replacing Your Porcelain Veneers

You have a right to ask for new porcelain veneers. Although the process might be inconvenient and take up more of your time, you didn’t receive what you paid for and requested.

We recommend asking for a refund from your dentist and finding a dental artist to complete your smile makeover. Dentists who receive post-graduate training in cosmetic dentistry are concerned about creating a smile to match your preferences—not theirs. And cosmetic dentists are concerned with function and beauty. You will get porcelain veneers in the color you want.

How to Ask for a Refund from Your Dentist

Speak with your dentist respectfully and explain your concerns:

  • You’re unhappy with your veneers because they are not the shade you requested.
  • You believe that your dentist violated your right to be informed of the color change.
  • You did not receive what you paid for and requested.

Explaining it in a way that helps your dentist see his negligence should influence him to give you a refund. Dental law classes emphasize that it is essential to get a patient’s consent before providing treatment.

If the color of your porcelain veneers is the only thing you dislike about them, consider these options:

  • You can ask your dentist for a refund.
  • If you want your dentist to replace your veneers, insist on a third set of porcelain veneers in the color of your choice.
    • Remind your dentist that you want clear, tint-free bonding resin that will not alter the shade of your veneers.
    • Bring a friend or family member with you to look at your porcelain veneers after your dentist places them on your teeth with a try-in paste—before the dentist bonds them to your teeth.
  • Whether you receive veneers from your dentist or an advanced cosmetic dentist, please do not allow the dentist to bond them to your teeth unless they match your request. Don’t compromise.

How Can You Find a Cosmetic Dentist?

Before and after porcelain veneers photos from Baton Rouge cosmetic dentist Dr. Steven Brooksher

Before and After Porcelain Veneers from Dr. Brooksher

Look at dentists’ websites and read their biographies to see if they have advanced cosmetic dentistry or dental aesthetics training. Most dentists with membership or credentials in cosmetic dentistry organizations, such as the American Academy of Cosmetic Dentistry or the American Academy of Esthetic Dentistry, are concerned about the beauty of your smile, not just the function.

Steven Brooksher, DDS, a Baton Rouge cosmetic dentist and accredited member of the American Academy of Cosmetic Dentistry, sponsors this post.

What if you have an issue with just one veneer? Read our post about replacing a single porcelain veneer.