Archives for May 2024

A Metal File Tip Broke in My Tooth During a Root Canal

Posted on by .

My dentist told me that a metal tip from his instrument broke off in my tooth during root canal treatment. I heard it break. However, my dentist said the instrument was sterile, so he didn’t want to probe my tooth for the metal tip and potentially irritate it. I asked for a temporary cap only until I decided what to do. Should he have left the metal tooth? Could I develop an infection later? I don’t want to pay for a final crown and then need it removed to get the metal tip out. I’m unsure that my dentist knows how to remove it anyway. Thanks. Quinn from TN

Quinn,

It’s not uncommon for dentists to encounter situations where a metal file breaks during a procedure. These files are delicate and can break easily.  If the tip of a file breaks, a dentist would need to navigate around it to seal the tip of the tooth root. However, if the metal tip obstructs the root tip, it increases the risk of root canal failure. Depending on the location of the root tip in your tooth’s canal, you may need to repeat root canal treatment, underscoring the importance of getting the tooth evaluated.

Asking your dentist to refer you to an endodontist (root canal specialist) will increase the chance of a better outcome. A file tip can be challenging to remove for many dentists. However, an endodontist’s specialized tools can reach deep into a tooth’s canal to extract the tip of a metal file.

If your dentist hesitates to refer you to an endodontist, insist on it or find one yourself. You were wise to explain to your dentist that you want to keep the temporary crown until you decide how to treat the tooth. Ensure you see an endodontist to resolve the issue rather than relying on a general dentist. It can help you avoid another infection and root canal failure, which can lead to replacing the tooth with a dental implant.

Dr. Steven Brooksher, a Baton Rouge cosmetic dentist and a Fellow of implant dentistry, sponsors this post.

My Dental Implant Crown Is Still the Wrong Color

Posted on by .

My dentist can’t get my implant crown color right. She corrected it twice but bonded it on before assuring a color match. Before I switch dentists, how can I get a refund? Thanks. Milan from IL

 

Milan,

Before switching dentists, search for dedicated cosmetic dentists who prioritize aesthetics and patient satisfaction.  They will ensure your implant crown seamlessly blends with your natural teeth.

How to Achieve the Correct Dental Crown Color

Skilled cosmetic dentists use a series of steps to color match a dental crown, including:

  • High-quality smile photography: They capture detailed photos of your smile, highlighting the desired color and characteristics.
  • Advanced shade matching: Utilizing a shade guide alongside your photos, they communicate precise color information to the dental ceramist.
  • Clear communication: They send the ceramist detailed notes regarding color and crown fabrication, minimizing any room for error.
  • Ask for your feedback: A dental ceramist will make your final crown only after you approve the temporary one. Also, a conscientious dentist will attach the implant crown only with your consent.
Model of a dental implant with the crown, abutment, and root form labeled

A dental implant mimics a natural tooth and does not need support from other teeth

Unfortunately, your situation likely requires a new crown. A skilled cosmetic dentist understands how to safely remove the existing crown without compromising your implant.

Who Should Pay for Your New Crown?

You entrusted your dentist with achieving a specific outcome – a well-fitting, color-matched implant crown.  Here’s how to approach your dentist professionally:

  • Seeking a Solution: Kindly request a refund from your dentist. Explain that you didn’t get what was promised—a crown that matches your surrounding teeth and fits well.
  • Gathering Evidence: If your dentist is unwilling to cooperate, get a second opinion from a cosmetic dentist. This consultation report will document any additional work needed for a successful outcome.
  • Mediation: Inform your former dentist that you intend to report the issue to the state dental board if a resolution isn’t reached. This should be a last resort, aiming for an amicable solution first.
  • Legal Consultation: Consult a medical malpractice attorney if further action is required.

Ideally, an ethical dentist would readily address the issue and provide you with a new, properly matched crown. We hope you won’t need to involve the state dental board or legal counsel.

Dr. Steven Brooksher, a Baton Rouge accredited cosmetic dentist, sponsors this post.  Read about what he does to give patients the best dental care he can.

Is My Overbite Too Deep for Porcelain Veneers?

Posted on by .

My dentist says my overbite is too deep for porcelain veneers. She is referring me to a dentist since I declined her offer for six dental crowns on my front teeth. I don’t want her to shave all my teeth for crowns. Is it correct that veneers won’t work? Thanks. Kelsey from Miami

 

Kelsey,

You are wise to decline crowns on your front upper teeth. You have other options for correcting overbite.

Can Porcelain Veneers Correct Overbite?

Porcelain veneers can correct a mild overbite. After an exam and X-rays, a skilled cosmetic dentist can explain whether porcelain veneers can work. Overbite severity and the condition of your teeth affect treatment options. If porcelains wouldn’t be approproiate, the dentist would refer you to an orthodontist.

Should You Get Dental Crowns for Overbite?

Although dental crowns may correct some overbite cases, there are disadvantages to this approach:

  • Grinding healthy tooth structure—A significant amount of tooth structure must be ground down to correct an overbite and cover teeth with crowns.
  • Leaving your smile makeover incomplete—At least eight teeth are in your smile zone or show when you smile. Placing six dental crowns as a makeover will create a contrast between the crowns and your natural teeth, which may not look natural.

What About Braces for Overbite?

Traditional braces or clear aligners can correct overbite. Orthodontics ensures all teeth are in the optimal position to protect oral health. If you are concerned about wearing braces, orthodontists offer clear aligners that are comfortable and barely noticeable. Although orthodontics takes longer than cosmetic dentistry, some patients prefer to keep their natural teeth intact without requiring preparation for porcelain veneers or dental crowns.

Get a Second Opinion for Deep Overbite

We recommend scheduling a consultation with a skilled cosmetic dentist and an orthodontist to compare your options for correcting your overbite. When choosing treatment for your teeth, keep your long-term oral health as a priority.

 

Dr. Steven Brooksher, a Baton Rouge accredited cosmetic dentist, sponsors this post.