My dental crowns are yellow, even though they are ceramic

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My dentist did eight ceramic crowns on my upper front teeth. The crowns are turning yellow. I asked for ceramic crowns, not gold. I do not smoke or drink coffee excessively. Before I approach my dentist, what are some reasons my crowns might be turning yellow? Thank you. Stefan form KY

Stefan,

Thank you for your question.

Although Dr. Brooksher would need to examine your crowns to determine why they are yellowing, we can discuss some possibilities.

Why Do New Dental Crowns Turn Yellow?

New dental crowns might turn yellow for several reasons, including they are not ceramic, damage to the surface when adjusting the crowns, and damage to the crowns during a dental cleaning.

  • Damage when adjusting the crowns – If your dentist had to grind your crowns to adjust your bite, they might have damaged the glaze. Or the lab that made the crowns may not have glazed them properly.
  • Damage during a dental cleaning – If a dental hygienist mistakenly uses power cleaning instruments on your teeth that blast them with sodium bicarbonate, it will damage the glaze. Or, if a hygienist gives you acidulated fluoride treatment, the chemical will etch the glaze and discolor your crowns.
  • Your crowns are not ceramic – Sometimes, dentists give patients the impression that they are receiving ceramic or porcelain crowns when the crowns are composite instead. You can ask your dentist for a copy of the lab certificate that lists the materials in your crown.

Get a Second Opinion

Before-and-after smile makeover photos. Top photo shows a missing tooth and poorly spaced and shaped teeth. A new smile is below.

Dr. Brooksher rejuvenated this patient’s teeth with a beautiful smile makeover

In addition to talking to your dentist about your yellowing crowns, we recommend scheduling an appointment with an accredited cosmetic dentist. The cosmetic dentist will examine your crowns and glaze to identify the issue.

You paid your dentist for a new smile and crowns that should last at least five years. Also, porcelain is colorfast, so crowns should not turn yellow. It is appropriate to ask your dentist for a refund.

Accredited cosmetic dentist, Dr. Steven Brooksher 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.

Spent 30k on a smile makeover that looks like a smile mess up

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I received a smile makeover in February 2019. My mouth is small, and my front upper teeth were tilted slightly inward. I also had an overbite and 3 missing back teeth. My dentist put crowns on my front teeth and did mini implants for the back teeth.

Wallace and Gromit

Wallace and Gromit
Donovan says his smile makeover looks like Wallace’s smile

The smile makeover that I was hoping for cost me $30k. I didn’t get a makeover – I got a messed-up smile. My front teeth are too large for my small mouth and face shape. And my overbite is worse, so I try not to smile. I included a picture of Wallace & Gromit so you can see how my smile looks. I’m too embarrassed to send you my smile photos, but it looks like Wallace’s smile. I look goofy when I smile. Although I had problems with my teeth before, I’ve never felt so bad. Some rude people asked me if my dentures are too big. I would never ask anyone something like that about their teeth.

Unfortunately, I made the wrong decision about when to ask my dentist for a smile makeover. Two months after I received it, I had a long-term assignment in Asia. I had to leave my assignment there due to COVID-19, and since then, I haven’t been able to see a dentist. Now I must do something about my teeth. The pandemic is stressful enough. Now I’m on Zoom almost every day for work, and people think I’m in a bad mood because I’m not smiling. But it’s my teeth that are causing the problem. Although I think that I know the answer to this issue, I would like to know my options. Thanks for your advice. Donovan from Mississippi

Donovan,

Thanks for attaching the photo. We weren’t familiar with Wallace & Gromit before you mentioned them. As you hinted, you probably know what must happen to correct your smile; a cosmetic dentist will need to redo it.

Our advice is about ensuring you select a skilled cosmetic dentist.

You’ve learned that a competent family dentist isn’t a skilled cosmetic dentist. An artistic cosmetic dentist has advanced training and experience in aesthetics and has creative talent. Look for a dentist with credentials from the American Academy of Cosmetic Dentistry or the American Academy of Esthetic Dentistry.

It can be challenging for a dentist to correct the mishap to your teeth, so if you want an attractive smile makeover this time, don’t compromise on choosing a dentist who can design a smile that functions well and looks fantastic. Schedule consultations with at least two cosmetic dentists before choosing one. Take notes during the consultations to help you make an informed decision.

Can You Get a Refund for a Bad Smile Makeover?

You might be able to get some of your money back for the lousy smile makeover. Work with your new cosmetic dentist to help you do it. If your previous dentist did work that was technically sound but doesn’t look good, it will be challenging to get a refund unless your teeth look awful.

Although you didn’t mention problems with the function of your teeth (e.g., with your bite or pain), if they are present, it will be easier to get some of your money back.

Three options that can help you get a partial refund

Some options that might motivate your previous dentist to refund you at least partially for your botched smile makeover include:

  • Strong leverage – File a malpractice suit if a malpractice attorney agrees you have a case.
  • Moderate leverage – Threaten to complain to the dental board.
  • Weak leverage – Leave a negative online review on the dentist’s Google or social media pages

 

Best wishes on your search for a new dentist and getting your smile and confidence back.

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

Are Crowns on All Teeth Needed As I Recover from Bulimia?

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I’m recovering from bulimia, and I have had three consultations with cosmetic dentists who have good reputations. One of them suggests a complete smile makeover with porcelain crowns. He said the crowns would restore my decayed teeth, correct my bite, and make my smile beautiful. 10 of my teeth are severely decayed, 2 have some decay, and the others are healthy enough not to require major work. I’m concerned about the dentist grinding down all my teeth when only 10 are severely decayed. Unfortunately, my consultation with the dentist who wants to do all crowns was the last of the three. I was surprised by his recommendation, and I couldn’t ask the other two dentists about it because I had already seen them. Each dentist agrees to give me sedation for anxiety and do wax-ups of my new smile. But now I’m concerned and getting more anxious. Did the first two dentists miss something about the condition of my teeth and which treatment is best? Or is the third dentist too aggressive? Thanks. Micah from TX

Micah,

Congratulations on your recovery from bulimia. Although Dr. Brooksher would need to examine your teeth, dental history, and x-rays to evaluate your case accurately, your explanation of the third dentist’s recommendation raises concern.

Advanced, ethical cosmetic dentists treat teeth conservatively, preserving as much healthy tooth structure as possible. And they don’t try to convince patients to receive treatment that makes them uncomfortable or recommend an aggressive treatment plan without the patient’s request.

Does It Take All Crowns to Get a Smile Makeover?

If you get the sense that a dentist is a salesperson, opt for a conservative cosmetic dentist who will transform your smile in a way that preserves your healthy tooth structure whenever possible. As you recover from bulimia, a conservative approach will increase your confidence in your smile. A full-mouth reconstruction that shaves all your teeth for crowns is required in these instances:

  • Severe issues with your bite that cause pain
  • Facial collapse
  • Many decayed or broken teeth
Before-and-after photos of dark, uneven, and broken teeth transformed by a smile makeover from Baton Rouge cosmetic dentist Dr. Steven Brooksher.

Dr. Brooksher gives his patients healthy, natural-looking smile makeovers

It’s wise to return to either of the first two cosmetic dentists you saw and discuss your concerns about porcelain crowns for all your teeth vs. the dentist’s recommendation. The cosmetic dentist will further explain why he or she recommended specific treatment and not all crowns for your teeth. Often, a smile makeover includes a combination of treatments, such as cosmetic bonding, porcelain veneers, dental implants, and sometimes crowns.

If it increases your comfort to return to both cosmetic dentists, don’t hesitate to do so. Best wishes on your journey and your new smile as you recover from bulimia.

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

His Dentist Bonded Porcelain Veneers to His Teeth Even Though He Hated Them

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In February, I received eight porcelain veneers. My dentist did two different wax models, but I didn’t like either of them. He told me that the final veneers would look several times better than the wax model. Before he bonded the veneers on, he used some a paste to attach them to my teeth.

I wrote down everything I told my dentist about what I hated about the veneers: 1 – the shape was wrong, 2) the color was wrong, 3) they looked like they were sliding away from my gums, 4) the teeth were unevenly spaced.

My dentist said he sent the veneers back to the lab, but I am wondering if these are the same veneers that I hated. I don’t see any difference. I really didn’t get a good look at these new veneers, but my dentist bonded them on without telling me that they were final. He did tell me that he had to “push back” with the lab to get them to redo my veneers. When he had me look in the mirror, I felt like I had been cheated. Now, I’m sure I’ve been cheated.

Last month I found about serious illnesses for two family members. This is a terrible time for me to worry about veneers. My dentist is trying to convince himself that my veneers are beautiful. He will never convince me. I know that I can start over, but I used a lot of my savings for this dental work. I don’t want to take more money out to have it corrected. Do I have any options? Thanks, Russ

Russ,

Many things went wrong with the way your dentist treated you as his patient.

  • Ignoring that you didn’t approve either was model
  • Directing the lab to make veneers when you didn’t accept the model
  • Proceeding with his plan after you tried on the veneers
  • Bonding the veneers to your teeth without your consent
Before-and-after smile makeover photos. Top photo shows a missing tooth and poorly spaced and shaped teeth. A new smile is below.


Dr. Brooksher rejuvenated this patient’s teeth with a beautiful smile makeover

Although we don’t know your dentist’s view on what happened, your description of the events sounds as if your dentist isn’t skilled in cosmetic dentistry.

A trustworthy cosmetic dentist will ensure you are delighted with your new smile before bonding it to your teeth. And he or she will only bond on veneers with a patient’s consent. Your dentist’s approach doesn’t reflect that he wants you to have a confident smile.

If Your Veneers Were Bonded on Without Your Consent

If you didn’t agree that your dentist could bond your veneers, you can file a complaint with the state dental board, leave negative feedback online, and consult with an attorney.

We hope that your dentist will voluntarily resolve the issue to your satisfaction.

Accredited cosmetic dentist, Steven Brooksher, DDS of Baton Rouge sponsors this post.

Some of My Teeth Just Came Loose!

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Hi there,

My grandmother is in her nineties, and while she has most of her teeth, her teeth and gums may not be in the best of health. She saw her dentist for a filling recently, however since then, two of her teeth have simply fallen out of her mouth! We’re not sure what the best options for her are – should she get a bridge with her remaining teeth? If her teeth are healthy enough, should she get dental implants or should she go for dentures?

Anna, from Kissimmee, FL

 

Hi Anna,

Teeth take a large amount of force to knock out. If your grandmother’s teeth simply fell out, then she most likely has advanced periodontal disease, or gum disease.

With gum disease, it is likely most of her teeth are unstable in her gums, making it impossible for her to get a bridge. If you anchor a bridge to unhealthy, unstable teeth, it will strain and stress them, causing them fracture and need removal.

The ideal replacement would be dental implants, but since your grandmother likely needs a full-mouth smile makeover, that can run tens of thousands of dollars. A removable denture is also the more affordable option compared to dental implants. Also, if you grandmother does not have enough bone in her jaw, she may be better off going with a removable denture. For patients lacking enough bone in their jaws, a bone graft is an option, but your grandmother may be too old or not healthy enough to receive a bone graft procedure.

Since your grandmother’s teeth are likely in need of extraction, a full set of upper and lower dentures may her best option. Dentures can lead to bone resorption (the body breaking down the jaw bone for minerals and nutrients) and facial collapse over the course of 10 years. At your grandmother’s age, she may not need to worry about jaw collapse as much as a younger patient would.

A full set of dentures would be less stressful on her teeth than a removable partial denture. Seek a general dentist or affordable cosmetic dentist for your grandmother as soon as possible, before any more teeth fall out.

This blog post is brought to you by Baton Rouge smile makeover provider, Dr. Steven Brooksher, of Dentistry by Brooksher.

3 Secrets for a Successful Smile Makeover Even Without Digital Design

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Digital smile makeovers are becoming increasingly popular. It’s exciting to see a digital version of your current smile as it’s progressively becoming exactly what you’ve envisioned. But what if your dentist doesn’t offer digital smile makeovers? How do you know what to expect?

Advanced cosmetic dentists have created beautiful smiles for decades—even without digital smile technology. Did you know? –  Even if a dentist uses digital technology, there are specific steps advanced cosmetic dentists take to achieve a predictable outcome and a smile makeover you’ll gladly show off.

Secrets of a Success Smile Makeover

Your feedback, the opportunity to wear a temporary version of your new smile, and a final try-in are crucial factors to being confident about your smile makeover. Here’s why.

1. Your Feedback

An advanced cosmetic dentist isn’t simply concerned about giving you a beautiful smile makeover. He or she personalizes your smile so well that it looks like it’s always belonged to you. Throughout the process, your cosmetic dentist will carefully listen as you describe your ideal smile, and he or she will ensure the details are there.

2. Trial Smile Makeover

Skilled cosmetic dentists make a wax model of your new smile design.

  • You’ll snap it in over your teeth as a preview of your smile makeover.
  • You’ll be able to examine it closely and let friends and family see it.
  • If you want changes to the way it looks or feels, your dentist will make the changes to align with the smile you envisioned.

This phase is not complete without your approval. When you give your dentist the okay, your permanent smile makeover will be crafted by a master ceramist.

3. It’s Final When You Say So

Your dentist will temporarily attach your final smile makeover to your teeth. This is another opportunity for you to smile with approval or to explain any hesitation you have. If you’ve chosen a dentist who is an artist, the smile design is only acceptable to your dentist if you also love it.

Smile Makeover Satisfaction with or without a Virtual Model

Even if your dentist offers virtual or digital smile makeovers, your feedback, the trial smile, and a final try-in are phases that must be included to ensure you get the smile you love. If you’re left out of the process, you’ll likely end up with a smile that you’ll want to leave behind in the office. And that’s a waste of time and money.

Before-and-after smile makeover patient photos from Dentistry by Brooksher in Baton Rouge, LA.

Dr. Brooksher gave this patient a smile makeover that is healthy and natural-looking

Accredited cosmetic dentists consistently provide stunning smile makeovers. Are there accredited cosmetic dentists in your area or within driving distance?

  • Visit their websites
  • Check their credentials and accomplishments
  • Look at their smile gallery of actual patient photos

Select your dentist carefully—digital design or not—and you’ll get a smile makeover you love.

Steven Brooksher, DDS, an accredited cosmetic dentist in Baton Rouge, LA, sponsors this post.

4 Gummy-Smile Makeover Options that Get Stunning Results

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Have your gums taken over your teeth and your smile? A smile makeover can make a life-changing difference that boosts your confidence. But the options for beautifully transforming your smile require the skill and talent of an artistic cosmetic dentist.

Treatment Options for Your Smile Makeover

Gum Contouring

Expert cosmetic dentists use gingivectomy, or a gum lift, to remove excess gum tissue around your teeth. Removing the tissue will make your teeth look longer.

  • No needles or scalpels are involved.
  • Your cosmetic dentist provides painless treatment with a laser that gently removes excess gum tissue.
  • Sometimes additional cosmetic work is needed to lengthen tooth structure and complete your smile makeover.

Porcelain Veneers

Your cosmetic dentist may need to prepare your teeth before giving you a smile makeover with porcelain veneers, by removing a small amount of enamel (0.05 mm or less) from each tooth. Your dentist may also remove some of the bone beneath the gums. He or she will position porcelain veneers over the fronts of your teeth to make them look longer but natural.

Dental Crowns

Dr. Brooksher used gum contouring and dental crowns for this smile makeover.

Depending on your case, your cosmetic dentist might recommend crowns to lengthen your teeth. He or she must taper the entire tooth for a crown to fit over it properly without affecting your bite. Your dentist will explain what you can expect with crowns versus veneers.

Orthodontics

In some cases, your cosmetic dentist will recommend orthodontic treatment to level your teeth and provide a smile makeover that highlights your teeth—not your gums. What can you expect?

  • Your dentist or orthodontist will provide a treatment plan to move your teeth upward, which will also move your gums upward.
  • The vertical position of your teeth will allow your upper lips to hide your gums.
  • Less gum tissue will show when you smile.

Which Option Is Right for You?

You should entrust your smile makeover only to an advanced cosmetic dentist. Look for a nearby accredited cosmetic dentist and schedule a consultation. He or she will examine your teeth and gums and explain your options for saying goodbye to your gummy smile.

Steven Brooksher, DDS, an accredited cosmetic dentist in Baton Rouge, LA, sponsors this post.

Is $100,000 for a Smile Makeover Normal?

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Hello there,

I am trying to find a new cosmetic dentist after a bad experience. I went to see a highly-reviewed cosmetic dentist in my area for a second opinion. He said I needed a full-mouth restoration to fix my bite, which would run me between $50,000-100,000. I thought I just needed a few crowns on my upper teeth. I would rather get a new car for that price! I’m not sure exactly what he planned to do, but my gums and teeth are in good health, so I didn’t think I needed all this work. I can’t afford this smile makeover.

-Charlie from Washington, D.C.

 

Hello Charlie,

The prices you were quoted is on the high end, even for a smile makeover by an expert cosmetic dentist. You should go see another recommended cosmetic dentist in your area to compare prices.

Even if your bite is off, you may not need a full-mouth restoration to fix it. Your dentist may be suggesting an ideal course of treatment, but you need a more practical approach. You can work out costs with an affordable dentist.

Fees are not indicative of quality for a cosmetic dentist. Look at reviews and awards for dentists in your area. You should be able to find a quality dentist willing to personalize a smile makeover treatment plan for you.

This blog post is brought to you by Baton Rouge smile makeover provider, Dr. Steven Brooksher, of Dentistry by Brooksher.

 

Lackluster Smile Makeover After Just 2 Months?

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Hi,

I hope you can help me. I recently had extensive cosmetic work on all my upper teeth. My restorative dental work was an expensive undertaking, so I want to take care of my teeth, so they’ll last a long time. I’ve been brushing and rinsing with over-the-counter products. However, after two months of this, my bright, white veneers have become noticeably less shiny. I even tried restoring their brightness with baking soda, but that had no effect. Did my toothpaste or mouthwash do this to my smile? Was it too abrasive, or was I just overdoing it? I made another appointment with my cosmetic dentist, is there anything she can do? I was very happy with the whiteness of my smile makeover, so I hope I can get it back.

Thank you,

TJ, from Hippo, Kentucky.

 

Hi TJ,

A smile makeover can involve dental implants, porcelain crowns, or porcelain veneers. No matter what you had done in your mouth, it would involve ceramic or porcelain, both of which is stronger than your natural tooth enamel. Smile makeovers are designed to stand up to the repeated wear-and-tear of brushing, and last 10-20 years with proper care. If your mouthwash had acidulated fluoride in it, that could cause the porcelain to dull, but over-the-counter products don’t have that. Be sure to let any dental hygienists know about your restorative dental work before they clean your teeth; the Prophy Jet tool they use can wear down the glaze on porcelain veneers and dull their shine.

The only way brushing and rinsing can cause your smile makeover to dull is if it were made from composite, rather than porcelain in the first place. Unfortunately, composite is much softer than your tooth’s natural structure. Anything from an abrasive toothpaste to mouthwash with alcohol in it can weaken composite, making it dull and susceptible to scratching. Talk to your cosmetic dentist about your concerns at your next appointment, and in the meantime, stop rinsing with any alcohol-based mouthwashes.

This blog post is brought to you by Baton Rouge smile makeover provider, Dr. Steven Brooksher, of Dentistry by Brooksher. Please note that Dr. Brooksher is a general dentist who has had additional training in restorative and cosmetic dentistry.