Six Upper Teeth Left After Gum Disease. What Are My Options?

Posted on by .

I had a two-year battle with gum disease that left me with six upper teeth remaining. The teeth are unevenly spaced from tooth loss and disease. My dentist recommends dental implants, but implants are expensive, and they do not resolve the spacing issue. I am not against implants, but the thought of going into debt for them makes me anxious. Maybe I need to take more time to find affordable implants and dentures. I already wear an uncomfortable dental flipper and understand I can get a partial denture or another flipper. I have a lot of teeth to replace, but at 62 years old, with longevity in my family, I must do something about my missing teeth. My thoughts are scattered. What are your suggestions? Are dental implants my only option? – Antoinette from Austin, TX

Antoinette

Thank you for contacting Dr. Brooksher’s office. Dr. Brooksher would need to examine your teeth and gums and take a 3-D T scan to determine your treatment options. Still, we can advise you on how to find a dentist to manage your case and give you a healthy, attractive smile.

Are Dental Implants Your Only Option?

It is unlikely that dental implants are your only option. Still, your treatment options depend on several factors, including:

  • Your oral health
  • The condition of your remaining teeth
  • Your jawbone volume and quality
  • The sizes of your remaining teeth
  • The extent of spacing between your teeth

Schedule a Consultation with a Cosmetic and Implant Dentist

We recommend searching for a dentist concerned about the function and appearance of your teeth and smile. You will benefit from a highly sympathetic dentist with advanced training in these areas:

  • Cosmetic dentistry
  • Dental implants
  • Occlusion and bite
Diagram of snap-on dentures. Dental implants are in the lower jawbone, and a denture with attachments in the base is hovering above the gumline.

A snap-on denture is an affordable option for dental implants

Although saving natural teeth is a dentist’s priority, affordable implant dentures can restore your smile if your remaining teeth do not support your long-term oral health. The dentist will explain options for natural-looking teeth replacement that complement your facial features and personality. An implant bridge may be an option for you.

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

What’s the Cheapest Fix for a Tooth Broken at the Gumline?

Posted on by .

My front left tooth broke below the gumline. I am looking for a cheap, fast way to fix it. I don’t know if there is anything like an affordable implant. Will a mini-implant work? If not, I am interested in something that is not expensive. I suppose there are not many options, but what is the least expensive? Thanks. Bart from WVA

Bart,

Cheap options do not last. You can ask a dentist to bond the tooth back with composite as an inexpensive fix, but it will not look good, nor will it last. Two treatment options can restore your tooth, but neither is cheap or fast.

Restoring a Tooth that Broke at the Gumline

Depending on the severity of the break, a dentist can restore a tooth that breaks at the gumline a dental crown or a dental implant.

Dental crown

If you do not have a strong bite or deep overbite, a dental crown might be able to restore your tooth. Treatment steps include:

  • Root canal treatment
  • Inserting two strong, flexible post in the tooth to absorb stress on the crown and prevent tooth root fracture
  • Building up the tooth and post with composite
  • Bonding the crown to your tooth

Dental implant

Dental implant components, including root form, abutment, and crown

If you need a dental implant, it will mimic a natural tooth.

If your tooth broke at the gumline, weak and you have a strong bite, a dental implant is the only solution. You will need a standard dental implant—not a mini-implant. Although mini-implants are more affordable, they are not durable enough for front teeth, molar teeth, and most teeth. A mini-implant might support a small upper or lower incisor. And some dentists use mini-implants to secure a denture.

An implant and crown cost about twice as much as a root canal, two posts, and a crown, and it takes longer to heal. But a dental implant will last longer because the implant fixture fuses with your jawbone like a natural tooth root.

You can choose to get a dental crown, but understand the risk of failure if you have a strong bite or underbite. It is usually best to get the most effective option and avoid spending more time and money in the long-term.

We recommend scheduling an appointment with a dentist who has advanced cosmetic and implant dentistry training to discuss your options.

Dr. Steven Brooksher, an accredited cosmetic dentist in Baton Rouge, sponsors this post. Dr. Brooksher is a Fellow of the International Congress of Oral Implantologists.

My dental crowns are yellow, even though they are ceramic

Posted on by .

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.

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

Posted on by .

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.

Where Is The Cost Information on Dental Websites?

Posted on by .

Hi there,

I need a tooth replacement and want a dental implant. However, I’m looking for an affordable dentist, so I wanted to compare cost information. However, none of the cosmetic websites I’ve checked had any pricing information. How can I find out the cost of my procedure before the appointment? I don’t want to waste my time or the dentist’s time.

Phoenix, from Mesa, Arizona

 

Hi Phoenix,

Most dentists don’t post their dental information online as they think it will make them look unprofessional. Dentists prices vary due to payment plans or the type of insurance patients have. So putting prices of dental care online may not be accurate.

Choosing a dentist is not the same as choosing a car dealership. Picking the cheapest option may not be a good idea when it comes to dentistry. A dentist that is cheaper upfront may use lower quality materials, which may cost you more in the long run. On the flipside, the dentist with the highest fees may not be the best, either.

Whoever gives you a dental implant should use high-quality materials, so it will last a long time and not require any future work. Getting a dental implant from a cosmetic dentist is better than seeing a general dentist. Dental implants take a lot of skill and experience to place correctly. A general dentist may offer a cheaper price, but it may be placed incorrectly, and end up costing more due to increased appointments to fix it.

If you want to know pricing information before making an appointment, call a few cosmetic dentists in the area and ask for the ballpark prices of a few key procedures: a cleaning, a multi-surface composite filling on a molar, and a posterior crown. Any fees that see extremely high or much lower than the others are places to be avoided.

This blog post is brought to you by Baton Rouge affordable dental implant provider, Dr. Stephen Brooksher, of Dentistry by Brooksher.

 

Can I Get a Root Canal If I Have a Porcelain Veneer?

Posted on by .

Hello there,

My dentist says I have a periapical abscess and I will need a root canal on one of my front teeth. However, my front teeth all have veneers over them. Will this case discoloration? Or will I need my veneers replaced?

Brent, from Alcolu, South Carolina

 

Hi Brent,

Usually, when porcelain veneers are placed, they are done on teeth that have been prepared. Most preparation cuts ridges into the surface of the tooth. However, some dentists go too deeply, or even place crowns under the guise of  veneers. Doing either of these things will cause significant stress on the surrounding teeth. The stress could be the cause behind the root canal.

Getting a root canal on a tooth will cause the tooth to turn dark, and this can lead to discoloration. If the tooth beneath the veneer is discolored, it can show through the veneer. To avoid discoloration, your dentist will need to clean your tooth properly, and may need to replace the post with white fiberglass and use natural-looking composite to fill in any gaps. An expert cosmetic dentist should be able to help you avoid dental discoloration, but if you trust your general dentist, they can help you as well.

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

 

Get Rid of Stains on Teeth?

Posted on by .

Hi,

I’ve always hated my smile. I’ve had brown stains on my upper teeth since childhood. My dentist suggested getting five or six porcelain veneers to brighten my smile. Should I go ahead and get the porcelain veneers, or do I have another option?

Ellis, from Virginia

 

Hi Ellis,

The brown stains you are describing sound like tetracycline stains, caused by taking a powerful antibiotic as a child. Removing the stains are very difficult, but a skilled cosmetic dentist can properly cover them. Using porcelain that is too thin can cause the stains to show through. Similarly, using porcelain that is too opaque can make your veneers look fake. Porcelain is more stain resistant than your natural enamel, so you won’t need to worry about stains in the future.

Before committing to a dentist, be sure to check if they have experience treating tetracycline stains. An expert cosmetic dentist will be able mimic your teeth’s natural translucence, while covering the surface stains. Your dentist will have to wrap the veneers around the sides of the tooth as well, in order to obtain the most natural look; otherwise, the space between the veneers will be dark and noticeable.

Also, you may need more than five or six porcelain veneers on your upper teeth. Count how many of your upper teeth are visible when you smile – that is the number of veneers you will need for your smile makeover. Doing some teeth but not all will not fix your smile insecurities. In your case, finding an experienced cosmetic dentist will be critical to your case’s success.

This blog is brought to you by Baton Rouge porcelain veneer provider, Dr. Steven Brooksher. Please note that cosmetic dentists are general dentists who have received post-graduate training in aesthetics and restorations.

 

 

 

 

Can a Hockey Player Get Dental Implants?

Posted on by .

Hi there,

I’m a college hockey player and my front tooth got knocked out. My dentist recommended a dental implant, and started the process. However, my teammates said it was a bad idea while I’m still playing hockey. What if I get hit in the face again? Should I get something temporary, like a bridge? I want an implant for cosmetic reasons.

Peter, from Brooklyn, New York.

 

Hi Peter,

Your teammate’s concern is valid. If you had an implant that got knocked out, it would knock out the bone and the hardware. Repairing it would require a bone graft and extensive surgery. Hockey players are prone to dental injuries, so waiting until you’re done playing before getting anything permanent done would be a good idea.

A bridge is not a temporary fix, and would involve multiple adjacent teeth to place properly. Instead of just one tooth being at risk, there would be a higher risk of more teeth being injured. In the meantime, a root fixture or plug can be placed.

The best temporary fix would be a removable partial flipper. if done by an expert cosmetic dentist and ceramist, it will be indistinguishable from the rest of your natural teeth.

This blog post is brought to you by Baton Rouge Dental implant provider, Dr. Steven Brooksher.

 

 

 

How Can I Get My Medical Insurance to Cover My Implants?

Posted on by .

Hi there,

I would like to get implants to replace my upper teeth. I have advanced perio disease but go in every six months for scaling and root planing. I think dental implants will help me more than something removable — I tried one of those and it made me gag. However, I don’t have dental insurance, only medical. If it’s considered a medical condition that affects my daily life, could my implant be covered? How much would an implant be without insurance?

Thank you,

Bruno, from Des Moines, Iowa

 

Hi there Bruno,

Unfortunately, medical insurance will not cover this. While your teeth do affect your general health, medical insurance has a clause preventing it from covering dental issues. Otherwise, everything would be covered. If you are injured in an accident — such as a broken tooth from falling down the stairs — then your medical insurance will cover the repair.

If a removable device made you gag, then going with an implant is a good idea. Removable devices, such as partial dentures, cover the roof of your mouth, and can cause problems. Dental implants have no extra pieces, so they feel more natural.

For estimates on how much implants cost without insurance, you will need to contact local affordable cosmetic dentists. Calling a few offices for quotes will give you a better idea of cost.

This blog post is brought to you by Baton Rouge dental implant provider, Dr. Steven Brooksher.

Is $100,000 for a Smile Makeover Normal?

Posted on by .

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.