I’ve been saving to get my tetracycline stains taken care of. I talked to my dentist about it. I was a little hesitant because he is a family dentist that doesn’t generally do cosmetic work. He would like to place crowns on all the teeth. That comes in under budget for me, but as I was concerned about his ability I went to get a second opinion by another family dentist who does a lot of cosmetic work. He wants to do one crown (on a tooth that already has one) and porcelain veneers on the remainder of teeth. This comes in several thousand over budget. Which dentist is right, the general dentist or the cosmetic dentist?
Starla M. – Michigan
You’re wise to get a second opinion. Cosmetic Dentistry isn’t a specialty, so any general dentist can do it. However, their skill levels vary (sometimes drastically) from dentist to dentist. In your particular situation that difference is even more important.
While porcelain veneers are the standard treatment in these cases, tetracycline stains are among some of the most difficult type of stains to treat. The reason for that is how deep and dark the stains are. The trick comes in getting the veneers opaque enough to cover the stains without having them so opaque that they don’t look vibrant and natural.
You’ll need a dentist with a tremendous amount a skill. Look at the kind of cosmetic dentistry training that Dr. Bader has. This will give you an idea of the type of cosmetic dentist you’ll need.
Additionally, make sure they show you before and after pictures of tetracycline cases they’ve personally done. Often technical knowledge and training isn’t enough. They need an artistic eye.
This blog is brought to you by Dr. Steve Bader.