Tag Archives: Newton Cosmetic Dentist

Can’t Find a Holistic Dentist on My Dental Insurance

I’ve just discovered I’m pregnant. I’m thrilled, but do want to go to a holistic dentist during my pregnancy. I’ve been looking through all the specialists and can’t find a holistic dentist anywhere. Are they not covered?

Serena

Dear Serena,

pregnant woman at dentist
Do Pregnant Women Need a Holistic Dentist?

Congratulations! What an exciting time. I can totally understand why you’d want to seek treatment from a holistic dentist during this time of your life. They’re extra cautious when it comes to treatment, considering not just how it affects your body but your baby’s as well.

I think the problem you’re encountering is a misunderstanding of specialties. Your insurance will list things like General Dentists, Pediatric Dentists, etc. because they’re recognized specialties by the American Dental Association. But, things like Holistic Dentistry or Cosmetic Dentistry are not yet recognized as specialties.

What that means is the patient is left trying to determine which general dentists are actually skilled at cosmetic dental work and which just call themselves cosmetic dentists but actually aren’t that great at doing it beautifully.

Similarly, you’ll just have to check a dentist’s website to see if they have a holistic philosophy.

What If I Can’t Find a Holistic Dentist?

While the number of holistic dentists is growing, not every area has one. If you’re in that position, I would take two precautions when choosing who you’ll use for dental care during your pregnancy.

This is the minimum of precaution that should be taken with a pregnant woman. You don’t want a dentist who will introduce mercury into your body, especially when you’re expecting.

  • Always Consult Your Ob/Gyn

Most General dental procedures are safe and it’s actually even more important that you keep up with your oral health care during this time. Pregnancy can be rough on your teeth and a tooth infection is bad for you and your baby. That being said, every pregnancy is different and anything outside of routine care, it’s important you consult your OB to be certain it’s okay in your particular case.

You’ll find the second trimester is the most comfortable time, so try to schedule your appointment then if possible.

This blog is brought to you by Dr. Steve Bader.

Do I Need a Cosmetic Dentist for White Fillings?

My family has been seeing the same dentist for three generations. I feel bad even saying this but I’m thinking of switching. He just seems so set in his ways. My children are beginning to need a filling or two, though right now we’re just keeping an eye on the teeth. I told him if we did get a filling, I’d like it to be those white fillings everyone gets these days. He insists they’re not as good as the old ones and says he doesn’t place them. I’m thinking of switching dentists to get them. I keep thinking my dentist is going to retire anyway so this might be the ideal time to switch. Would I need to switch to a cosmetic dentist in order to get the white fillings?

Olivia M.

Dear Olivia,

Silver amalgam fillings in teeth Composite White Fillings

What’s obvious to most people is the difference in the appearance of the white fillings compared to their amalgam counterparts. However, there are many other benefits as well. Despite what your dentist said, the old fillings are NOT better for your teeth. In fact, it’s the opposite. However, I’m glad you’re not trying to “force his hand” to placing them. The procedure is completely different and it’s rather obvious he hasn’t bothered to learn the new bonding procedures necessary to place composite fillings.

You wouldn’t necessarily have to switch to a cosmetic dentist to have white fillings placed. Many dentists place them these days. All you’ll need to look for is a mercury-free dentist. These dentists will only place white fillings.

When You Need a Cosmetic Dentist

Cosmetic Dentistry isn’t actually a specialty. It just means a general dentist who offers cosmetic procedures. As with any other artistic skill, their results vary from dentist to dentist. The only time that would matter significantly is if you were looking for a total smile makeover, such as with porcelain veneers. If that’s something you’re considering, then choose your dentist wisely.

In your place, I’d look for a dentist who has been recommended by the mynewsmile.com website. They only recommend skilled, artistic dentists on their site. A dentist cannot purchase their way on as a means of drawing in clients. Instead, they have to demonstrate their technical knowledge and skill. It’s worth some time to invest before choosing.

This blog is brought to you by Dr. Steve Bader.

Help! Dentist Won’t Let Me Gift My Wife Invisalign

I want to get my wife Invisalign for Christmas but her dentist won’t let me. You’d think he’d want the business. Can I buy them directly from the company?

Bruce A.

Dear Bruce,

Patient putting in her Invisalign aligner

I’m not sure of your dentist’s exact reasoning behind the refusal so I can only take a guess. If your wife is otherwise a good candidate for Invisalign (which she may not be), it may be that he doesn’t want to “sell” it to you until he knows what her exact price will be. There are several factors which determine the final cost. The biggest factor is regarding how complicated her particular case is.

Maybe hers is easy and only needs a few sets of aligners. Or, maybe she needs a significant amount of work which could triple the number of aligners. Your dentist would have no way of gauging that without her coming in.

Purchasing Invisalign Ahead of Time

Here’s what I’d recommend in your case. First, you cannot purchase it directly from Invisalign. This treatment only can be done effectively under the care of a dentist. The company sells directly to the dentists who in turn treat you.

Instead, I’d talk to your dentist about a gift certificate for the “minimum” it could cost. Then after you’ve surprised your wife for Christmas, you can redeem it and pay any remaining cost. He shouldn’t have a problem with that.

I will let you know that many patients who get Invisalign also get teeth whitening. Combining the two is like an inexpensive mini smile makeover. Your wife will likely be thrilled to bits with that package.

I wish you guys a fantastic Christmas.
This blog is brought to you by Dr. Steve Bader.

Can Children Have Sleep Apnea?

My husband and I were watching a movie the other night and heard something seriously weird. We went upstairs to discover my first grader snoring like a drunken pirate. My husband looked at me and said, “The snoring is strong with this one.” He thought it was funny but I’m concerned. I went in to watch her after the movie and it seemed to me like she stopped breathing a couple of times. Can children have sleep apnea?

Amanda H.

Dear Amanda,

Child sleeping mouth open
Snoring is often a sign of sleep apnea.

There are many things which can cause snoring in children. The obvious one is a cold or upper respiratory infection. But, if your child is otherwise healthy, then snoring is a big sign she may have sleep apnea. Even if the snoring is strong with her, it doesn’t necessarily mean she’ll have to look and sound like Darth Vader with a CPAP machine. There are less bulky and scary solutions.

Speak with a dentist about what you’ve noticed in her sleeping. He’ll likely order a sleep study. The breathing issue you saw is common with sleep apnea as well. In fact, it’s possible that she is doing that many times per night. You’ll notice, even when she has a full night’s sleep she’s a little tired throughout the day.

Is Sleep Apnea Hard to Treat?

Many times you can get a doctor’s prescription for your child’s sleep study, which will help offset the cost. A good dentist will start with the easiest treatment options first. Often, a child’s sleep apnea can be solved by a simple orthotic which fits like a custom designed mouth-guard. It doesn’t always have to be worn for long. Plus, as her jaw develops you may find this solves itself.

It wouldn’t hurt to have her looked at by an orthodontist as well to see if her bite development is an issue. The earlier treatment is planned for those type of things, the smoother and less expensive the procedure will cost you, especially if you can limit the phases of treatment.

This blog is brought to you by Dr. Steve Bader.

Can I Get Porcelain Veneers If I Have an Overbite?

Something my dentist said doesn’t seem right. I want to get porcelain veneers. He said because my overbite almost completely covers my bottom teeth I can’t and need crowns instead. Is that right? I would think crowns would be harder than veneers in that situation. I know I’m not a dentist, but I still wanted to double check. Something else to consider is my teeth are very stained from some medicine I took when I was a kid, so I’ll want to somehow make my bottom teeth match even though my top teeth cover most of them.

Karyn G.

Dear Karyn,

Porcelain veneers being placed on a tooth

Wow! I wish I had a buzzer of some sort…and possibly a time machine. At your appointment when your dentist made that seriously lame excuse, I’d have buzzed it and shouted, “Points for trying!” then dragged you out of his office fast.

Your dentist is obviously not a cosmetic dentist. He’s more comfortable doing porcelain crowns then porcelain veneers, so he makes up an excuse that you astutely picked up didn’t make any sense. Crowns make so much less sense because it affects the back of your teeth. Plus, with crowns, you’d have to grind healthy tooth structure down to nubs.

Getting the Best Porcelain Veneers Results

For you to get a good result, you’ll need to go to a different dentist. You want a highly skilled cosmetic dentist, especially considering the staining you mentioned on your teeth. When you said staining from childhood medicine, I’m thinking you may have tetracycline stains. This also means you need an expert cosmetic dentist even more. Tetracycline stains are especially difficult. You have to get the veneers opaque enough to cover the stains, but still get a natural, translucent look.

So, now that you know you need an expert, how do you find one?

My recommendation is you look on the mynewsmile.com website. They only recommend the best cosmetic dentists in each area. They have to demonstrate both technical skill and artistry. They cannot simply pay a fee to get on the site. You’ll be safe with anyone on their site.

As for whitening, yes, you’ll whiten the bottom teeth. With tetracycline stains it can be difficult, but Kor Whitening has had more success than most. A good cosmetic dentist will know that though, so you should be fine.

This blog is brought to you by Dr. Steven Bader.

Would a Holistic Dentist Remove My Metal Fillings?

I have several metal fillings which I recently learned contain mercury. I was astonished. I went to my dentist and asked him to remove them and put in the white fillings instead, which I’m told don’t have mercury. He said that wasn’t a good idea. While he can give me white fillings in the future, taking out the metal fillings would expose me to mercury vapors. Aren’t I exposed to that already? Would a holistic dentist help? I hear they don’t believe in metal fillings.

Charissa E.

Dear Charissa,

You aren’t the only patient who’s been surprised to learn what is in their old-fashioned, silver-colored fillings. They’re called amalgam fillings because they’re made up of various metals. But, the largest metal content is mercury.

While you are inhaling some mercury vapors from your filling, removing them releases substantially more. That doesn’t mean you’re stuck with them though. They can be replaced with white (composite) fillings, which as you’ve heard are mercury-free. You just have to go to the right dentist to do it.

Can Holistic Dentists Safely Remove Amalgam fillings?

There are two types of dentists who generally understand the importance of getting rid of amalgam fillings. The first is to go to a holistic dentist. They’ll know how to do what is called a sanitary amalgam removal. This protects you from both mercury vapors and from swallowing bits of filling that contain the mercury during the removal process. I recommend Holistic dentists first because they always take more precautions with what they introduce to your body, thinking more about your whole health instead of just your teeth.

However, some patients don’t live near a holistic dentist. In that case, I’d recommend a mercury-free dentist. Many of them also perform sanitary amalgam removals as well. Just be sure to ask that they know the procedure and practice it regularly first.

Once the white fillings are finished, their color can’t be changed. Your dentist will match them to the color of your teeth. If you’ve got very stained teeth, as many adults do, you might want to consider having teeth whitening done prior to having your fillings removed. This will give you a nice healthy white color to match your composite fillings to.

This blog is brought to you by Dr. Steve Bader.

What Do You Think of Lumineers for a Tooth Gap?

I have a giant tooth gap. I think the dentist said 8 mm. Originally my dentist recommended snap on smile, but I ended up not liking those. It looked completely fake. Even if it had looked better, I wouldn’t have been happy with it long because I couldn’t wear it all the time. I wasn’t sure what to do and I definitely don’t want a mouth full of metal braces. So, my dentist recommended Lumineers. This time I want to get a second opinion before I spend money on another useless procedure. Especially, because this one is so much more expensive.

Maddy K.

Dear Maddy,

Newton Invisalign

I can’t tell you how glad I am you wrote. You’re going to be glad to because I am about to save you from a very expensive disaster. You mentioned your snap-on smile looked completely fake. My guess is that’s because your dentist isn’t a skilled cosmetic dentist. Snap-on smile isn’t as stunning as porcelain veneers no matter how well they’re done, but they certainly shouldn’t look fake.

Lumineers are a brand of porcelain veneers which are often marketed to inexperienced dentists as being easy to place. While they may be easy to place, they’re definitely not easy to make beautiful. In fact, most expert cosmetic dentists won’t place them because their lab isn’t one of the best.

Your case is more complicated. The gap between your teeth is large enough to fit another tooth. It would take a highly skilled and artistic cosmetic dentist.

Two Solutions: Invisalign or Porcelain Veneers

There are two good options for you. The first is Invisalign. You mentioned you were opposed to braces. By any chance did your dentist mention Invisalign as an alternative to you? It uses clear aligners to straighten your teeth, and in less time than traditional braces.

Because it uses aligners instead of metal, no one can tell you’re even wearing anything. They also have a very high patient satisfaction rate because of how comfortable they are. And, to top it off, it’s significantly less expensive than the Lumineers options.

Your second option is porcelain veneers. Lumineers are just a brand of porcelain veneers. You won’t want that brand. Find an expert cosmetic dentist by using mynewsmile.com. They recommend the best cosmetic dentists in each area. Get a consultation. Because of its cost, this option really only makes sense if there are other things you want to change about your smile. It can give you a gorgeous complete smile makeover. But, you will only like the results if you get the right dentist.

This blog is brought to you by Dr. Steve Bader.

My Heart Doctor Wants Me to Get Checked for Sleep Apnea

I was sent to a heart doctor because my heart rate has jumped significantly. I’ve had tachycardia on a regular basis. After a consultation, he said the first thing he want’s me to do is get a sleep study. He feels certain I have sleep apnea. What does that have to do with heart problems?

Mila Y

Dear Mila,

Boston Sleep Apnea

Believe it or not, a great many heart problems are caused by untreated sleep apnea. With sleep apnea, the tissue in the back of your throat relaxes while you sleep. In the process, it blocks your breathing passage, depriving you of oxygen. Your body realizes you’re no longer breathing and wakes you up. You wake up with a start (just enough to get a breath) and generally fall back asleep without even realizing you’d stopped breathing and woken up. This cycle can repeat many times throughout the night, sometimes hundreds of times.

You can imagine the type of stress this puts on your heart. It has to pump significantly more in order to make up for the lost oxygenation to your body. If you deal with the sleep apnea, you give your heart the needed rest, which should bring your heart rate back to normal.

A sleep study can tell you a lot. If sleep apnea isn’t the problem, there are other reasons for tachycardia, so there are other things for your cardiologist to look out. But, you always want to eliminate the least invasive solutions first, if they seem like a possibility. One symptom of sleep apnea is snoring.

Why do a heart ablation if a simple orthotic device, while you’re sleeping, will solve the problem?

This blog is brought to you by Dr. Steve Bader.

Does it Damage Veneers to Use Whitening Strips?

I have four porcelain veneers. I really love them. They’re as beautiful today as they were when I first got them. The problem I currently have is the adjacent teeth. My visible smile is wider than those four teeth. While the veneers have held their white color, my natural teeth haven’t. I really need to whiten them but I’m afraid of damaging my porcelain veneers. Would it be safe to whiten the nearby teeth?

Amanda S.

Dear Amanda,

Newton Porcelain Veneers

I’m glad you’re so happy with your smile makeover. Don’t feel too bad about your natural teeth not keeping up. Porcelain veneers are more stain resistant than your natural tooth structure. Because of that and the fact that most smiles are wider than four teeth, most expert cosmetic dentists place six veneers at a minimum, but usually eight or ten. That way you don’t have to battle your adjacent teeth having a color difference from your veneered teeth.

Teeth whitening won’t harm your porcelain veneers. Whitening only affects natural tooth structure. You’re going to bump up against two problems, though.

1. It’s very hard to match teeth whitening to other dental work. Usually, you’d do the whitening procedure first until you achieved the level of whiteness you wanted. Then, you would add the porcelain crowns or veneers, depending on your procedure. Whitening after your veneers are placed means you’ll just have to get it as close as you can. It’s kind of a guessing game.

2. The second problem you’re going to face is your teeth will become discolored again. Then, you’ll be faced doing this whole procedure again with another guessing game.

It might be simpler to have veneers placed on the exposed teeth that match your current veneers. That way your color will stay consistent within your smile.

This blog is brought to you by Dr. Steve Bader.

Can Invisalign Substitute for My Retainer?

I just finished my Invisalign treatment. I really loved it. I thought I would be embarrassed, but my friends thought it was cool, especially because they couldn’t see it until I took it out to eat. It was kind of fun having everybody like it so much. Now I’m supposed to wear a metal retainer and I’m not too keen. Is it possible for me to just wear my last pair of aligners as a substitute for a retainer? If so, will you tell my mom so she’ll cancel the appointment?

Arabella M.

Dear Arabella,

I’m glad you enjoyed your Invisalign treatment so well. It has a very high patient satisfaction rate. People love the fact that they’re invisible as well as how comfortable they are. ¬†They’re marvelous at doing the job they were intended to do, but being a retainer won’t work.

Each pair of aligners is designed to last about two weeks. They will start wearing down. Even if they didn’t, you would eventually want to change them just for hygiene’s sake. Though you can’t use the aligners the way you’d hoped, that doesn’t mean you’re stuck with a mouth full of metal. There are many retainer¬†options these days.

  • Retainers with clear plastic. There are some which just go around your teeth and others which cover the top of your mouth as well. Some of these can even be customized with colors or your favorite sports team logo. Though, you’re going for invisibility so that may not be a positive factor for you.
  • Lingual retainers. These are made of metal, but they are attached to the backs of your teeth where no one can see them. Your friends might also think that is cool.

I wouldn’t cancel your appointment. Instead, I’d talk to your orthodontist about what you just told me. He or she will be able to find something you’ll be happy with.

This blog is brought to you by Dr. Steve Bader.