Tag Archives: solutions for a chipped tooth

Another Cosmetic Dentist Horror Story

I don’t know what to do. I had a chipped tooth on my front teeth which had been fixed with bonding. I’d since moved and the bonding needed to be repaired. My new dentist said veneers were a more longterm solution. I agreed, but when he went to do them he noticed I had fillings and said they couldn’t be done. Instead, he suggested I get crowns. I’ve always been of the opinion the professional knows best, but now I’m doubting myself. The crowns looked fine when he showed them to me, but on my teeth they are grayish in color and I haven’t smiled since I received them. Do you have any helpful suggestions? What went wrong?

Lara

Dear Lara,

photo of a chipped front tooth
Fixing a chipped tooth should be a no-brainer for a good cosmetic dentist

I’m so sorry this has happened to you. In fact, I’m guessing your smile looks worse now than before. The only thing that went wrong is you trusted in an incompetent cosmetic dentist you shouldn’t have. I know it’s natural to trust your medical professional. In no way am I blaming you. It sounds like your dentist is trying to dabble in cosmetic dentistry but doesn’t yet have either the knowledge or the skill.

Cosmetic Dental Mistake Number One

The standard repair for a chipped tooth is dental bonding, so your previous dentist was right about that. Suggesting a porcelain veneer would normally be considered a massive overtreatment. There was one thing your new dentist said correctly. The veneers do last longer than bonding, but they’re much more expensive.

Porcelain veneers are used to do total smile makeovers. They’re an incredible procedure and can completely transform a smile in the hands of a skilled cosmetic dentist. But, it’s a huge expense for a simple chipped tooth. Either he doesn’t know how to do dental bonding or he was just trying to squeeze more money out of you.

Cosmetic Dental Mistake Number Two

Having fillings would not have kept you from getting porcelain veneers. The bonding would have worked just fine. This leads me to believe your dentist doesn’t understand the basics about his field.

Cosmetic Dental Mistake Number Three

He didn’t do a try-in of your porcelain crowns. How they look on your teeth is completely different than how they look before they’re bonded. The part of your natural tooth structure that is left effects the coloring. That’s why experienced cosmetic dentists will use a temporary try-in paste so you can see them and give approval of the true appearance before permanent bonding.

Where Do You Go From Here?

In your place, I’d ask for a refund and go to a skilled cosmetic dentist to have this case re-done. He lied to you about the fillings and did a poor job on the crowns. Unfortunately, because dental crowns require a severe grinding down of your natural teeth, you’re stuck with them. You’ll have to have crowns made again. The good news is, in the hands of an artistic dentist, you can have a gorgeous smile once more.

To find that dentist, look on the mynewsmile.com website. They recommend expert cosmetic dentists by area.

This blog is brought to you by Newton, MA Cosmetic Dentist Dr. Steve Bader.

My Porcelain Veneer is Crooked

I’m so overwhelmed with how ridiculous I look right now that I don’t know what to do. I had a small chip on a front tooth which became damaged and fell off. I’ve moved to another city so I had to go to another dentist. She told me that dental bonding can’t be re-done and I’d need to get a crown. I didn’t want to get a crown put on a healthy tooth for just a small chip. We compromised on a porcelain veneer. When she showed it to me, it looked fine. Then she bonded it on. They sort of rushed me out of the office after that, so I didn’t get a second look at it. On the drive home, it felt weird with my tongue. I could feel a gap between the porcelain veneer and my natural tooth. That worried me so the moment I made it home I rushed to the bathroom mirror. My veneer was bonded on crooked. I called the office, but they insist it looks fine and I gave approval when they placed it. Plus, they say once something is permanently bonded, nothing can be done. I can’t go about looking like this. What are your recommendations?

Audrey B. – Ohio

Audrey,

There are some major warning bells going off in my head about this case.  First, let me say you were right not to get the dental crown. Wasting healthy tooth structure is never a good idea. Unless there’s something you’ve not mentioned, there isn’t any reason dental bonding couldn’t be re-done. My guess is your new dentist doesn’t know how to do dental bonding, but she didn’t want to admit it.

I’m guessing she probably wasn’t thrilled about doing a porcelain veneer either, but didn’t want to make it look like she couldn’t do it. It sounds like they couldn’t get the bonding quite right and rushed you out the door.

It’s possible they could make some minor adjustments, but based on what you’ve described it will take much more than some minor adjustments. The porcelain veneer needs to be re-done. You might be better off getting a refund and have another, more experienced cosmetic dentist take over the case.

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