Archive for July, 2010

My bonding looks ugly.

Monday, July 5th, 2010

I had bonding on the bottom edges of my top two front teeth due to chipping. The middle part of each tooth is now flat and very shiny. It looks indented. Light does not seem to reflect as it should. It appears that the cosmetic dentist polished away the curve of each tooth. I did not realize that any other parts of my teeth would be affected by this procedure. I am afraid to lose any more of my tooth structure. I also worry about when the bonding has to be replaced in the future. There will be nothing left to polish. My teeth were pretty and now they look ugly. I am extremely upset. What can I do? Thank you.
- J from Pennsylvania

J,
I’m not sure I’m following exactly what happened to your teeth, though I think I am. It’s hard sometimes to describe these technical things in lay terms. It sounds like your dentist reduced part of theĀ fronts of your natural teeth in doing your dental bonding.

I am following clearly that the result to you looks ugly. If that is the case, I would hesitate to call your dentist a “cosmetic dentist,” and I think that is the fundamental problem.

98 to 99 % of dentists are technicians who are good at fixing things but aren’t artistic and have little appreciation for a truly beautiful smile. You need an artist dentist to fix this correctly, and it shouldn’t require any significant reductions of healthy tooth structure – it only should require a slight roughening of the tooth next to the area to be bonded. And when this is done by a true artist, you will be in love with the result.

Check with the mynewsmile.com website, and look at their list of recommended Pennsylvania cosmetic dentists. That site is run by an expert cosmetic dentist who personally screens every dentist listed. Dr. Rota is his recommended cosmetic dentist in Colorado Springs, and I feel confident that anyone he recommends would be able to do this work beautifully for you.

Will tetracycline stain a tooth at age 14?

Friday, July 2nd, 2010

Can tetracycline (for acne) stain an as-yet-unerupted canine tooth in a 14-year-old undergoing orthodontic treatment? Thank you.
- E from Colorado

Dear “E”,
The antibiotic tetracycline, if it is taken while the teeth are forming, causes a dark brown or gray stain deep in the tooth. The tetracycline is actually incorporated into the dentin of the teeth. This stain is difficult or impossible to be removed, and the best treatment is to cover the teeth with porcelain veneers.

In a 14-year-old, the canine tooth is probably fully formed, even if it isn’t erupted yet. If it is fully formed, it shouldn’t be affected by the tetracycline. If it isn’t fully formed, the effect would be slight.

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