Need to switch to a sedation dentist for porcelain veneers that keep coming off


After my last dental appointment, I decided that I need to switch to a sedation dentist. I’ve had my porcelain veneers for 8 months and in that time several of them have come off a total of  5 times. The first time was after 2 months of the veneers. I was eating a granny smith apple and the left front veneers loosened and came out later that day. The 2nd time the same veneer came off while I was running. I run daily, so it wasn’t anything unusual that I was doing to the veneers – just running.

The 3rd incident was eating again. I was just out to dinner with my husband and I had chicken parm—it wasn’t tough meat (how tough can chicken really be?). This time it was the right incisor veneer. My 4th incident was last month. I was washing dishes and the left incisor loosened. Last night during a belated anniversary dinner celebration with some friends the right incisor veneer loosened again.

I haven’t had time to call my dentist yet, but during the last visits, he assured me that it is normal for veneers to loosen. I should say that he thought he was assuring me. I am not sure what to do about this. In the past, I haven’t had dental anxiety, but these repeat visits are causing a lot of anxiety. I am really getting anxious about the next visit and I don’t think I can get through it without sedation. I mentioned this to my dentist on the last visit, and he refuses to give me sedation “just to put a veneer back on.” Now my concern is that I have to find a new dentist to take my case even though I think my own dentist should care enough to correct his mistake and ensure no additional veneers fall off. Am I going to be able to find a sedation dentist who is willing to take my case and also resolve this issue? Thank you. – K.L.

Photo of dental forceps holding a single porcelain veneers, from the office of accredited cosmetic dentist Dr. Szarek of Lowell, MA.

A sedation dentist who is also a cosmetic dentist can bond veneers back on

K.L. –  After so many incidents, it’s understandable that you would become anxious and ask for sedation dentistry. None of the activities you described should cause a veneer to crack, chip, or fall off. If you chewed on a pin or tried to open a bottle cap with your teeth, you would damage your veneers, but not in the situations you have described. In fact, veneers that are properly made and properly bonded should never fall off.

A Second Opinion from a Sedation Dentist Who Is Also a Cosmetic Dentist

We recommend that you seek a second opinion from an accredited cosmetic dentist who also offers sedation. He or she will examine your teeth and veneers to determine why they repeatedly fall off. You will also find out if the veneers can be removed and re-bonded, or if new veneers are needed.

Before you schedule your appointment, ensure the dentist is skilled in both sedation and cosmetic dentistry. You can call a few offices in advance to learn about the services offered.

After your second opinion, you can return to your previous dentist to request a refund. If you get resistance, you can ask your new dentist for suggestions. Further action might include contacting the dental board or consulting with a consumer rights attorney.


This post is sponsored by Lowell, MA dentist Dr. Michael Szarek.

Can I get sedation dentistry for a dental bonding appointment?


I’m wondering if there are restrictions on when I can get sedation dentistry. My old composite looks like pieces of a jigsaw puzzle on my teeth. It is multiple colors now, including yellow, and it is randomly chipped. I smile with my lips only making sure that my teeth don’t show. I know that whatever dental work I receive that the old composite needs to be removed. The older I get the worse my dental phobia is. I don’t know how I can get through this. Right now I don’t have a dentist that I trust to do the bonding. The last dentist I visited was only for cleanings. So on top of it all, I have to look for a cosmetic dentist and hopefully one who is willing to sedate me for the bonding. Is it unusual to be sedated for dental bonding? Thanks. Bethany

Photo of a woman in a hammock on the beach, for information on sedation dentistry from Lowell MA dentist Dr. Michael Szarek.

Sedation dentistry is relaxing

Bethany – The process of removing your old composite and restoring your teeth can be completely painless. And sedation dentistry can help you relax throughout your treatment. The type of procedure and the length of it are factors for providing sedation. But a dentist will also provide it based on your level of anxiety—even for quick, simple procedures.

A gentle dentist can give you a pain-free injection of local anesthetic to prevent you from feeling even minimal pain and sensitivity that may occur during your dental treatment. But even before that, you can receive a mild sedative that will completely relax you throughout your dental treatment. Sedation dentistry relaxes patients so much that they are relaxed before, during, and after the appointment. And it can reduce your sensitivity to pain and discomfort.

You can have a productive dental visit, uninterrupted by your dental phobia. Find a few experienced sedation dentists, and schedule a complimentary consultation with each of them. You can ask questions, explain your anxiety, and decide which dentist you are most comfortable with for your cosmetic dental needs. Look for a dentist who is trained and experienced in both cosmetic and sedation dentistry.


This post is sponsored by Lowell, MA cosmetic dentist Dr. Michael Szarek.

Will insurance help pay for sedation dentistry?


I’m wondering if dental insurance plans help pay for sedation dentistry. I have been putting off going to the dentist for years. Now I am starting to get sore gums and toothaches and I am worried that it will get worse if I don’t man up and get to the dentist. It is embarrassing but it is a fear that I can’t seem to get a grip on. I am thinking that sedation dentistry might help but is this something that insurance will help pay for or do I have to pay for it all out of pocket? How much will it cost? Abe

Abe – You have a lot of company with other people who fear dental appointments. The fear affects millions of Americans.

Dentists who offer sedation dentistry like to treat fearful patients. The dentist and staff will help you to relax, and they won’t make you feel embarrassed about your fear.

Sedation Dentistry and Insurance

Whether or not a dental plan will provide benefits for sedation depends on several factors:

  • Some insurance plans provide limited benefits for sedation dentistry. For example, depending on the procedure, up to one or two hours of sedation may be allowed.
  • If you have a copy of your plan benefits, it may indicate whether or not any coverage is provided for sedation.
  • Otherwise, you can contact the insurance company directly. Ask your dentist’s office for the dental codes that relate to your procedure. It will help the customer service rep determine which services are eligible for benefits.

The cost of sedation will depend on the type of sedation administered and the length of your treatment. If your plan does not provide benefits for sedation dentistry, or if the benefits are limited, speak with your dentist about how it can be made affordable for you.

This post is sponsored by Lowell, MA dentist Dr. Michael Szarek.

Should I go back to my sedation dentist?


When I lived in CT I had dentist who caters to dental cowards and uses sedation. She would go out of her way to make sure I was calm even if I only needed a filling. I’ve had the fillings for years and it seems like within the past 2 months ago one of the filling is loose. My anxiety has kept me away from any dentist even though I have lived here for 10 months now. I am overdue for a dental cleaning. I tried some tooth filler material from the drugstore but it isn’t working. My tooth is starting to hurt and I really will get sick if I go to a new dentist that I don’t know. I am wondering if I should forget about even trying to call a new dentist and just go back to my old cater to cowards dentist until I can find a way to get my anxiety under control. Thanks. Mya

Mya – When you have gentle dentist who uses sedation techniques and who understands your anxiety, it’s difficult to transition to a new dentist. But the issues with your teeth need to be treated. Over-the-counter dental filler materials are often not enough to treat tooth decay for the long term. A dentist will need to remove your damaged filling and replace it with a new one.

As the filling dislodges, you will begin to experience more pain in your tooth. Don’t wait for that to happen. The tooth can even become infected and cause more problems. If your anxiety is preventing you from finding a new dentist, it may be best to return to your former dentist, provided she is within a reasonable distance.

A dental emergency can make it a difficult time to see a new dentist. If you find that you can’t return to your cater-to-cowards dentist, ask friends or acquaintances for a recommendation on a gentle dentist. He or she will likely use sedation dentistry to help you relax during your dental treatment.

This post is sponsored by Lowell, MA dentist Dr. Michael Szarek.


Do I really need tooth extractions and sedation dentistry?


I have a new dentist who is recommending sedation dentistry to have 3 teeth extracted. I am concerned about taking medication overall, but to be sedated just to have teeth pulled? The fact that I don’t really know this dentist is making me uncomfortable. If it’s not necessary to be sedated to take the teeth out, I don’t want it. It’s not like I don’t go to the dentist regularly. It has been 8 months since I’ve seen a dentist, and I saw my previous dentist every 6 months. I’m somewhat surprised about the need to have teeth pulled. None of my teeth have bothered me, so I’m not sure why they need to be pulled. Nothing was mentioned about cavities either. This sounds a little drastic and to need sedation on top of it is scary. Do I really need my teeth pulled and do I really need sedation? Thanks. Tyson


Tyson – If you haven’t experienced any pain or discomfort with the three teeth in question, it is puzzling why your new dentist wants to extract them. We recommend that you see another dentist for a second opinion before you agree to any dental procedure or sedation dentistry.

Some Insight on Sedation Dentistry

We also want to address your concerns about sedation. There are varying levels of sedation dentistry. It can be administered as nitrous oxide, or given in pill form.

Nitrous oxide is commonly called laughing gas. You breathe it in during your appointment. When your appointment is complete, you will be given natural gas to clear the gas and reverse its effects.

If a stronger level of sedation is needed, oral anti-anxiety medication is given to help you relax. The medication is commonly prescribed to reduce anxiety and it is safe. Different dentist use various types of oral sedatives, so your dentist would need to tell you what he or she uses.

It is your right to refuse sedation medication. If you need teeth extractions, your dentist can anticipate the ease or difficulty of removing the teeth. Although local anesthesia is used to numb the area around a tooth, many patients prefer not to experience discomfort or to hear the sounds of dental tools.

A second opinion is the first step. Find out if you need any dental care at all. A conscientious dentist will try to preserve your teeth—not extract them. If dental care is needed, your new dentist will probably recommend more conservative treatment.

This post is sponsored by Lowell, MA dentist Dr. Michael Szarek.