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Archives for June 2020

If a Porcelain Veneer Falls Off, Should It Be Replaced with a Crown?

Posted on June 30, 2020 by AllSmiles.

Last December, my dentist placed 6 porcelain veneers on my front teeth. Two weeks after my dentist bonded the veneers, one of the incisor veneers fell off and broke while I was eating. The tooth was quite sensitive. My dentist said that he needed to adjust my bite. He shortened the opposite bottom tooth and the porcelain veneer. My dentist applied chemicals to my tooth that hurt so bad because it was already sensitive, despite his claims that the fix would be painless.

Last week, the same veneer fell off while I was eating. I feel the same sensitivity in my tooth. I called my dentist’s office to report the problem, and he returned my call and asked me to schedule an appointment for a porcelain crown because my bite must still be off. My dentist hasn’t looked at my tooth, and he wants me to get a crown. I’m suffering from sensitivity in the tooth, and I’m very skeptical about returning to my dentist. Is it normal for a cosmetic dentist to replace a veneer with a crown that keeps falling off?  – Omar from CT

Omar,

Two things aren’t normal about your situation. Porcelain veneers don’t commonly fall off, and it isn’t reasonable to grind down your tooth to replace the veneer with a dental crown.

Your dentist’s explanation about why your porcelain veneer is falling off doesn’t sound logical—especially since your dentist adjusted your bite, and the veneer fell off again. When a dentist properly bonds a porcelain veneer, it might chip or crack—but not fall off.

Why Do Porcelain Veneers Fall Off?

Improper bonding – Porcelain veneers require skill and proper bonding techniques. A dentist needs post-graduated cosmetic dentistry training to understand which tools and materials are needed for successful bonding. We are skeptical that your dentist has received the proper training to give you a long-lasting smile makeover.

Aggressive tooth preparation – If your dentist aggressively prepared your tooth and removed too much enamel, it would cause sensitivity in your tooth and make it a challenge for the veneer to stay in place.

Switch to an Advanced Cosmetic Dentist

If you take the veneer to an advanced cosmetic dentist—preferably accredited— he or she will ensure your tooth is prepared correctly and bond the veneer back in place. A cosmetic dentist who can save your tooth from a crown and ensure your veneer is secure.

Michael Szarek, DMD, an accredited cosmetic dentist in Lowell, MA, sponsors this post. Dr. Szarek’s office is conveniently located near Dracut, Chelmsford, Tewksbury, Billerica, Westford, Andover, Lawrence, Wilmington, Bedford, and Burlington.
Below are porcelain veneers photos of one of Dr. Szarek’s patients.

Close-up smile photo before a patient received porcelain veneers from Michael Szarek, DMD of Lowell, MA.
BEFORE
Close-up smile photo after a patient received porcelain veneers from Michael Szarek, DMD of Lowell, MA.
AFTER

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Three Causes of Root Canal Failure and How Your Dentist Might Treat It

Posted on June 16, 2020 by AllSmiles.

My top right upper molar is sore. I had a root canal on the tooth in 2002. I first noticed slight pain about two months ago, but now the pain is more frequent and is intense sometimes. Yesterday I saw a small sore on my gum. Pus was coming out of it in the afternoon, and at the same time, the pain was more intense than usual. I’m afraid that I’m going to lose this tooth and need a dental implant. I’m hesitant about going to the dentist in the middle of a pandemic. Is there anything I can do at home to help the tooth until I’m comfortable going to the dentist? Thanks. Jordan from Richmond, VA

Jordan,

The root canal you received in 2002 failed. And that’s not normal. Root canal treatment doesn’t fail over time. Something caused it to fail.

Causes of Root Canal Failure

  • Tooth not completely sealed – If the dentist who completed the root canal treatment didn’t fully seal your tooth, bacteria can leak in, infect the tooth, and cause significant pain.
  • Untreated canals – Some teeth have canals that, without careful observation, go unnoticed. If the dentist doesn’t remove the infection from all the canals, it can linger and cause future problems.
  • Cracked root – A cracked tooth root is painful. If a dentist can save your tooth, you’ll need some form of endodontic treatment, and the tooth will be protected with a new dental crown.
Diagram of three phases of dental implants, for information on implants and diabetes from the office of Lowell, MA dentist Dr. Michael Szarek.

Dental implants fuse with the bone to provide stability.

We recommend that you schedule an appointment with an endodontist or specialist. After an examination and digital x-rays, an endodontist is skilled at accurate diagnosis or treatment options, including another root canal treatment or root canal surgery. The specialist will also explain the risks and success rates.

If there is a chance of saving your tooth, let the endodontist try to save it. If keeping the tooth isn’t an option, a dental implant is the tooth replacement option that’s closest to mimicking the look and function of your natural tooth.

Accredited cosmetic dentist Dr. Michael Szarek of Lowell, MA, sponsors this post.

Filed Under: Dental implants Tagged With: dental implant root canal failure, Lowell root canal treatment, root canal failure, root canal specialist, what causes root canal failure, will i need another root canal

Recent Posts

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  • Can I Get Oversized Dental Crowns Replaced with Veneers?

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