AllSmiles, Author at Lowell Cosmetic Dentistry Blog

Does Shaving Down Teeth for Porcelain Veneers Cause Sensitivity?

November 19, 2019 by AllSmiles

Some people who have experienced sensitivity in their teeth in the past wonder if shaving down their teeth for porcelain veneers will create even more sensitivity.

Porcelain Veneers and Tooth Saving – The Real Concern

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

A porcelain veneer only covers the front of a tooth

If a dentist has mentioned shaving down your teeth for porcelain veneers—run. Your teeth don’t need to be shaved down to receive porcelain veneers. A veneer only covers the front of a tooth. However, if you are receiving porcelain crowns, your teeth will need to be tapered because a crown completely covers a tooth.

Preparing Teeth for Porcelain Veneers

Most advanced cosmetic dentists will preserve as much tooth structure as possible when you receive porcelain veneers. Your dentist will determine if preparation is needed depending on several factors, including:

the type of veneers you are receiving
the position of your teeth
your smile goals
your dentist’s technique

No-prep veneers

If you’re receiving ultra-thin porcelain veneers, your cosmetic dentist might determine that your case does not require preparation of your natural teeth. One example is that if you want your teeth to look larger, thicker, or more pronounced, preparation might not be required.

Minimal prep veneers

Skilled cosmetic dentists conservatively prepare teeth for porcelain veneers while leaving at least 90% of tooth enamel intact. There are several advantages to ultra-conservative preparation.

Comfort – It only removes a small fraction of tooth enamel, which is non-sensitive tooth structure.
Bonding – It does not affect the dentin—the layer beneath the enamel. When tooth preparation reaches the dentin, it’s tricky to get the porcelain veneer to stay bonded. And sensitivity can result.
Health and appearance – Bonding to enamel instead of dentin provides a seal that keeps bacteria out and prevents microleakage. When bacteria can leak in and affect the dentin, it will cause the veneers to look dark, and infection can occur.

Look for an advanced—preferably accredited—cosmetic dentist to place your veneers. Your dentist will ensure that if preparation is needed, it will be minimal.

Will You Experience Sensitivity?

If your teeth are healthy and you received no-prep or conservatively prepared veneers, you probably won’t feel any sensitivity after your veneers are placed. Patients you receive more aggressive preparation might temporarily experience mild sensitivity to heat or cold that lasts a few days up to a few weeks.

The dentist you select impacts the extent of preparation of your teeth, sensitivity issues, as well as aesthetics. We recommend that you find a dentist with advanced training in aesthetic dentistry. Look for a nearby accredited cosmetic dentist.

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

3 Things You Should Know About the Dental Implants Recovery Period

November 14, 2019 by AllSmiles

Dental implants are highly effective in replacing missing teeth. But it takes time to get successful results. What should you expect as you recover?

1. Do’s and Don’ts

Do

Take ibuprofen for pain three times a day for three to four days.
Take anti-nausea or antibiotics as prescribed.
Sleep with your head elevated for three to four days to minimize swelling and pain.
Put gauze over the dental implant surgical site and apply pressure to minimize any bleeding. Report excessive bleeding that persists for longer than 30 minutes.
Minimize swelling by applying ice (20 minutes on, 20 minutes off) to the side of your face near the surgical site.
Eat soft, room temperature or cold foods.
Begin gently rinsing your mouth with warm salt water the day after surgery. Rinse every two to three hours for the first three days. For the following two weeks, rinse after meals and at bedtime.
Resume any prescription medications that you regularly take, unless otherwise directed by your doctor.
Keep your follow-up appointments to monitor your implants, teeth, and gums.

Don’t

Don’t exercise strenuously for the first few days after dental implant surgery.
Avoid brushing or floss your teeth in the area of the surgical site.
Avoid eating crunchy or chewy foods.
Don’t drink alcohol for at least 72 hours after implant surgery. It restricts blood flow and inhibits healing.
Don’t suck liquids through a straw. It increases bleeding and can dislodge the blood clot
Avoid smoking because it restricts your blood flow and slows down the healing process.
Don’t touch the surgical site or sutures.

2. Healing Time

Healing time includes implant surgery and bone grafting if needed.

Bone grafting

If you receive bone grafts, it will take 4 to 12months for the bone to heal and develop before you can receive dental implants. Adequate bone is needed to support implants and provide a successful outcome.

Implant surgery

It takes three to four months for your implant and jawbone to fuse. Meanwhile, you can wear a temporary crown.

Dental implant phases

3. Permanent Teeth

After your dental implant fuses to your jawbone, a permanent dental crown will be attached to the abutment, or connector, that is placed between the implant and crown. At times, prematurely loading an implant fixture with a crown can put too much stress on it and interfere with the healing process.

Each person’s biology is different, so don’t try to rush the healing process. Allow your dentist time to ensure healing is complete so you’ll have long-lasting implants that won’t fail and need to be redone.

Michael Szarek, DMD of Lowell, MA sponsors this post.

3 Reasons Porcelain Veneers Can Lose Their Shine and How to Get the Gloss Back

October 28, 2019 by AllSmiles

Have your porcelain veneers lost their shine? If your veneers are new, it’s unusual for them to lose their gloss. There are a few possible causes of the change in the appearance of your smile.

Dental Tools or Chemicals

Porcelain veneers are harder than tooth enamel

Porcelain veneers are harder than tooth enamel. A substance must be extremely abrasive to dull the gloss on your teeth. Although toothpaste is abrasive, it is unlikely to cause your veneers to lose their shine. But dental tools and chemicals can damage them. A hygienst who has been trained in how to care for porcelain veneers knows which instruments and substances to use.

Power polishing equipment – Dental hygienists use specific instruments, including the prophy jet, that will blast the glaze off veneers and cause them to dull.

Some fluoride treatment – Some fluoride contains hydrofluoric acid, which will etch porcelain, dull the surface of your veneers, and cause them to stain.

Your Veneers Might Not Be Porcelain at All

If your veneers are made of dental composite—not porcelain—they are much more likely to stain. Several substances will scratch composite, including:

Abrasive toothpaste – As you brush your teeth, the toothpaste will create tiny scratches on the composite, which attract stains.
Polishing pumice – At the end of professional dental cleaning, most hygienists use polishing pumice to make your teeth shine. The abrasive polish doesn’t harm tooth enamel, but it can scratch composite veneers.
Alcohol-based mouthwash – Alcohol softens dental composite and makes it easy to get scratched and stain.

How to Care for Your Porcelain Veneers

Brush them with a non-abrasive toothpaste, and floss between them.
Don’t use your teeth to bite or open hard objects.
Ensure you receive dental cleanings from a hygienist who is trained to care for porcelain veneers. He or she knows which dental tools to use—and which tools to avoid—to maintain the luster of your smile.
Visit a cosmetic dentist who will safely polish your veneers and give them a glossy shine.

What Can You Do If Your Veneers are Already Stained?

Schedule an appointment for an exam with an advanced cosmetic dentist to determine the cause of your dull porcelain veneers. Look at a few cosmetic dentist’s websites to read about their training and experience. You’ll receive the best results from an accredited cosmetic dentist.

A cosmetic dentist might be able to polish your veneers to improve their appearance. If not, he or she will explain your options. If your porcelain veneers are permanently damaged, they will need to be replaced to regain your bright smile.

This post is sponsored by accredited cosmetic dentist Michael Szarek, DMD. His Lowell, MA office is conveniently located near Dracut, Chelmsford, Tewksbury, Billerica, Pelham, Westford, and Andover.

An 8-Step Guide to Whitening Your Teeth Before You Get Dental Crowns

October 17, 2019 by AllSmiles

Are you trying to determine the best way to whiten your teeth before getting dental crowns? Several keys will ensure your crowns match your newly brightened smile.

1. How Much Is Enough?

Although there is no specific limit on how long to whiten your teeth, the longer you use the bleaching gel, the whiter your teeth will get. Keep in mind that sensitivity can become an issue. And the pace of whitening will decrease over time.

2. Questions to Ask Yourself Before Teeth Whitening

How satisfied am I with the color of my teeth?
How much have I bleached them in the past?
Has the bleaching gel I’m using made a difference?

3. How Much Time Should You Whiten Each Day?

In general, you should keep the bleaching trays on your teeth for a minimum of 20-30 minutes. But it can stay on longer. The length of your daily whitening time depends on whether the bleaching gel is causing a lot of sensitivity in your teeth.

4. What Time of Day Is Best?

Photo of a woman's mouch with custom teeth whitening trays being placed on her teeth; from Lowell MA accredited cosmetic dentist Michael Szarek, DMD.

Custom teeth-whitening trays seal bleaching gel against your teeth

You can whiten your teeth during the day or at night. One advantage of nighttime use is that while you’re sleeping your, saliva flow decreases. The bleaching gel will stay in the trays longer. Although daytime use is effective, increased saliva flow can water down the gel. Custom bleaching trays fit snugly and keep saliva out, but if you don’t have them, the bleaching gel will get diluted. You will need to rinse the trays and replenish the gel.

5. What If You Overdo It?

Your teeth will let you know if you’ve whitened them too much. They will become sensitive to heat and cold. But you can manage the sensitivity in one or more of the following ways:

Take ibuprofen daily
Ask your dentist for fluoride gel
Use Sensodyne toothpaste, which is for sensitive teeth.

6. When to Stop Whitening Your Teeth Before Receiving New Dental Crowns

After you’ve completed the whitening sessions, oxygen bubbles from the peroxide gel will continue to disperse and whiten your teeth. It takes about two weeks for the color to stabilize. If you’re receiving crowns on your front teeth, wait the full two weeks before visiting your dentist to match them to your natural teeth.

7. Before You Receive Your Crowns

It’s best to find a skilled cosmetic dentist who will guide you through the whitening process and provide lifelike dental crowns that perfectly match your natural teeth. A dependable cosmetic dentist will never be satisfied with taking a chance on matching the crowns with your whither teeth. Ask yourself, “Is this the right dentist to give me a new smile?”

Although you might think crowns are the best solution for the issues with your teeth, an experienced cosmetic dentist will explain your options. Look for a nearby accredited cosmetic dentist. Accredited cosmetic dentists have demonstrated their skill by completing rigorous exams and submitting successful patient cases to the American Academy of Cosmetic Dentistry.

8. After You Receive Your Crowns

Over time, your teeth will pick up stains from coffee, tea, wine, smoking, and certain fruits. Every six months, you can whiten your teeth for a few days to restore their brightness. Be careful not to overdo it because they will no longer match your dental crowns.

This post is sponsored by accredited cosmetic dentist Michael Szarek, DMD of Lowell, MA.

4 Top Causes of Swollen Gums After Getting Porcelain Veneers

September 23, 2019 by AllSmiles

Porcelain veneers must be correctly bonded and placed

Are swollen gums detracting from your porcelain veneers and your smile? What’s causing the gum irritation? Some possibilities are listed below. And we’ll explain what you do about it.

1. Excess cement

When your porcelain veneers are bonded on, the dentist should clean off any excess before it hardens. Otherwise, it can get beneath your gumline and cause irritation and swelling. Dentists who don’t place a lot of porcelain veneers often fail to remove the excess cement. Advanced cosmetic dentists cure the cement in the middle of the tooth and remove the excess while it is still soft.

2. Wearing temporary veneers too long

If you wear temporary veneers for an extended period, it can cause gum irritation and inflammation. When your dentist removes the temporary veneers, the inflammation can make it difficult to bond on your porcelain veneers.

3. Messy margins

A dentist should precisely place veneers at your gumline. A fit that’s less than precise can irritate your gums, cause them to swell, and promote infection. If a veneer is too far away from your gumline, bacteria can leak in and cause infection. But if it is too far beneath your gumline, it will rub and cause irritation and inflammation.

4. Sensitivity or allergies

An allergy or sensitivity to porcelain is rare. But if you react to the dental ceramic, your gums can be irritated. Some patients choose to schedule an appointment with an allergist for testing.

What’s the solution?

Ask acquaintances or family members for a recommendation of a cosmetic dentist—preferably accredited—in your area. Otherwise, you can search online to find a cosmetic dentist. Look for his or her training, experience, and credentials in cosmetic dentistry. Schedule an appointment for a second opinion for an exam of your veneers and gumline.

A highly skilled cosmetic dentist will determine the cause of the irritation and explain your options.

This post is sponsored by Michael Szarek, DMD, an accredited cosmetic dentist in Lowell, MA. Dr. Szarek guarantees his work.