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Lumineers or crowns?

June 22, 2016

I have some front teeth that not only have a gap between them, but are also off to the right a little, which puts another gap to the left. My dentist wants to do crowns on them. I suggested Lumineers or another type of porcelain veneers. He said that veneers are problematic and he only does crowns. I keep hearing from other people that they’re a great option, but don’t want to push the issue if my dentist is right. Do you have a recommendation? Other than the gaps and positioning the teeth are healthy, so I didn’t want to grind them down if I didn’t need to.

Daisy F. – New Mexico

Daisy,

Porcelain veneers in themselves aren’t problematic, but they might be for your dentist. Based on what you said, he is strictly a general dentist and has no cosmetic skills.  You’re right that porcelain veneers would be less invasive than crowns. Most dentists would hate to take away healthy tooth structure.

In this case you have two choices.

  1. You can stick with your dentist and go with the crowns.  Make sure he can address the off-center issue. You don’t just want to fill in the gaps with the crowns and still have them off center. Dont’ push him into the veneers or it will end up a disaster. He’s just not qualified to do them.
  2. You can find and experienced cosmetic dentist and have them do either Lumineers or another brand of porcelain veneers. Let your cosmetic dentist decide which brand, because they all have different pros and cons and he or she will know which brand will work best for your smile.

This blog is brought to you by Dr. Don Swearingen.

Can a 17 Year Old Go to an Emergency Dentist Themselves?

June 8, 2016

I’m 17 years old and have been doing parkour. My mom hates it when I do it, because “I’m a girl” and she doesn’t like me doing things she thinks is dangerous. Well, I fell and chipped a tooth. She’s out of town for a week.  I’d like to get this fixed without her knowing. She’s good friends with our family dentist so if I go to him she’s sure to find out. I know what needs to be done.  I just need some dental bonding to fix the chip. Can I go to an emergency dentist without a parent?

Aimee L. – Detroit

Aimee,

For most states, including Michigan, that is 18 when it comes to medical care. It’s great that you’re wanting to take responsibility for your actions. It’s also impressive you know what will treat the chipped tooth.

However, there are a couple of things you ought to be aware of. First, though most dentists are honest, a less than ethical dentist might be tempted to take advantage by overtreating (and overcharging) a teen trying to do something on the hush-hush. You’re not wanting to go to your family dentist, so you’d just have to take your chances with whatever emergency dentist you get.

Second, I’m guessing your mom has some kind of insurance for you. If you do it without her knowledge, you won’t be able to use that insurance, which means more money coming out of your pocket.

One other thing to consider. While it seems like the problem is cosmetic. The dentist will likely want to do x-rays to make sure there isn’t any underlying damage.

This blog is brought to you by Dr. Don Swearingen.