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Why Are My Son’s Fillings Falling Out?

December 21, 2016

At my son’s last check-up we were told he had two cavities. We went ahead and got them filled. Both of them have since fallen out. Is this normal? We’re going back to have them replaced, but I’m wondering if I should look for a different pediatric dentist. There aren’t too many of them who do white fillings and that is important to me.

Danielle C. – Idaho

Danielle,

White fillings are a completely different than amalgam (silver) fillings in how they are placed. While I understand why you want only white fillings and I would probably push for the same with my children, you’ll need to understand that they are much harder to place on children.

If any moisture gets under the filling during placement, it breaks the seal. Dentists usually use isolation dams and rolls of gauze to help keep the area dry. You can imagine that is not a favorite of wiggly children.

Pediatric dentists usually have two options in those cases. They either have to find a way to distract the children during the procedure, something most pediatric dentists are quite adept at. Or, they can use sedation dentistry. Either is acceptable and perfectly safe.

Talk to your dentist and ask why he thinks the fillings have failed and how he wants to prevent it from happening again. If you’re satisfied with his answer and are willing to try again, great. If not, you’re within your rights to ask for a refund and find another dentist.

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

 

Will Lumineers Look Fake?

December 3, 2016

I want a smile makeover. I suggested Lumineers because you don’t have to remove any tooth structure. He told me it was a bad idea because everyone would know they were fake teeth. He said porcelain veneers were a problem and never look natural. Instead, he wants me to get dental crowns. He said they’ll look more natural. I don’t want an unnatural smile, but one of the reasons I suggested Lumineers was I didn’t want to remove healthy tooth structure. Dental Crowns remove even more tooth and my teeth are healthy. Is there another option?

Melissa – Michigan

Melissa,

The problem isn’t with porcelain veneers. The problem is your dentist. He is likely a very decent family dentist, but an absolutely horrible cosmetic dentist. He can work with crowns but has no real experience with porcelain veneers. So, instead of referring you to someone who can give you a gorgeous smile, he suggests a treatment he knows how to do. But, do you have any guarantee that it will be beautiful? I’d be willing to bet it won’t be. So, you’ll remove healthy tooth structure and end up with a subpar smile.

So, what do you do? I’d suggest you find a different dentist for your smile makeover. One who has a great deal of experience doing porcelain veneers. It doesn’t have to be Lumineers. In fact, you will likely get a more beautiful smile with a different brand. Ask to see before and after photos of their work. It would also help if they had some form of a beautiful smile guarantee.

I’m not suggesting you leave your dentist completely. Just don’t use him for cosmetic work.

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