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Help! I Look Like Jim Carrey!

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This quarantine has almost destroyed me. First, I tried to cut my own bangs which were almost down to the tip of my nose. Then, the other night I had WAY too much to drink and tripped, which resulted in chipping my front tooth. I seriously look like Jim Carrey in Dumb and Dumber. Help! My dentist still isn’t open but tell me there is a solution for this once he is. For now, I’m just going to hide indoors and ignore the doorbell. No one can see me like this.

Stephanie

Dear Stephanie,

Jim Carrey in Dumb and Dumber

Jim Carry in Dumb and Dumber

For the benefit of those who may not know Jim Carrey or the role he played in Dumb and Dumber, I’ve posted a picture above. Don’t feel too bad. This quarantine has been hard on us all. There are more than a few bad haircuts in the grocery stores these days. You’re also not the only one to hit the wine bottle either.

While a dentist can’t do anything about the cereal bowl haircut, you can certainly get that tooth repaired. The first thing the dentist will want to do is make sure there is no underlying damage to the pulp of the tooth from the trauma. If everything is okay there, the standard repair for a chipped tooth is dental bonding. This uses a composite resin that the dentist will sculpt on your tooth to make the tooth whole again. This is done freehand, so you don’t want your average dentist to do it. Dental bonding takes experience and artistry to make it look natural.

Finding an Expert Cosmetic Dentist

before and after dental bonding to repair a chipped tooth

Your family dentist may also be an expert dentist. Just make sure before having him work on your tooth. The top cosmetic dentists are AACD accredited. This means they have passed stringent exams on the technical knowledge and procedural process in cosmetic work. In addition to that, they also had to submit visual evidence of a substantial number of cases they’ve personally done to be examined by a board of experts for the quality and beauty of their work. Any dentist who reaches accreditation is in the top 1% of cosmetic dentists in the country.

What if Your Dentist Isn’t Accredited?

Just because your dentist isn’t accredited, doesn’t mean he can’t do beautiful work. This is a process which takes many years and there are some artistic dentists out there who are still in that process. I would first look to see if he is listed on the mynewsmile.com website. If not, then your next step would be to ask for before and after images of dental bonding cases he’s personally done. Don’t settle for stock photos. If you are not absolutely thrilled with the results, don’ t let him near your smile.

Expert cosmetic dentists are used to having patients come to them just for the one procedure and then staying with their family dentist when that is through. There is no shame in that. He’ll understand and your dentist should understand as well.

I hope this helps. Try to keep away from the booze for a while, you don’t want to end up needing dental implants. Hopefully, this whole Coronavirus mess will be over with soon. I know dentists are ready to get back to work!

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

My Dental Crown Doesn’t Feel Right

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I just had a dental crown placed on a severely damaged tooth. It hasn’t felt right since I got it a week ago. I think it’s too big and bumping into the opposing tooth when I bite down. My dentist said it is just because I’m not used to a crown and to give it time. If I’m not used to it by the time the quarantine is up he’ll take another look. Is this normal?

Selwyn

Dear Selwyn,

woman holding her her jaw in pain

I would laugh at your dentist’s comment that it’s just because you haven’t had a crown before and you’ll get used to it, if it weren’t such a dangerous attitude. The way your teeth should come together is very specific and in dental circles is known as occlusion. The best dentists, who want to seriously treat TMJ Disorder or do things like a full-mouth reconstruction, will attend post-doctoral schools to learn the skills they need to properly treat their patients in every aspect. Unfortunately, some bread and butter dentists think they’re only going to do single crowns and therefore don’t bother to get the extra training.

In general, they get by. They will have the odd patient here and there, like you, who will complain about something feeling off. But, the dentist tells them they’ll adjust and either they do or they’re too embarrassed to keep complaining.

He said you’re not used to having a crown. The truth is you shouldn’t notice a difference. It should fit exactly like your natural tooth. The fact that you’re not used to it means he didn’t fit it properly.

To me, it doesn’t even sound like he took the very basic step of using bite registration paper. He should have asked you to bite down on this paper which would show were the bite is not coming together properly. Then the dentist can carefully adjust that area. He hasn’t even bothered doing that.

You can continue this dentist, but I think you can do better. Plus, if you don’t get this adjusted, you can end up with bone loss or TMJ Disorder. This requires attention, even during COVID-19.

My suggestion is you find a dentist who has studied at one of the following post-doctoral institutes:

  • Texas Center for Occlusal Studies
  • The Pankey Institute
  • The Las Vegas Institute for Advanced Dental Studies
  • The Dawson Academy

Have them fix the crown.

This blog is brought to you by Philadelphia Dentist Dr. Michael Weiss.