Tag Archives: gilbert dentist

How Much is Too Much Dental Work to Get at One Time?

Hello,

My dentist recommended I get a lot of dental work – both cosmetic and general work. I need some cavities filled, one tooth filed down, and several root canals done. I’d also like to get my teeth whitened at this time. Can I get all of this done at once? Or will it take multiple visits?

Tammy, from Mesa, Arizona.

 

Hi Tammy,

To get the most work done at once, you’ll need a sedation dentist. The dentist will put you under oral conscious sedation. Without the sedation, it varies from dentist to dentist how much they will do at one time.

The procedures you need done are not complicated. However, it depends on where in your mouth you need the root canals done. It will take double the time if the root canals are needed in the back of your mouth, versus the front. Your best bet may be to see an endodontist for the root canals, as they are the most experienced and can work fastest.

If you have an experienced root canal dentist or endodontist that can work quickly, your appointment can be completed in about four hours. However, this also depends on your endurance. Without sedation, it may be best to break up the appointments.

This blog post is brought to you by Gilbert dentist, Dr. Roper, of Vista Dorada Dental.

 

My Child’s Orthodontist and General Dentist are Giving Conflicting Advice

Hi,

My daughter is missing one of her upper teeth. The orthodontist left a space for an implant when she’s older. In the meantime, our options were a retainer made by the orthodontist or a Maryland Bridge made by our general dentist. However, the Maryland Bridge keeps falling out. He offered to remake it with metal clasps instead of cement, but I’m worried it’ll fall out again. The orthodontist suggested a flipper, and isn’t sure why the family dentist made the Maryland Bridge in the first place. Should we get the flipper from the orthodontist, or try the bridge again? Did our dentist make a mistake? Should we switch dentists entirely?

Thanks,

Yuko from Pennsylvania

 

Hi Yuko,

Maryland Bridges have a false tooth attached metal wings that attach to the backs of the teeth surrounding the empty space. To stay properly, the back of the teeth and metal both need to be etched to bond securely. The etches may not have been made deep enough, which is why the bridge keeps falling out. However, if the surrounding teeth are healthy, roughening them may not be the best option. This process permanently alters the tooth’s structure.

Your dentist didn’t make a mistake, just chose a less obvious solution to the problem of a missing tooth. A flipper would be a better choice going forward, so opt for one from your orthodontist. If you no longer trust your general dentist, you can ask your orthodontist who they would recommend.

This blog is brought to you by the office of Gilbert dentist, Dr. Matthew Roper, of Vista Dorada Dental.

 

 

My crown keeps falling off

I had a CEREC crown placed. However, it has come out several times within the last year. Finally, after the fourth time, I consulted a different dentist, who replaced the crown with a zirconia porcelain crown, but it, too, has come out several times. The dentist suggested a full porcelain crown, stating that the cement is adhering to my tooth, but not the crown. He indicated that the all-porcelain crown is rough of the underneath and would, therefore, bond to the cement more effectively. I’m unsure of what my next step should be, but I am tired of the trouble these crowns have caused. What do you suggest I do?

Thank you,
Kodi

Kodi,

The CEREC crown, or same-day crown, is created by a computer in the dental office, the day of your appointment. When prepared and adhesed correctly, the crown will remain permanently affixed to the tooth. The material of which your crown is made is not indicative of how permanent the bond will be. Whether your crown is porcelain, gold, CEREC, or zirconia, all are made to stay permanently.

However, there are two factors that can determine if a crown will stay on permanently or not. They are the bonding strength of the cement, and the shape of the prepared tooth. The most important of these is the shape. If the tooth is prepared with little taper, a crown can be adhered with a weak cement, and it will stay permanently affixed. However, if there is a lot of taper, even some of the strongest cements will have difficulty staying on.

This is not implying that getting a solid bond between the crown and tooth would not solve your problem. The cement’s strength is important. But, when a tooth is prepared with good retention form, the crown will not fall off multiple times in one year. This indicates that your tooth may have been prepared with retention form that is insufficient.

To move forward, it would be a good idea to consult a dentist experienced in placing crowns that will stay on.

This article was brought to you by Gilbert CEREC Crown provider, Dr. Matthew Roper.

Affordable dentist practiced on me

I was in need of significant dental work, but my very tight budget prevented me from landing the procedures I desperately needed. I researched and stumbled upon an online ad from an affordable dentist. His promotion was that he was offering crowns at a lesser rate, as he practiced using a new in-office machine that makes crowns. I immediately reached out because I could afford his services and he was offering what I needed. This ended up being a terrible decision.

I was in his office for five hours. His machine kept giving him issues. In addition, the crowns were not fitting correctly. He made some changes to the tooth, then returned to the machine and was able to get them to fit. Now, in addition to my tooth being sore, my entire mouth is in pain. Is it possible that the dentist caused permanent damage? If so, am I responsible since he did, in fact, claim up front that he was offering the service and price because he was learning?

Sincerely,

Erica


Dear Erica,

I am sorry you went through this. It is a good idea for you to return to the dentist and let him know that you’re in pain. When teeth are bothered a lot, as yours were, they can become irritated. It sounds like you had repeated try-ons, and your teeth probably became very sensitive to this. For basic irritation, an over-the-counter medication like ibuprofen, that is an anti-inflammatory, will help ease the pain and it should clear up in just a few days. However, the pain might not improve on its own. You mentioned earlier that you needed a crown, but held off getting one. It could be that decay has formed and your tooth is now in need of a root canal, but this may be difficult to prove.

Regardless, the dentist is responsible for the work he did, whether he promoted himself as an affordable dentist or said that he was offering the low cost because he was practicing. An ethical dentist will want to know that you’re in pain and experiencing problems, and he will want to fix them. But, if he gives you an problems or does not fix the issue, you will need to consult another dentist.

For future dental needs, it is important to focus your search on a dental provider who has quality services and experience, then consult with him or her about ways to work within your budget. Many providers offer affordable dentistry plans which allow patients to spread out the dental costs, or take advantage of insurance benefits. Financing your treatment or choosing from different treatment options at various price points may also be an option.

This blog is provided by Dr. Matthew Roper, an affordable dentist in Gilbert, AZ.

 

“Affordable” dentist wrongly charging me

I visited a dentist who claimed to be affordable, after one of my premolars was causing me a lot of grief. I knew I wouldn’t be able to afford the cost of treatment at my regular dental office, so I came across an affordable dentist from an online search and got an appointment right away.

My experience was horrible. The root canal process took almost two hours. He continually jerked my head around and forced my mouth to stay open the entire time. He then mentioned that I needed a crown to treat the decay. When the dentist was removing the cavity, the tooth gave way and I was told it would need to be pulled. I agreed to the removal of the tooth, but was later billed for the extraction.

When I called the dental office, questioning this, I was told the dentist deserved to be compensated for his time on the extraction procedure. Can he do this? My tooth had to be extracted because of something that happened during a procedure. I should not have had to pay for the extraction, right?

Thank you,

Brandy

Dear Brandy,

You should not have been billed for both, and I am sure you are quite frustrated. Whether the extraction could have been prevented is unclear, and may always be. It is possible that the decay was extreme and could have been a cause. But, regardless, it sounds like you are not willing to pay for both procedures. While going the legal route may cause you unnecessary stress, you might consider talking to the dentist himself, if you can’t reach an agreement with the office manager. If this doesn’t work, you could connect with the Better Business Bureau, or your local dental board.

Wishing you luck in rectifying the issue!

This post is sponsored by the office of affordable dentist, Dr. Matthew Roper.

Dentist or Oral Surgeon?

I’m going to honest and just admit I avoid the dentist. I had a filling fall out. I avoided the dentist. Then I needed a root canal treatment. I did get that, but it was rather traumatic. So, I didn’t go back for the crown. Now my tooth was hurting so badly that I had to go to a dentist again. Though I did go to a different dentist. He told me the tooth is too far gone and needs to be removed. However, he said it’s extensive enough that I may consider an oral surgeon because he’d have to cut through both gum and bone. I like the idea of it not costing as much going to the local dentist, but wonder if it’s not safe and that’s why he mentioned an oral surgeon.

Patty

Dear Patty,

Someone asleep from dental sedation

I hate it when dentists say stuff like this. It makes patients uneasy. They wonder if they’re being unsafe choosing the more financially feasible option for them. I don’t know if your dentist phrased it that way because he’s uncomfortable with the procedure and he was trying to steer you another direction or if he’s perfectly comfortable doing it and just giving you non-opinioned options.

I’d ask your dentist a few questions before making a decision:

  • How comfortable does he feel with the procedure?
  • Has he done this type of extraction before?
  • What type of sedation does he offer?
  • What are the roots like? Straight and tapered or twisted with knobs?

The Importance of a Sedation Dentist for You

Based on what you’ve described of your oral hygiene habits, you have dental anxiety. It’s not uncommon. However, it wreaks havoc on your oral health, as you’ve discovered. If you were comfortable going to the dentist when your filling first came out, you wouldn’t be facing this difficult extraction and then facing pricey tooth replacement options.

Dental Sedation will change your life. However, at your level of anxiety (and especially for your extraction procedure), you will need something stronger than just nitrous oxide. You will need oral conscious sedation. This is strong enough to allow you to sleep through the procedure.

You will be able to have stress-free dental appointments from now on and even get all your teeth back in shape.

This blog is brought to you by Dr. Matt Roper.

Can’t Afford Pediatric Dentist; Are General Dentists Cheaper?

There are two pediatric clinics in our area. One has a great reputation but is expensive. The other is cheaper and where all the low-income families go (we’re low-income ourselves), but has a horrible reputation and I don’t know a child who likes it. I don’t want to send my son there. Would a general dentist be less expensive? Do they take children?

Bea C.

Dear Bea,

Four Smiling Children
Finding Affordable Pediatric Dental Care

We want the absolute best for our children. Few things are more discouraging than when we can’t afford it. However, being low-income doesn’t mean you can’t find affordable dental care, even pediatric care. Let me answer your two questions separately.

Are General Dentists More Affordable than Pediatric Dentists?

It depends. Each dentist determines his or her price independently. You may have some specialists which are significantly more expensive than your average general dentist. At the same time, you could have some who want to keep their prices down so affordable specialty care is available.

As you don’t have many options when it comes to pediatric care in your area, you have a couple of options. You may want to talk to the good pediatric clinic to see if they have affordable payment plans. Even if they don’t have in-office plans (like Dr. Roper does), many are willing to work with Care Credit, which is a medical card that offers low and even no-interest payment plans.

Do General Dentists See Children?

Again, it depends on the dentist. There are general dentists who enjoy working with children. They’re qualified to treat them and even had to do a pediatric rotation during their training. If ever something came up that required more of a specialist, they could give you a referral.

I’d start by talking to your dentist. It’s always convenient for the whole family to attend the same clinic together. There’s a medical advantage as well. The dentist will have a fuller picture of what your child’s genetic leanings will be when it comes to oral health.

If mom and dad are prone to decay even with good oral care, the dentist will know to keep a closer eye on the children’s teeth, which tend change quickly so they don’t end up with sudden large decay which could have been dealt with sooner.

This blog is brought to you by Dr. Matt Roper.

Will an Emergency Dentist Bill a Venue for Me?

I’m in a bind. I’m a college student who grew up in a group home. Once I turned 18 I’ve been pretty much on my own. I went on a date where we went dancing. They had a platform which we were dancing on along with a bunch of other people. Apparently too many people because it collapsed. Outside of a few bruises and realizing my date cared more about his well-being than mine, I thought I was okay. But, this morning my front teeth feel loose. I don’t have a ton of money but I don’t want to lose my teeth. Would an emergency dentist charge the venue? I don’t know if I have enough to cover this. I don’t even know what “this” is.

Corra L.

Dear Corra,

A woman grabbing her jaw in need of an emergency dentist

First, I want to express that I’m sorry you’ve had to grow up in a group home. Hopefully, you have a good group of friends that help you feel you have some back up in this world. It is important that you see an emergency dentist. In the meantime, be sure not to wiggle them. I know it’s tempting, but you risk snapping your ligaments, which will derail your efforts to save the teeth.

I’m going to start by telling what to expect when you see an emergency dentist. They’ll check the tooth along with x-raying it to make sure no damage is done to the pulp. IF the pulp is damaged, you’ll need a root canal treatment and dental crown. Because you’re talking about your front teeth, be sure they only give you all-porcelain crowns (as opposed to the metal-based crowns). They look more natural and you won’t have to worry about a gray line developing at the top of your gumline.

If the pulp is fine, they’ll just need to splint your loose teeth to some stable teeth. It may just be a matter of giving the ligaments time to heal.

Affording an Emergency Dentist

Unfortunately, the dentists will not be able to bill the venue. Dentists can only bill those receiving the service or their guardians. However, save every receipt for every scrap of money this costs you. I’m sure they’ll be a lawsuit of some kind given that people were hurt and you’ll probably get the money back.

Even though the dentist can’t bill someone else, it doesn’t mean you’re trapped and can’t get the help you need. Most dentists went into the field because they wanted to help people. In fact, there are affordable dentists who will be willing to work with you. I believe, you especially, given your unique circumstances, will find dentists compassionate.

Some have in-house payment plans. Others use Care Credit. Either way, you should be able to get the care you need and then pay it out.

This blog is brought to you by Dr. Matt Roper.

Do I Need a Special Dentist for Invisalign?

I want to get my teeth straightened with Invisalign. Do I go to a special dentist like an orthodontist or cosmetic dentist or will my regular dentist do?

Charles I.

Dear Charles,

A woman placing her Invisalign aligners

There are certain things which require a specialist, but Invisalign isn’t one of them. In fact, not even cosmetic dentistry is a recognized specialty. Any general dentist is technically allowed to call themselves a cosmetic dentist. Obviously, a patient needs to be cautious about getting an advanced smile makeover done by just any dentist because skills vary from dentist to dentist, so you’ll want to check out why type of results they get before committing.

Even though orthodontist is a recognized specialty, a general dentist can do braces and other orthodontics if they’ve invested the time in training. Many have, and many patients find they save money by going to their family dentist for their braces.

Invisalign is different from all of those procedures. The treatment plan and design of aligners is done by computer with a special software program designed to make your treatment plan as efficient as possible. Results are likely to be the same across the board no matter which dentist you go to for treatment. If your dentist offers Invisalign, you’ll be safe to get it done from him (or her).

Bear in mind, not everyone is a candidate for every procedure. If you’re not, you have options.

Options to Invisalign

  • Traditional Braces: Most people are a candidate for Invisalign. Every so often, though, we run up against a case that has much more severe issues than normal with their bite. In that case, traditional braces may be the better route for you.
  • Porcelain Veneers: If there are more things you’re interested in changing about your smile than just some orthodontics, a smile makeover may be just the thing. While these won’t actually straighten your teeth, they can be designed to make your smile look straight. Additionally, they can change the shape, size, and color of your teeth at the same time.

I hope this helps. Talk to your dentist about your goals. Together you can come up with all your best options.

This blog is brought to you by Dr. Matt Roper.

Are CEREC Crowns as Reliable as Regular Crowns?

At my last check-up, my dentist said I need three crowns. I wasn’t too surprised I needed them, but he’s pretty insistent I get CEREC crowns. My insurance doesn’t cover those and they’re more expensive. I’m not sure I want to invest in something more expensive just because it’s the newest thing unless I know it’s as reliable as the regular crowns. Do you have an opinion on this?

Louis A.

Dear Louis,

A CEREC Machine
When Should You Get a CEREC Crown?

A lot of whether or not a dental crown is reliable depends more on the dentist than anything else. Some dentists get better results than others. However, there are times when a CEREC crown is better than a traditional one. There are times it’s the other way around as well.

Because they’re computer milled, CEREC crowns often fit better. They do well in front and side teeth, but aren’t always strong enough for back teeth. For those, you may prefer a zirconia crown or a porcelain fused to metal crown.

Their biggest benefit is you can have your three crowns done in one visit, without a temporary crown. Other than that, everything else truly depends on the skill of your dentist.

If you decide you want a CEREC crown, your dentist can bill the insurance for the regular crown and you just pay the difference, which isn’t too substantial.

Some Considerations with CEREC Crowns

Placement is the biggest issue. If it’s going to be visible and you’ve ever wanted to whiten your teeth do the teeth whitening before you have the crown milled. If it’s a visible side tooth, that should be sufficient for an attractive looking smile.

However, if it’s a front tooth, you’ll want a traditional crown. CEREC crowns are milled out of a single block of porcelain which, though beautiful does not have all the subtleties necessary for a front tooth. You’ll want something sculpted from various blocks so that the right level of translucency comes across at the appropriate parts of the tooth. Otherwise, it can look a little flat compared to the tooth next to it. You’ll know it’s a little different without knowing why. It will still be attractive, just not as attractive as it could have been.

Again, each dentist’s skills vary in this area, so ask to see sample before and after pictures of their work.

This blog is brought to you by Dr. Matt Roper.