The Southern Women’s Show from a Dentist’s View

Well, it’s been almost 2 whole days for Smiles by Payet Dentistry here at the SWS, and it’s been a blast.  Admittedly, as a happily married guy, I’ve probably not enjoyed it as much as the women or as if I were single 🙂 , but it’s been a blast as an exhibitor for the first time (it won’t be the last for sure).  We put a lot of work into our booth, so of course we’d love it if you stopped by Booth 204-206, which is right by the Fashion Stage to the left of the Main Entrance. A couple of my awesome staff, Rosie and Kay, set it up with some help from Kay’s friends, Patti and Chuck. Check it out:

It’s a lot of fun watching people, of course, and it’s been fun watching people and getting to talk to so many as they go by, or as they stop and ask questions about our Oxyfresh Fresh Breath products, the Quality Dental Plan, 6Month Smiles Clear Adult Braces, Laser Periodontal Therapy, or Tip-Edge Braces for Teens.  Since I have my camera with me, fellow professional photographers do stop to chat as we’re shooting the fashion shows (it’s easy to spot us with big white lenses LOL); we’ve also gotten to meet a number of the models after they’ve finished their shows, and I’m excited to say that several have already made Complimentary Consultation appointments for Whitening or Braces.  It’s also been flattering to have their Moms ask me to shoot some pictures of their daughters for them.  🙂

It’s been great having some of my staff here helping out, and I think they’ve gotten to enjoy themselves a little, too, based on this shot of Marie:

There was a great fashion show in the  late afternoon; a mom with whom I talked for a while asked me to take some pictures of her daughter, so here she is: Lindsay Baker, Miss Teen NC-World 2010!

There was a fun demonstration by one of the Arthur Murray Dance Schools mid-afternoon.  Made me really wish my wife and I had more time to get out for ballroom dance again!

And………..there is a Firefighter’s Fundraiser coming up in a few minutes, but I’m not sure I’ll be taking pictures of that event.  LOL

So come on by, ask us questions, and we’ll tell you about our specials and chat while the shows are going on.  🙂

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Six-Month Adult Braces + 2 CEREC Porcelain Veneers equals one happy patient!

Ever since we started doing six-month braces about five years ago, the number of smile makeovers that we’ve done with porcelain veneers has dropped dramatically. This is because we can create beautiful smiles much more conservatively with six-month braces than we can with veneers, simply because there is no drilling on the teeth. There are times however, when porcelain veneers are an excellent option. Caroline’s case is a perfect example of how the two can work together: we first used six-month braces to straighten her teeth, then whitened them.  Finally, we used our CEREC CAD/CAM machine to make to 2 porcelain veneers right in our office, in a single appointment to complete the smile makeover by matching her peg lateral incisors to match the rest of her smile.

If you are interested in learning more about either porcelain veneers or 6MonthSmiles, please contact us at either 704-364-7069, or Request an Appointment Online.

Complete Smile Makeover with Porcelain Crowns

A Full-Mouth Smile Reconstruction

Quite some time ago, I showed this case as an example of how badly teeth can be damaged by grinding them, whether at night, in the daytime, or both, and why something as simple and inexpensive as a nightguard (my recommendation is a NTI-tss).  It is especially inexpensive in comparison to the cost of rebuilding a smile that is so broken down.  This gentleman came to us in 2008, looking for options to feel good about his smile again for various reasons.  After plenty of discussion, we agreed that the only option that would truly give him the smile that he wanted was a Total Smile Makeover/Reconstruction with porcelain crowns. After showing the Before-After pictures of his smile, I’ll discuss some of the issues you need to consider if you are thinking about significant cosmetic dentistry for yourself.

Frequently Asked Questions about Smile Reconstruction

When rebuilding a smile such as this, it is crucial to establish a proper bite relationship of the top and bottom teeth.  Sometimes this can take a little while to figure out, because – when the teeth are so worn, the patient has long since adapted to a very bad bite relationship.  The muscles have to be relaxed, accurate records taken, and excellent communication is necessary among the patient, the doctor, and the lab, to ensure that the crowns are made to look good, feel good, and last a long time. However, in severe wear cases, we always remind the patient that s/he already did a pretty good job destroying their natural set of teeth, so a nightguard is an absolute requirement as “insurance” to protect their investment, and even then they are more likely to break or chip the porcelain than others who don’t have that history.  Simply put, these cases are far more complicated and require a great deal of time to get right, so you need to be absolutely committed to proceeding and working closely with your dentist to get a good result.

• How Much Does a Smile Reconstruction Cost?

It’s not unusual for a patient to ask why it costs so much to do a Smile Reconstruction like this; it often seems like there should be a “volume discount,” so-to-speak, when doing a lot of crowns instead of just 1 or 2.  The difference between such scenarios is the amount of time involved, the skill, training and experience required to successfully diagnose, complete, and treat, and that your dentist will have to work with a highly knowledgeable lab to make the crowns to not just look good, but fit properly and work smoothly in eating motions.  Your dentist will likely spend at least a couple hours just in the planning stages!  It’s usually a case of “You get what you pay for.”  IOW – if you want a cheap smile makeover, you should reasonably expect a cheap outcome.  To get excellence……it won’t come cheap.  Depending on various factors, a case such as this will be the equivalent of buying a fairly nice car.  The main difference, of course, is that you should expect to be “driving” your smile for a lot longer than most people keep a car!

• How Long Will This Take to Finish?

When doing so many teeth, you need to plan on a minimum of several appointments that could take 1/2-day to a full day each, as well as several other appointments to refine, modify if needed, polish, etc.  From beginning to end, if everything goes perfectly, you might be done in as little as 1 month.  That would be somewhat rare; more likely, you should plan on the entire process taking at least 2 months, and maybe many more.  Extremely complex cases that involve implants, different specialists, and very complicated lab work may take a year or more due to the time needed for healing, verifying each stage is correct, and even just the time needed for lab technicians to do the custom work.

• What kind of Crowns will/should you get?

Due to improving materials and with the right techniques, in most cases nowadays you can have all-porcelain crowns made to rebuild a smile.  The crowns used in this case are made of E.max porcelain, which is extremely strong and resistant to breakage.  Numerous studies now show that this type of porcelain will likely last for 15-20 years, and quite possibly longer.  For certain cases, though, and for patients who are even worse grinders than this gentleman was, gold crowns might still be necessary for the back teeth, simply because they are the strongest, longest-lasting crowns available.  They can also take more abuse than any other material.  Porcelain-to-metal crowns are also an option and have a long track record, but it is very important for the lab to be highly skilled so that you don’t see dark grey lines at the gum from the metal showing through.

• How Do I Choose the Right Dentist?

This is one of the trickiest questions, because the public doesn’t usually know enough about the training necessary beyond dental school that trains dentists to handle complex full-mouth reconstructions with skill and confidence.  But here’s my recommendation: ask to see pictures of their other cases that might be similar to yours.  That’s one of the reasons digital photography is such an instrumental and daily part of our dental practice – you will be able to see similar cases and know how the outcome will be before ever committing.  The large majority of dentists who are well-trained in these cases also use digital photography, both for communicating with you as well as for documenting and tracking their own work over time.  If you meet a dentist who can show you pictures of cases that were completed 5-10 (or longer) years ago AND s/he has recent follow-up pictures to show how well it has held up, THEN you should feel very confident that your dentist can take good care of you.

And then start imagining how much better you’ll feel when you can smile like Wayne does now!

Please feel free to ask questions or post a comment below, or to share with your friends!  If you’re interested in a Complimentary Consultation in our office, please call 704-364-7069 or Request an Appointment Online.

Just how outrageous is dental “insurance?” Check this out!

As a practicing dentist for almost 11 years now, in a practice that does accept assignment of dental insurance benefits, I have seen almost every conceivable attempt by dental insurance companies to hold up payment, deny payment, or anything they can do to keep the money that should rightfully help pay for your dental care.  But this one took the cake for me, and I have to share.  Which insurance company?  Metlife.  Seriously……..they said there was not enough missing tooth structure due to decay or fracture on these teeth, and therefore they don’t need crowns.  Are they CRAZY!!!!!?!?!?!?!?

Amazing - a dental insurance company said these broken and decayed teeth don't need crowns. Can you believe it?

Baby Boomers – get your teeth fixed before you retire when you still have dental insurance and flex plans to help pay

With more and more Baby Boomers approaching or entering retirement, an issue often not considered is their dental health.  I think it is actually an important topic to discuss, even more so in today’s economy.

Many Baby Boomers – my parents included – have put retirement on hold, but it’s still not all that far away, and with retirement usually comes the loss of dental insurance and the loss of medical/dental Flex plans that can help a lot with covering the cost of dental care.  After that, it’s all out-of-pocket.  Ouch!  So we always recommend a thorough re-evaluation of existing dental work for things that may be on the verge of going bad.  Such things could be:

• Old silver fillings with cavities and cracks that could turn into root canals and crowns or extractions

• The teeth around the old silver fillings may have cracks that could lead to broken teeth

• Gum (periodontal) disease

• Ugly old crowns that could be replaced for a nicer smile in the golden years

• Replacing missing teeth with dental bridges or implants so you can eat the foods you want

• Etc etc etc……

This gentleman hadn’t been to the dentist in a number of years but knew that he was approaching retirement, so he wanted to come in, get a cleaning, and find out if he needed to take care of anything while he still had dental insurance.  Turns out that many of his 30+ year old silver fillings were in really bad condition, with pieces chipping off, cavities forming around the edges, teeth cracking, and gum disease to boot.

While the total treatment that he needed involved some gum surgery (not needed for everyone, obviously), the primary issue that we addressed was to clean out the old fillings and cavities, then rebuild the teeth with all-porcelain crowns on several teeth, 1 tooth got a tooth-colored filling, and 1 tooth got a gold 3/4 crown (most of the tooth, but not the whole tooth is covered by the crown).

He can now rest assured that all of the problems with these teeth are fixed, and it’s likely he will not need any of them ever worked on again as long as he takes good care of them.

Broken silver fillings with cavities, fixed with porcelain dental crowns, a gold dental crown

New page on www.SmilesbyPayet.com – Dental photography

In our office, as I’ve demonstrated many times before, we use the power of digital dental photography to improve patient understanding of what’s going on in their mouths.  Truly, as the 2 sayings go:

• Seeing is Believing, and
• A Picture is worth 1000 words.

I’ve added a new page to our website along these lines, and I hope you’ll enjoy it:  Smiles by Payet Dental Photography
It’s still a work in progress, so please bear with me – more to come!