Does dentistry last forever?

This is a question I’m frequently asked, especially when a patient is considering a significant investment of time and money into some form of cosmetic dentistry, such as:

• Porcelain veneers
• Bonding (tooth-colored fillings)
• Porcelain crowns and bridges
• Teeth whitening
• Even Six-Month Braces

It’s a very understandable question, and the simple answer to the question, “How long will my dental work last, Dr. Payet?” is “It depends.”

Just like a car, your teeth and gums require regular care to ensure that they are working properly.  Sure, you can go 10-20,000 miles between oil changes given how improved cars are nowadays, but do you really want to take the risk?  Same thing with teeth……….some people go for 5-10 years with no dental check-ups and are fortunate when they come in to find no problems, such as cavities or gum disease. But it’s not many people that are so lucky!

I always remember a quote from some lecturer at a dental conference years ago telling us his response whenever a patient asks the question, and it’s really the most honest, best answer that can be given, “Clearly the teeth that God gave you haven’t lasted your entire life, and since I can assure you that my work is not nearly as good as God’s, unless you die first, the work I do (no matter how excellent) will not last forever either.”

So what can cause your dental work to fail?

• Grinding your teeth — when the human jaw clenches, it can create an amazing amount of force, and over time, enough clenching will cause teeth to crack and break.
• Acidity — anything that increases the acidity in your mouth is good for the bacteria that cause cavities in particular, including Acid Reflux, Sodas, Power drinks (Monster, Red Bull, etc), Sports drinks (Gatorade, Powerade, etc).
• A very sugary diet — the bacteria that cause cavities love sugar.  High sugar content means the bacteria feed like crazy, produce acid, and the acid is what eats away the teeth to cause cavities.
• A compromised immune system — your saliva contains important antibodies that help keep the cavity-causing bacteria under control.  If your immune system is knocked back due to a disease or some medication, those antibodies will be decreased, allowing the bacteria to grow uncontrolled.
• Decreased saliva (dry-mouth syndrome) — again, due to medications or illness, the amount of saliva may be decreased.  With less saliva, there is less “washing” action of the teeth.
• Trauma — obviously.  LOL  One of my patients a few years ago fainted and fell face-first into a brick wall, shattering a front tooth.  Another ran into a pole, shattering another front tooth.  Clearly, if you are injured in such a way that your natural teeth would break, any dental work will break, too.
• Bad habits like chewing hard candy or ice regularly — hard candy and ice are just that — HARD!  Ice, in particular, is easily as hard as your enamel and as porcelain or bonding.  So if you bite down on ice frequently enough and/or hard enough, you can break your teeth and dental work.

That covers most of the major causes of dental work failing.  With regular care, use of appropriate mouthrinses and toothpastes, proper brushing and flossing, regularly scheduled check-ups and dental x-rays, using a nightguard, and being aware of diet, etc, your dental work can and should last a very long time.

But always remember — my dental work isn’t as good as the natural teeth God gave you, so my work probably won’t last forever either.  😉

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Updates on Invisalign

ALIGN Technology, the company that makes Invisalign orthodontic aligners, has not yet made any indication that they will be reversing their decision on June 1st to require dentists and orthodontists to do a minimum of 10 cases each year and complete 10 hours of their Continuing Education courses each year.  The backlash among dentists and orthodontists, however, continues to get stronger, as this is a fairly blatant move by a for-profit corporation to intrude on a doctor’s autonomy and decision-making rights as to which cases are appropriate for Invisalign and which are not.  Several professional organizations, including the Academy of General Dentistry and the New York State Dental Association, are already responding with letters to ALIGN Technology’s Board of Directors and President, stating that there is simply no evidence that the so-called “proficiency requirements” have any basis in science, and unless they can come up with something to substantiate the claims the company is making, they should immediately withdraw the requirements.  If ALIGN Technology continues on this course, patients should fully expect to see an enormous drop in the availability of Invisalign as more and more dentists and orthodontists simply drop their service.

The good news is that there are alternatives to Invisalign, and they work as well or better, AND they’re even less expensive!  For some info and examples, check out our Six-Month Smiles in Charlotte!  Then you can Request a Complimentary Consultation to see how fast you can feel good about your smile again with straight, white teeth!  And if you’re concerned about cost, if you sign up for our Dental Discount Plan or choose Interest-Free Payment Plans with Care Credit, you can save some real money, too.

Not all dental crowns are metal-free, even for cosmetic dentists doing Smile Makeovers

While many cosmetic dentists claim to be “metal-free” dentists, too, I do not make any such claim.  Why not?  For a few simple reasons…..

1. Gold onlays and gold crowns are still the strongest and longest-lasting ways to fix broken teeth or teeth with cavities currently available, and if that’s what you want, then you want gold.
2. Teeth stained by the antibiotic tetracycline can be so dark that is extremely difficult to  bleach (whiten) them, except with Deep Bleaching (TM), and even porcelain veneers may have difficulty covering such dark tooth stains,  so Porcelain-to-Metal (also known as Porcelain-to-Gold) crowns are sometimes the best choice.
3. Bonding (tooth-colored fillings) usually does not hold up very well if you grind or clench your teeth intensely, as they aren’t hard enough to take that much force, so silver (amalgam) fillings are often a better choice.

Here’s a case from a few years ago where the patient was really unhappy with his old, yellowed, kind of ugly old Porcelain-to-Metal crowns, partially because of the dark grey line at the end of the crowns where the black metal underneath the porcelain was showing as his gums receded.  He only had crowns on the top 6 front teeth (a bad idea), and he wanted all of his teeth bright white, and he’d gotten the crowns initially because of severe Tetracycline staining of his teeth.  They were the darkest teeth I’ve EVER had to treat.  I’ll post something soon about how to create a beautiful smile despite tetracycline-stained teeth, but for this I simply want to show that dental crowns that are used to create a Smile Makeover can be just as beautiful and natural-looking as all-porcelain crowns.

Replacing ugly old porcelain-and-metal crowns with a dark grey line at the gums with porcelain-to-gold crowns that look beautiful, natural, and white - to cover tetracycline-stained teeth.

Dental payment plans, interest-free dental financing in Charlotte, NC

As I mentioned in my last post about patients without dental insurance, I would like to add that there is another great option that we offer at my dentist’s office in Charlotte, NC, and that is CareCredit.  A tremendous number of my patients have used the 3-, 6-, and 12-Month Interest-Free Dental Patient Financing to help them get their dental work done without putting them in a bind.

Check our website for the link to their Online Application, and you can have that ready when you come in, too.  The more you have done before you come in, the easier your appointment flow will be, and you can rest assured that you’re covered financially.

Interest-Free Dental Payment Plan offered by Dr. Charles Payet in Charlotte, NC

Exciting new update at Smiles by Payet Dentisty

While it may not seem like an earth-shattering improvement, today we took a big step in improving our Customer Service today!  Today we installed some new software in our office called “Dentforms;” what this software allows us to do, starting NOW, is to become almost a PAPERLESS dental office.

Now, you’re probably thinking, “So what does that mean to me,” right?

Here’s what it means:

• We can keep our fees lower because of cost savings – no more super-expensive laser ink cartridges, no more reams of paper, etc etc etc.  While small at first, these will add up!
• We can really speed up the amount of time needed to put all of your information into our main patient software, which means less waiting time!
• You can now complete all the New Patient “Paperwork” ONLINE, BEFORE you ever set foot in our door.  Before you could download our forms, complete them, and bring them into our office, but it’s so easy to forget the forms on your desk or counter.  No more forgetting!  This will include your Medical/Dental History, any Questionnaires (such as our TMJ/Headache Questionnaire), and even information on your dental insurance so that we can verify it all before we even meet.  Talk about HUGE time savings, and a real convenience to you!
• We even get to be an evironmentally GREEN dental office by using practically no paper and ink.  How many dental offices in Charlotte NC can claim that?  🙂

You can take advantage of this new feature by going to Request an Appointment with Dr. Charles Payet, and clicking on the “New Patient Forms Here” link.  We’ll look forward to welcoming you with no clipboard or paperwork in hand, just a friendly smile and Lifetime Dental Care.

Fun Fun Fun! Single-visit porcelain crowns with CEREC 3D!

OK, I know that most people don’t think that going to the dentist is fun, but it sure can be a lot more interesting than it used to be for sure.  The advent of digital dentistry, particularly CAD/CAM dentistry that allows us to make all-porcelain crowns in just 1 visit, is just pretty darn cool, and that’s even according to my patients who’ve benefited from it.  We brought the CEREC 3D system into our office at the end of December 2007, and in that time we’re approaching our 200th CEREC crown.   In the beginning, I didn’t take many pictures because I was really concentrating on learning how to make the crowns beautiful, fit well, and happen smoothly and quickly.  Now that we’ve become more comfortable with the technology, I’m taking the time to really take quality photos to show off just what we can do, and yesterday just was the perfect opportunity.

This gentleman had these porcelain-to-metal crowns placed about 4-5 years ago, but he is a major grinder and started breaking the porcelain off within a year.  That’s one of the potential problems of adding porcelain on to metal like that.  They obviously needed to be replaced, and he drove all the way from Asheville, NC for us to do this in 1 appointment; since we clearly needed very strong porcelain, we chose EMAX, which has truly remarkable strength.  Take a look and see the results for yourself after the crowns were glazed in our oven:

A short video on Six-Month Braces

As I mentioned in a previous post on dental photography, I’ve been working to create Before/After videos of the different procedures we offer, and while they do take some time to put together, I am getting more of them completed.  Here’s one that describes a little more about the process of Six-Month Braces and what we can do for you to create a more beautiful smile.

Dr. Jim Boyd – creator of the NTI-tss therapy for headaches & jaw pain

I count myself very fortunate to have known Dr. Boyd for about 4 years now, and it was through online communication with him that I originally began learning about the NTI and the remarkable abilities it has, in the hands of a properly trained dentist, to provide amazing relief to so many patients who’ve suffered from migraines, chronic tension headaches, TMD, jaw pain, etc.  Quite honestly, he’s been a tremendous mentor and influence during that time, and I am grateful for all the hard work he has put in to educate both doctors and patients on what we call “Parafunction,” more commonly referred to as bruxism, grinding, or clenching.  I’d like to share with you a video that he has posted on YouTube for both professionals and the public, in which he explains so clearly why he developed the NTI protocol and how it works and why it works so amazingly well.  If you’d like a Complimentary Consultation to if you think the NTI might help you, please call us at 704-364-7069 or Request an Appointment through our website.

Skipping your dental checkup now could cost you more long-term

The Chicago Sun-Times reported today that more Americans are choosing to cut back on visiting the dentist due to the current economic downturn……….with potentially far more expensive consequences than most think.

Click HERE to read the full story in the Chicago Sun-Times.

We understand the tempation to skip a regular check-up at your dentist’s office when times are tough and budgets tight.  We also hope you understand that staying on track with regular check-ups could literally save you hundreds or thousands of dollars in dental treatment later.  Think about it this way:

• Skip an appt. now or decide to wait to get the filling done for $1-200……..and when the cavity gets much bigger, you might need a build-up filling and crown for $900-1300.
• Skip getting the build-up filling and crown now for $9-1,300 and you may end up needing a root canal, too, which could add another $800-1100.
• Wait too long entirely and your tooth may not even be fixable and have to be extracted, and getting teeth replaced can be FAR more expensive than saving them.  Just 1 dental implant and crown in Charlotte can cost $3500-5000; what if you need more than 1?
• Wait too long and multiple teeth that before only needed fillings, now need crowns and root canals?
• Wait too long and the early-stage gum disease that can be easily controlled now might progress to the point that they can’t be saved and you end up in dentures.

I know that I’m dramatizing the potential risks a bit here, but the thing is…..those risks are real and happen every day.  It makes us really sad when patients put off the inexpensive treatment now and then have to pay a lot more, maybe even suffer a lot of pain, because they waited.

At Smiles by Payet Dentistry, we offer several options to help you afford your dentistry now, and of course we are glad to help prioritize your treatment to get the most urgent items taken care of first.  Some options:

1. CareCredit Interest-Free Financing for 3-, 6-, or 12-Months.
2. Smiles by Payet Dentistry In-House Discount Plan
3. And we have a couple others – Download our Payment Options worksheet for details or call 704-364-7069 for details.
   

The most important take-home message is simply this: don’t wait, because it will only get worse.

Yet ANOTHER cracked tooth due to bruxism (grinding/clenching)

I just can’t say it enough – if you grind your teeth, you need a properly made and professionally adjusted nightguard!

Perfect situation this morning: a young lady of only 29 years age came in for a root canal and crown on a lower molar because of a badly cracked tooth.  It didn’t look all that bad on the outside, and seeing how small the previous filling was, you’d really think that the chances of this are practically non-existent……..but you’d be wrong. Take a look:

A Badly Cracked Tooth From Grinding/Clenching

And let me tell you – it is NOT a coincidence that this young lady has suffered from chronic migraines for years, but we haven’t addressed that for her quite yet.  First we had to get her out of the terrible pain she had every time she bit down.

If you grind or clench your teeth (and notice that this tooth doesn’t even look worn down or flattened), please be willing to spend a little money, even if your insurance doesn’t cover it.  It could literally save you THOUSANDS of dollars in dental treatment, lots of time in the dentist’s chair, and even pain.