Baton Rouge Dentist

Ryan P. Perry, DDS
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Archives for June 2020

Dentist Placed the Wrong Crowns Without Your Consent? How to Resolve It

Posted on June 30, 2020 by AllSmiles.

In February, I switched dentists because I moved 70 miles from my former dentist. I chose my new dentist because her office is close to work and her fees are more affordable than most. My teeth were severely decayed, so the dentist recommended porcelain crowns for my upper six front teeth.

My dentist told me that I would receive all-porcelain crowns, so when the crowns were placed, I assumed that I was receiving them. But when I looked at my teeth in the mirror, I knew something was wrong. My dentist explained that halfway through the procedure, she saw that there wasn’t enough space for all-porcelain crowns, and their contact with the bottom teeth would wear down the edges of the bottom teeth. She ordered porcelain-fused-to-metal crowns from the lab. She never told me about the switch. She placed them, and only after asking me to look in the mirror, she mentioned the change.

My eyes were full of tears. I’m disappointed because I know I’ll have a black line around my gums that shows when I smile. Although the crowns don’t look bad, they aren’t what I expected and agreed to.

My dentist told me that the crowns look good so I shouldn’t complain. She also said that if I get a second opinion, the next dentist will tell me that same thing. She said that my case is closed. I’m beginning to regret looking for a dentist based on location and fees. I’ve been robbed of my money and my smile. What are my options? – Thanks, Kelsie from Mobile, AL

 

Kelsie,

How do you know when your tooth needs a porcelain crown? Generally speaking, when a tooth is damaged to the degree that it is in danger of breaking, a crown is required to protect what remains of the of the tooth's structure. You may wonder why Dr. Perry would not just remove a tooth damaged to that degree–it is because the loss of a tooth also means the loss of bone mass in the jaw at the site of that missing tooth.
You can find an affordable dentist with advanced training in tooth restoration and crown placement

Porcelain-fused-to-metal crowns are not your only option. Many skilled cosmetic dentists place all-porcelain—or all-ceramic—crowns on upper front teeth. The difference is that cosmetic dentists are artists with advanced training who understand which materials to use to minimize wear on opposing teeth. An advanced cosmetic dentist will ensure your porcelain crowns fit well and keep your bite aligned.

You can pursue legal action against your dentist, and you might have a good case based on her actions:

  • Gave you porcelain-fused-to-metal crowns without your consent
  • Didn’t give you the opportunity to refuse the crowns.
  • Isn’t agreeable to correcting the issue and ensuring our satisfaction.

Another option is to get a trained cosmetic dentist to re-do your crowns at the expense of your current dentist You can report the case to the state dental board and ask an attorney to send a letter to your dentist about the violations of your rights. Your current dentist will likely be willing to compromise.

How Can You Avoid Receiving the Wrong Restorations in the Future?

  • Ask your dentist what type of restorations you will receive.
  • Keep track of when your dentist says he or she will place an order with the lab to craft your crowns. Ask again about the type of crowns you’ll receive.
  • Before your crowns are bonded to your teeth, as your dentist if your crowns have a metal foundation, or if they are all ceramic.

Although a skilled cosmetic dentist’s fees might not be as low as your current dentist, there are ways to make treatment affordable without sacrificing quality. Talk to your new dentist about payment options.

Ryan Perry, DDS, of Baton Rouge sponsors this post.

Filed Under: Affordable Dentist Tagged With: Affordable Dentist, affordable porcelain crowns, dentist bonded crowns, dentist low fees, dentist placed the wrong crowns, remove porcelain fused to metal crowns, replace porcelain fused to metal crowns

Tooth Replacement for Teenagers – Understanding the Options

Posted on June 4, 2020 by AllSmiles.

After two unsuccessful root canals, my daughter is having her left front tooth extracted. She fell skateboarding, and the tooth can’t be saved. After the extraction, is a flipper, a Maryland bridge, or something else best for her. What about a mini implant? Also, I’m concerned about the oral surgeon removing the entire tooth ligament and potentially toxic materials she will use and how it will affect my daughter in the long term. My daughter is 13 years old. What questions should I ask the surgeon? Thanks. Faith from Fayetteville, AK

Faith,

It’s common for people to say that an oral surgeon suggested replacing a front tooth with a Maryland bridge until a young person’s jawbone growth is complete and they can receive a dental implant. Why should dental implants be placed in fully developed jawbone?

  • Natural teeth move as the jawbone develops, but dental implants don’t.
  • Eventually, the vertical position of natural teeth and the implant won’t match.
  • As teeth shift, pressure from the dental implant might affect their growth and position.
Diagram of a standard implant (left) and a mini implant (right)
Although mini implants are more affordable, standard implants offer more stability

In some cases, a dentist might use a mini implant for a small tooth. But they are commonly used to support dentures. In your daughter’s case, a dental implant is best in her late teen years when jawbone growth is complete. At that time, an implant dentist will use a standard implant to replace her front tooth. Standard implants are strong enough to withstand the force of biting with front teeth.

Concerns About Extraction

When a surgeon or dentist removes a tooth, the periodontal ligament usually comes out with it. If the dentist doesn’t remove the ligament, your body will resorb it. Surgeons and dentists don’t use any toxic materials during an extraction.

Dental Flipper vs Maryland Bridge

An overview of each treatment option can help you decide what’s best for our daughter’s oral health and the appearance of her smile.

Dental flipper

A dental flipper, or a flipper partial, is inexpensive and will look good. A flipper can be made with our without metal clasps that clip over teeth. Although a child might lose the flipper, you can purchase several of them for the cost of a single Maryland bridge.

Maryland bridge

Often, a dentist needs to prepare the adjacent healthy teeth to keep a Maryland bridge in place. Drilling will leave permanent marks on your daughter’s teeth. Although the oral surgeon views the bridge as a temporary form of tooth replacement, it has lasting effects on supporting teeth. If your dentist can position a Maryland bridge without preparing adjacent teeth, it will be difficult to remove it without damaging those teeth. A metal Maryland bridge is attached to the backs of adjacent teeth. The metal will show through and make your daughter’s teeth look dark.

Coordinate your daughter’s care with your dentist and the oral surgeon. If your general or family dentist doesn’t have advanced cosmetic dentistry training, you suggest that you schedule a consultation with a cosmetic dentist. The cosmetic dentist will discuss options for an affordable, natural-looking form of tooth replacement.

Dr. Ryan Perry, a Baton Rouge family dentist, sponsors this post.

Filed Under: Affordable Dental Implants Tagged With: chemicals used tooth extraction, dental flipper, dental flipper child, dental flipper teenager, dental flipper vs maryland bridge, extraction, flipper partial, Maryland Bridge, maryland bridge child, maryland bridge teenager, mini implant child, mini implant teenager, missing tooth child, missing tooth teenager, periodontal ligament, tooth replacement child, tooth replacement teenager

Phone number: 225-275-5910
9094 Jefferson Hwy
Baton Rouge, LA 70809
Ryan P. Perry, DDS
Phone: 225-275-5910
Ryan P. Perry, DDS
9094 Jefferson Hwy Baton Rouge, LA 70809
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  • Home
  • About Us
    • About Our Office
    • Meet Dr. Perry
    • Meet Dr. Nielsen
    • Request an Appointment
    • Office Hours
    • Map and Directions
    • Financial Policies
    • Free Initial Exam
  • Payment
  • Cosmetic Dentistry
    • Porcelain Veneers
    • Porcelain Crowns
    • Teeth Whitening
    • Dental Bonding
    • CEREC Crowns
    • White Fillings
  • ^
  • General Dentistry
    • Gum Disease
    • Root Canal Treatment
    • TMJ Dentist
    • Mercury Free Dentist
    • Gentle Dentistry
    • Emergency Dentist
    • Sedation Dentist
    • Pediatric Dentistry
    • Sleep Apnea
  • Reconstructive Services
    • Dental Implants
    • Dental Implants Cost
    • Affordable Dental Implants
    • Dental Bridges
    • Dental Bridge vs Implant
    • Dentures
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