Baton Rouge Dentist

I’m Disappointed with My Stark White Dental Crowns

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I needed dental crowns for front teeth, so my dentist recommended zirconia crowns. My dentist was kind and thorough during the process, but my crowns are solid white. They look fake. I’m so hurt. I got the crowns in early March. My dentist’s explanation wasn’t an explanation, but she said that the crowns are top quality. I am already self-conscious about the crowns and don’t want to go through years hesitating to smile. What happened, and what can I do now that I’ve spent so much money on the crowns? Should I ask her to use another crown material? She knows I am super disappointed and has agreed to try to satisfy my requests.  – Meg from Shreveport, LA

Meg,

We understand your frustration.

Zirconia is one of the most durable materials used in dentistry today. Dental laboratories mill it from solid blocks to create crowns that fit precisely.

While this strength is an advantage, zirconia on its own does not mimic the natural variation found in real teeth. Natural enamel reflects light in a complex way, and a solid material cannot fully reproduce that effect.

Layered vs. Monolithic Zirconia

Close-up smile, portraying teeth whitening vs bonding for white spots on teeth
A skilled cosmetic dentist can produce natural-looking crowns

To improve appearance, labs can layer porcelain over zirconia. This allows the technician to add depth and subtle color transitions that resemble natural teeth.

It helps to understand the difference between the two options:

  • Layered zirconia: Designed for aesthetics, especially in visible areas
  • Monolithic zirconia: Designed for strength, typically used in back teeth

For front teeth, layered zirconia provides a more natural result.

Why a Dentist’s Technique and Planning Are Critical

Material selection for crowns is not the sole factor to guarantee a good outcome. The position and contour of the crowns are just as important.

When multiple front teeth are restored at once, the dentist must carefully design the shape, thickness, and position of each crown. If this is not done well, the teeth can look too prominent or bulky.

Finding a Dentist with Cosmetic Expertise

Correcting this type of issue requires a dentist with advanced cosmetic training to balance appearance with function.

Before choosing a provider, look for these indicators of experience and schedule a consultation:

  • A portfolio of completed cosmetic cases
  • Consistent, natural-looking smile results
  • A willingness to discuss materials and techniques

A Realistic View of the Cost

Quality cosmetic dentistry reflects the time, materials, and expertise involved. Dentists who focus on aesthetics often work with high-end labs and take extra steps to refine the result.

Fees vary, but you should expect to invest in the outcome. Lower-cost options may save you money upfront, but you may be disappointed with the crowns’ appearance and longevity.

Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Please read about how he strives to provide his patients with the best care possible.

How Much Ibuprofen Can I Take for Dental Pain?

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I got 8 porcelain veneers and three crowns three weeks ago. Since that time, two crowned teeth and my lower jaw have hurt. I’ve talked to my dentist on the phone, and she recommended taking ibuprofen because she completed most of the work in one appointment. I’m concerned because I have taken 800 mg of ibuprofen every 6 hours for the past 2.5 weeks. My stomach is upset. I’m generally healthy and usually don’t need over-the-counter or prescription medicine. How much ibuprofen do dentists usually recommend? How much longer might it take for the discomfort in my teeth to calm down? Thanks. Bayleigh from IL

Bayleigh,

We understand your concerns and recommend getting a second opinion right away.

How Much Ibuprofen Can You Take for Dental Pain?

Taking ibuprofen for an extended time can damage your liver or your kidneys. According to GoodRX,1,200 mg of over-the-counter ibuprofen is the maximum daily dose. However, the maximum daily dose for prescription ibuprofen is 3,200 mg per day, depending on the health condition it treats.  Instead of taking ibuprofen for ongoing dental pain, find a dentist who can resolve the source of your discomfort.

How Long Will You Feel Pain After Getting Dental Crowns or Veneers?

picture of a porcelain veneer being placed on a prepared tooth
You should not feel lingering discomfort after getting cosmetic dentistry work.

After getting dental crowns or veneers, you may feel tenderness for a few days. However, lingering pain after cosmetic dentistry is not normal.

Schedule an appointment with an advanced cosmetic dentist if you have lingering pain after cosmetic dentistry treatment. The dentist will take X-rays and examine your teeth and dental work to identify the cause of your discomfort. It is essential to resolve the issue so you can discontinue ibuprofen.

Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Please read about how he strives to provide his patients with the best care possible.

Why Do My Dental Crowns Keep Loosening?

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I got three new crowns last November. Since then, my dentist re-cemented one crown twice and another crown three times. Both crowns are loose again. The last time my dentist re-cemented the crowns, she said that I could get the crowns replaced with dental implants. Surely, I don’t need my teeth replaced with dental implants just because my dentist can’t keep the crowns on. Is there another method or material I can suggest to my dentist? – Kenneth from Tempe, AZ

Kenneth,

We understand your frustration. However, you shouldn’t suggest anything to your dentist after he multiple attempts to re-cement your crowns. We recommend getting a second opinion from a skilled cosmetic dentist.

Why Do Dental Crowns Loosen?

Ten dental crowns for various tooth positions on black glass
Dental crowns should not loosen repeatedly

A dental crown may fall off due to the tooth’s shape beneath it. If a dentist tapers or grinds away too much tooth structure, it is challenging for a tooth to retain the crown. You may need new crowns, which may also require a dentist to build up the teeth, depending on how aggressively your dentist tapered them.

Despite advanced bonding agents, a dental crown is susceptible to falling off if a dentist over-tapers a tooth.

Don’t accept crowns that repeatedly fall off. Ask your dentist for a refund. You can report your experience to your dental insurance company or the state dental board if your dentist hesitates to refund you for faulty crowns.

Schedule a consultation with a skilled cosmetic dentist.

Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Please read about how he strives to provide his patients with the best care possible.

What Are the Best Brands of Dental Implant Abutments and Crowns?

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I’m scheduling consultations with three dentists in the area because I want to replace four missing teeth with dental implants. Which dental implant abutment brands and crowns should I ask for? I want my implants and crowns to last and look good. They cost too much for anything less. Thank you! Kingsley from NJ

Kingsley,

We understand your concerns about getting quality dental implants. However, finding a dentist with expertise and artistic vision is essential to getting healthy, beautiful results. Dictating which materials and techniques the dentist uses can hinder the desired outcome.

Imagine asking an artist to create a series of paintings for your home or office. Would you tell the artist which materials to use? Doing so would stifle the artist’s creativity and hinder the overall aesthetic appeal of the artwork. Instead, choosing a skilled artist who will use the necessary tools and materials for your requirements is best.

Similarly, when pursuing cosmetic dental procedures, it’s essential to trust the expertise of your chosen dentist. After conducting thorough research and selecting a qualified professional, allow them to assess your oral health and understand your aesthetic goals. Trust your dentist to choose the most suitable brands and materials for your needs, ensuring a healthy and personalized smile.

Periodontists, specialists in dental implants, possess the in-depth knowledge and experience necessary to select high-quality implants best suited to your oral anatomy and treatment plan.

Why Requesting Specific Brands of Dental Materials Isn’t Enough

Even if you could meticulously research and select specific materials, you would need to consider the dentist’s skills and experience with those materials to achieve the desired clinical and aesthetic outcomes effectively.

Understanding Gumline Darkness with Dental Crowns

Dental implant parts, including the screw, connector, and crown, and one complete implantIt’s a common misconception that specific dental crowns, such as those made from porcelain fused to gold or white metals, will eliminate the appearance of a dark line at the gumline. All metals used in dental crowns, regardless of color, can exhibit a visible line at the gumline where the crown meets the natural tooth structure. While the color of this line may vary (black instead of gray), it will still be discernible.

Advanced bonding techniques with pure ceramic crowns can eliminate this dark line. However, other methods, such as cutting the metal back at the margin, can minimize its visibility but not eliminate it.

Zirconium oxide is a highly versatile material for dental crowns due to its exceptional strength and opaque white color. While not transparent, it allows a skilled dental technician to skillfully layer translucent ceramic with it to create highly lifelike and aesthetically pleasing restorations.

Prioritize a dentist’s expertise and artistic vision to increase the likelihood of achieving a beautiful, functional, and long-lasting smile. Look for dentist with extensive post-graduate training in implantology and cosmetic dentistry.

Baton Rouge family dentist Dr. Ryan Perry has MDI and Zimmer dental implant training.  Read how Dr. Perry strives to provide some of the best dental care in Baton Rouge.

 

Do I Have an Oral Yeast Infection from a New Crown?

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My new crown has been sensitive since I got it. Within three weeks, my saliva production increased; I had chapped lips, sores in the corner of my mouth, bad breath, and bitter taste. My mouth’s condition is making me miserable. I’ve been stress eating, and I noticed that sugar and gluten make everything worse. Do I have an oral yeast infection? – Thanks. Bethany

Bethany,

Some of your signs and symptoms may be related to your dental crown procedure. Below are possible causes of the signs and symptoms you are experiencing:

  • Sores in the corners of your mouth – Corner-of-the-mouth sores are usually stress-related.
  • Bad breath and bitter taste—A sore mouth can cause discomfort when flossing and brushing teeth. If oral hygiene has been delicate, bad breath and bitter taste can follow.
  • Increased saliva production—Certain medications, allergies, gastroesophageal reflux disease, infection, dental work, and other factors can increase saliva production. Sometimes, stressful dental appointments can cause dry mouth but not increased saliva.

Do You Have an Oral Yeast Infection?

You may have an oral yeast infection if you are experiencing some of the following signs and symptoms:

  • Cracked, red corners of the mouth
  • Dry, cotton-like mouth
  • Loss of taste
  • Red, burning, or sore mouth
  • White lesions on your gums, tongue, or inner cheeks

If you think you have an oral yeast infection, schedule an exam with your dentist. You can also consider getting a second opinion.

Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Read how he strives to provide patients with some of the best dental care in Baton Rouge.

My Full-Mouth Reconstruction Is Falling Apart

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In the fall of 2022, I got a full-mouth reconstruction with crowns, veneers, and dental implants. I’ve had six veneers and crowns fall off, but the dentist put them all back. The problem is worse now with gaps between my teeth and exposed screws. It hurts to eat anything hard, crunchy, or chewy. My mouth feels raw. The dentist closed his office without notification, and I’ve searched online but haven’t found his new office. Will I need to repeat all my dental work? Megan from Toledo, OH

Megan,

Unfortunately, it seems that you have been victimized. Although you cannot find a record online, contact the Ohio Dental Board to report the problem and determine if you have any recourse.

We advise you not to look for a dentist with cheap implant services. Most often, cheap dental implants involve shortcuts in diagnostics (X-ray or 3D CT scan) or cheap implant fixtures. Although you don’t need the most expensive implant dentist, avoid looking for a bargain.

Check dentists’ advanced implant and cosmetic dentistry training before scheduling consultations. If you cannot find a dentist with satisfactory training and experience, find a periodontist, a specialist with two to three years of post-graduate training in dental implants. If you consult a dentist instead of a specialist, ask about their experience in full-mouth reconstruction.

Ensure the dentist you choose makes a careful diagnosis with a three-dimensional CT scan before creating a treatment plan for implants and cosmetic dentistry. Please don’t accept anything less.

Also, check the dentist’s online review, looking for any hints from patients about the dentist’s clinical troubles. Although you can’t trust all online reviews, check them.

Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Please read about how he strives to provide his patients with the best care possible.

Can a Dentist Repair My Chipped Crowns?

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Can a dentist repair my chipped crowns? I fell outdoors during a home repair last week. I chipped two of my three dental crowns that I got in 2021. It’s only been three years, and I dread the cost of getting new crowns. I invested in quality crowns, but if I need new ones, I cannot afford the same quality. Can a dentist repair them? I had an appointment with a dentist who said the repair wasn’t worth it. He wants to replace the crowns all three crowns to ensure they match. Why would I need a new crown to replace the one that is not chipped? Thanks. Joel from SC

 

Joel,

The dentist you saw probably lacks skill in concealing the chips in your crowns with composite. Also, if the dentist recommends three new crowns when only two are chipped, he may not be confident about matching two new crowns to the third, undamaged one.

Can a Dentist Repair a Chipped Crown?

A skilled cosmetic dentist can examine your crowns and determine if bonding can correct them.

A skilled cosmetic may use this technique to restore your crowns if they are repairable:

  • Use a sandblaster or hydrofluoric acid to etch the broken edges of the ceramic crowns
  • Treat the ceramic with a silane coupling agent
  • Select composite to match the color and luster of the porcelain, blend it, and bond it to the crowns

Look for two cosmetic dentists in your area who have post-graduate training in cosmetic dentistry. You can schedule consultations with each dentist to examine your crowns and explain your options for concealing the chips.

 

Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Read how he strives to provide some of the best dentistry in Baton Rouge.

My Bite Is Off and My Teeth Chatter with New Dental Crowns

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Black man covering his face, portraying trouble with dental crowns and his bite is offAfter a fall, I got composite on my front teeth at age 16. I asked a dentist to replace the composite at age 30 because it was discolored, and now at 42, I have crowns instead because my dentist said it was best. These new crowns for my front teeth and lateral incisors that I got in January look and felt worse than the bonding ever did. I had no problems with the bonding. Whatever my dentist did with the crowns changed the spacing of my teeth. My top teeth hit the bottom ones weirdly, and my teeth chatter like I am cold or nervous. My dentist has tried to adjust my bite countless times with zero success. My mouth burns and gets drier by the day. My wife says it’s anxiety. Will I need new crowns to chew and speak correctly and stop my teeth from chattering? I was supposed to get teeth whitening next, but I told my dentist I wanted to wait. My mouth is so messed up. Thanks. Dexter from Queens, NY

Dexter,

You have several concerns about the effects of your new crowns.

You had successful dental bonding, but your dentist replaced it with crowns. Your dentist’s ethics and your experience with the crowns are alarming. Your dentist’s treatment plan concerns us and sounds like aggressive overtreatment.

Your dental crowns should feel so natural that you do not notice them. Instead, your teeth meet weirdly and tap together so much that you described it as chattering.

Although dental crowns can look fine, a dentist must understand occlusal principles to ensure your bite is balanced. When your jaw slides forward, your front teeth should guide the back teeth apart. Your upper and lower teeth should meet simultaneously, but they should also provide anterior guidance.

When you slide your saw from side to side, canine teeth should force all other teeth apart. Tooth shape affects your speech.

Your dentist has missed some tooth shape or function aspects with your dental crowns. You will need a second opinion from a dentist with advanced training in occlusion and bite to identify the source of your concerns.

Your wife is correct that your anxiety over dental issues can cause burning mouth syndrome. Dry mouth and burning are two of its symptoms.

Before planning for dental crowns, your dentist should have whitened your teeth to ensure your teeth and crowns are the same shade. It’s best to postpone your whitening treatment anyway.

Get a second opinion from an experienced dentist to correct your bite and determine if your existing crowns are savable and what must be done to harmonize your bite.

Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Please read about how he strives to provide his patients with the best care possible.

 

Can a Full Mouth Reconstruction Be Done By An Affordable Dentist?

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As a child, and into adulthood, there were many reasons that prevented me from seeing a dentist. Finally, I grew tired of having broken and missing teeth, and saw a dentist. He recommended that I receive a full mouth reconstruction. While this sounds like a wonderful option, the dollar amount is far beyond anything in my budget. Financing is not an option for me, as I have no credit. Are there any affordable dentists who would do a procedure like this without the hefty price tag?

Thanks,
John

Dear John,

A full mouth reconstruction procedure requires a deeper technical knowledge than what is taught in dental school. In order to help you figure out the option best for you, it would be beneficial for you to understand everything that goes into the procedure, as well as options to consider regarding your budgetary constraints.

What Does a Full Mouth Reconstruction Involve?

A full mouth reconstruction couples varying forms of aesthetics with restoration dentistry for improvement of function and cosmetic appearance. It is a lengthy and very detailed, planned out procedure and, therefore, expensive. And, because of the additional training, not all dentists are even qualified to perform such a procedure. Because of this, it is imperative that you research your options before choosing a dentist for a procedure like this, but your main concern regarding a full mouth reconstruction should never be cost.

What Options Exist If a Full-Mouth Reconstruction Is Financially Impossible?

If you are concerned with the cost, you should get opinions from other dentists to see if there are other options. It’s possible that dentures or partials and crowns may work, if your budget is tight. Regardless, it is important to find a quality dentist, then share your budget with them. This will help them better provide you with solid options which can help your problem, yet fit within your range.

This article is provided by the office of Baton Rouge affordable dentist, Dr. Ryan Perry.

What should I do if my crown broke?

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I have had a crown for a little over a year. Unfortunately, the crown has since given me several problems and, a few months ago, a significant piece of the porcelain broke off. I hated this, obviously, but especially because it was so soon after having it done. I have returned to the dentist multiple times to have things adjusted, but now that it is completely broken, I am not sure what to do. I would rather not return to the same doctor since there have been so many issues since the original crown was placed. Because I am in pain and discomfort, not to mention it looks funny, I called an emergency dentist to see if the crown issues could be addressed and I was seen right away. Unfortunately, the dentist felt the original crown needed to be replaced. This is not something I have the money for, nor do I feel like I should have to pay for another crown that has had issues since the original appointment. I understand that it’s not the responsibility of the emergency dentist to incur the expense of fixing a broken crown, but am incredibly frustrated with the entire situation.

Any suggestions?
Steve

Dear Steve,

My apologies for all of the issues you have experienced with your crown. I know all of this is very frustrating. However, I do want to be sure you know that doctors have varying opinions on how to best proceed or address issues such as this. If the crown is broken, it is possible that it cannot be repaired and will have to be replaced. If this is, in fact, the case, I would suggest returning to the dentist who originally did the crown first. Hopefully, this would decrease the out of pocket expense on your end. Although there are some general rules to follow for the time dental procedure results should last, most dentists have their own ideas on this. For example, crowns, like the one you had placed, should last for at least five years. If an issue arises which requires a repair or replacement prior to that, it would be advisable for the dentist to consider not charging the patient, or at least reducing their portion. Going to a new practice would result in a similar cost unless it would be easier on your peace of mind to go to a new dentist. As a patient, you should expect a dentist to stand behind their treatment and the work they do, just as a dentist would want you to do your part to care for and maintain your teeth and come in for regular visits.

This post is sponsored by Baton Rouge emergency dentist, Dr. Ryan Perry.