Tag Archives: Plano tx dentist female

Sedation Dentistry

How Often Do Porcelain Veneers Fall Off?

For the past two years, I’ve been talking with my dentist about the possibility of getting porcelain veneers. I finally decided to move forward with my plans, so I had a long discussion with my dentist last week. One of my questions was about how long veneers last and if they ever need to be replaced. My dentist said that I could plan on returning to the office every three to four months because veneers fall off, and she will bond them back on. She said if I am careful about not eating crunchy foods, my veneers should last longer. I researched online over the weekend and didn’t see anything about veneers consistently popping off unless the dentist did something wrong.

My dentist’s estimate of how long veneers last is making me nervous. I already have a little dental anxiety. Sometimes I need nitrous oxide, but if I return to her office every few months because veneers pop off, I’ll end up a nitrous junkie. How frequently do veneers pop off? Thanks, Audriana

Audriana,

Shame on your dentist for telling you to expect your new veneers to pop off every few months.

It seems that your dentist is speaking from experience, which can mean several things:

  • Your dentist uses cheap veneers
  • She prepares teeth so aggressively that veneers won’t stay on
  • Bonding techniques are not in your dentist’s skill set

The dental profession has a principle—the standard of care. Although cosmetic dentistry isn’t a recognized specialty, porcelain veneers must stay on—even if they look bad.

How Often Do Porcelain Veneers Fall Off?

Photo of a single porcelain veneers, from affordable Plano TX dentist Dr. Miranda Lacy.
True cosmetic dentists prepare teeth conservatively and bond porcelain veneers so well they don’t come off

Veneers should never fall off, and they should last at least ten years. Your dentist’s prediction about porcelain veneers’ longevity is a warning to find a cosmetic dentist who is skilled with veneers.

And you can eat whatever you want with veneers. But don’t use your veneers—or even your natural teeth—to bite pins, bottle caps, or other hard objects.

We encourage you to search online for cosmetic dentists, look at their patient reviews or smile gallery, and choose two dentists for a consultation. Ask about each dentist’s processes and how long you can expect your veneers to last. Get ready to switch to a new dentist for veneers. And you won’t have to worry about repeat appointments and needing sedation to get through them.

Plano, TX female dentist Dr. Miranda Lacy sponsors this post.

Sedation Dentistry

Can sedation dentistry be fatal?

All 4 of my wisdom teeth are impacted. I am having them pulled under sedation dentistry in January. I am managing the pain for the most part, but my schedule is too hectic to get the surgery done before next year. There is no way I can get the teeth pulled without being sedated, but the thought of it is making me nervous. Maybe I shouldn’t have done so much research on it, but I found some accounts of people who actually died from sedation at the dentist. Are there some hidden dangers that my dentist isn’t telling me about? If so maybe I will just take something that normally makes me sleepy so I can get through this. Thanks. Leticia

Leticia,

When you take any type of sedative—whether it’s from a doctor, dentist, or an anesthesiologist, there are always risks. There are also risks and side effects of any type of medication. But the risks are usually minor, and the odds of having a serious reaction with sedation dentistry are very small. The majority of dentists who use sedation don’t have any issues during their entire time of practicing dentistry.

Sedation dentistry is primarily administered through anti-anxiety medication. It will make you drowsy and relaxed, but not unconscious as with general anesthesia. General anesthesia has greater risks, but it is administered by a highly trained anesthesiologist—not by a dentist.

Before you receive any anti-anxiety medication, your sedation dentist will review your medical history and current medication. Your medication will be carefully checked against the anti-anxiety medication to ensure there are no conflicts. If you have an extensive medical history of complications, a conscientious sedation dentist will work with your primary care doctor to ensure you get the correct medication and dosage.

Dentists who administer sedation are required to receive extensive training, and have the legally regulated drugs and equipment for proper treatment. They are also trained on monitoring your vital signs to ensure your safety. The dentist is also trained to handle emergencies and to get appropriate medical help without trying to resolve the issue on his or her own in the dental office. Again, emergencies are rare.

Many patients benefit by speaking with a sedation dentist in advance. It’s an opportunity to discuss your concerns, ask questions, and ensure you understand what to expect before, during, and after your appointment. Ask about the dentist’s emergency protocol in the rare event of an emergency. The details you receive can help increase your comfort about your procedure. If you are dissatisfied with the consultation, find another dentist who can thoroughly address your concerns.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy.

Affordable Dentistry, Cosmetic Dentistry, Emergency Dentist, Gentle Dentistry

Can I find an affordable dentist to fix my cracked tooth?

I think my tooth is cracked and I need to find an affordable dentist to fix it. I really can’t see a crack though. I had a heavy blow to my face and I know it hit my tooth. Is this something that will heal on its own or do I need to see a dentist. If it needs to be fixed, how bad will it hurt? Thanks Ian

Ian – If you had trauma to your face and teeth, you may have a cracked tooth. It is important that you quickly find an affordable dentist to examine your tooth.

Some of the symptoms that may indicate your tooth is cracked are pain when you bite or chew, or when the tooth is exposed to heat or cold. You may feel varying levels of pain that come and go.

The inside of your tooth contains soft tissue, or pulp. Pulp contains blood vessels and nerves. A tooth that is cracked is not stable, and causes irritation in the pulp. If it’s left untreated, the pulp can become damaged. Pressure on the tooth when chewing can be painful, and the tooth can be sensitive to extreme changes in temperature. When you find a dentist who can make treatment affordable for you, he or she will treat the tooth based on its condition.

The treatment for your tooth depends on the nature, location, and extent of the crack.

  • Cusp fracture – If the cusp, or biting surface, of your tooth is fractured, it usually doesn’t cause much pain. Your tooth can be protected with a dental crown.
  • Cracked tooth – If the crack in your tooth extends into the root, it will affect the pulp inside your tooth. The crack can gradually spread. The pulp in your tooth will require a root canal treatment to prevent an infection. Cracks that extend below the gumline will likely require the tooth to be extracted. Early treatment is important to prevent the problem from getting worse.
  • Split tooth – A tooth that has been split and segmented cannot be saved intact. The extent of the crack will determine if any portion of the tooth can be saved. Again, prompt treatment is needed to preserve as much of the tooth as possible.
  • Vertical root fracture – This fracture begins at the tooth root and extends toward the biting surface. The surrounding bone and gum may become infected. At times, the fractured portion of the root can be removed to prevent tooth extraction.

Regardless of the treatment you need, your comfort can be maximized by a dentist who is not only affordable, but who also has gentle techniques. Let him or her know about your anxiety. A gentle dentist works hard to ensure that your treatment is pain free. If you are particularly anxious, sedation dentistry may be recommended to help you relax. It’s important that you see a dentist right away.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy. Call our office to find out how Dr. Lacy can make dental treatment affordable for you.  Dr. Lacy’s office is convenient to Addison, Allen, Carrollton, Farmers Branch, Frisco, Garland, Highland Park, and Little Elm.

Affordable Dentistry, Cosmetic Dentistry

Looking for affordable female cosmetic dentist that does excellent work

I love my dentist. He is great for cleanings, fillings, etc., but I am not sure that I can trust him to do my cosmetic dentistry work. I asked him about his continuing ed in cosmetic dentistry, but he said although he really doesn’t have much he does a good job. I don’t think he has any extra training all. He referred me to a colleague, but that dentist’s cost were much higher than average. I think part of it is to pay for his swank office. I need too much work done to pay that much for my smile and the office. I know I can do a Google search to find one, but do you have any suggestions on how I find a good affordable dentist in my area? If the cosmetic dentist is female that’s a bonus, too. – Sarai

Sarai – Ask friends and acquaintances for recommendations for an affordable female cosmetic dentist. You can also search for an experienced cosmetic dentist on the internet. Visit each dentist’s website to find out if he or she has any post-graduate training in cosmetic dentistry. The website should also indicate how much ongoing continuing education the dentist participates in each year.

The dentist may have membership, fellowship, or diplomate status in cosmetic, or aesthetic, dentistry organizations. The website should also show before-and-after pictures of patient cases the dentist has completed.

Affordable services are often made possible through payment plans or financing. No-interest financing is often available. Additionally, many dentists are willing to provide treatment in phases. This allows you to progressively pay for dental services, based on your budget. Call the dentist’s office for details.

After you have selected a few dentists with cosmetic dentistry qualifications, schedule a consultation with each of them. Consultations allow you to get a feel for the office environment and staff, and determine if you like the dentist’s chairside manner and communication style. Those are important factors in establishing a long-term relationship with your dentist.

This post is sponsored by Plano, TX dentist Dr. Miranda Lacy.

General Dentistry, Gum Disease, Oral Health

Missing Teeth and Your Heart

Research published in a December 2015 article of the European Journal of Preventive Cardiology shows that the risk of death in patients with coronary heart disease (plaque buildup inside the coronary arteries) who are missing all of their teeth. The 3.7-year study included more than 15,000 patients from 39 countries. About 16 percent of patients in the study had no teeth at all, and another 40 percent were missing half their teeth.

Compared with patients who had all of their teeth, those in the study who were completely endentulous (all teeth are missing) had a series of increased risks that included: 27 percent for a major cardiovascular event, 85 percent for cardiovascular death, 81 percent of all-cause death, and 67 percent for stroke.

During the study, 746 patients had heart attacks. During follow up, 1,543 of the patients surveyed had major cardiovascular events; 705 experienced cardiovascular death; 1,120 died from other causes; and 301 patients had a stroke. In the follow-up events, an increase in tooth loss was associated with an increase in the risk a cardiovascular event, death by other causes, and stroke. Results were not as conclusive with patients who had heart attacks during the study.

Who were the most at-risk patients?

  • Women, who were also:
  • smokers;
  • less active;
  • and more likely to have diabetes;
  • higher blood pressure;
  • higher body-mass index;
  • and lower education

Why Are Coronary Heart Disease and Missing Teeth Related?

The most common cause of missing teeth is gum disease. Inflammation from gum disease affects the heart, and it increases the risk of heart trauma in people who have heart disease, or who are at risk for it. Poor dental hygiene contributes to gum disease.

The study emphasizes the importance of daily brushing your teeth and flossing between them. Brushing alone isn’t enough. Flossing removes bacteria-producing debris that causes inflammation and gum disease. Regularl dental exams and cleanings remove plaque and tartar from your teeth, and greatly reduce the risk of gum disease. Examinations from your dental hygienist and dentist provide early detection of gum disease.

The conclusion? Good oral hygiene habits keep your teeth clean and can contribute to a healthier heart.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy.

Sedation Dentistry

What is done to make sure sedation at the dentist is safe?

I keep reading reading that sedation dentistry is safe. Will you please give me a little more information on why it is considered safe? This is a procedure that I interested in but I feel like I don’t know enough about it. I don’t want more trouble at a dentist’s office than I came in with. What is done at a dentist’s office to make sure I am safe with sedation? Thanks. Dionna

Dionna,

Most states require that dentists receive training and certification in sedation dentistry. Precautions are taken to ensure safe and effective treatment before, during, and after your dental appointment.

  • Before sedation is given to you, a review of your medical history will be completed to determine if you are a candidate for sedation. Be certain to tell your dentist about all medications and supplements you take, as well as any allergies you may have.
  • The sedation methods include common substances to help you relax—nitrous oxide and anti-anxiety medication.
  • During your dental procedure, your vital signs will be monitored. So in advance of your appointment, the dental staff will ensure that the monitoring equipment is working properly.
  • Your blood pressure and oxygen level will be monitored. Many dentists use an EKG to observe your heart rate. This is always true for patients with a risk of cardiovascular disease.
  • Although sedation dentistry is safe, emergency equipment and emergency medication are readily available.
  • For oral surgery, all post-operative materials will be prepared in advance.

Before you choose a sedation dentist, ask about his or her training experience. Find out how often the dentist uses sedation. You will also want to know what levels of sedation the dentist uses (nitrous oxide, conscious oral, or IV sedation).

If you have additional questions about what to expect before, during, and after your dental procedure, don’t hesitate to ask them.

This post is sponsored by Plano dentist Dr. Miranda Lacy.

Cosmetic Dentistry, Dental Bonding, Porcelain Crowns, Porcelain Veneers

Patchwork quilt tooth enamel – how can I get rid of it?

My tooth enamel looks like a patchwork quilt. So many different colors and shapes on one tooth. I try not to smile and show my teeth. This is really noticeable. When I meet people for the first time if they manage to see my teeth when I talk (I try to hide my teeth), I am very sensitive to their stares. What can I do or use to get rid of the patches? Thanks Maxine

Maxine – The patches on your teeth can be successfully and beautifully hidden, but you need the help of a cosmetic dentist.

There is no at-home treatment or product you can buy that will conceal the patches. A cosmetic dentist will examine your teeth to determine the cause of the discoloration. In some cases, teeth whitening may help, but in most cases, cosmetic bonding, porcelain veneers, or porcelain crowns are needed.

The treatment options recommended to you will depend on the condition of your teeth. If your teeth are healthy, cosmetic bonding can be mixed and manipulated to conceal the patches and leave your teeth a naturally white color and translucence. Bonding stains with time, and needs to be polished by your dentist, and periodically replaced.

A porcelain crown covers an entire tooth. When teeth are badly worn or have significant decay, porcelain crowns may be used. This requires permanently reducing the size of each tooth to accommodate a crown. Crowns generally last five to fifteen years.

Another option is porcelain veneers. They cover the front of your teeth only. Veneers have a lifelike appearance and can last 15 to 20 years or more. This is a more expensive option than dental bonding or porcelain crowns, but the results last longer.

This post is sponsored by Plano, TX cosmetic dentist Dr. Miranda Lacy.

Affordable Dentistry, Cosmetic Dentistry, Porcelain Veneers

If bonding from a dentist is more affordable than veneers why would I get veneers?

I have done some research on and off for about a month on how to fix the spaces between my teeth without braces. I understand that I need to see a cosmetic dentist for it to look natural. It seems that this can be done with dental bonding or porcelain veneers. If bonding so much less expensive than veneers why would I choose veneers? Thanks Xiao

Xiao – You are correct. Dental bonding is significantly less expensive than porcelain veneers. But bonding will dull and stain with time, while veneers are stain resistant. As your dental bonding wears, it will periodically need to be polished and sealed, but eventually it will need to be removed and replaced with new bonding. This process will need to be repeated continually.

Veneers are stronger than tooth enamel, so they won’t chip or crack as dental bonding can. Porcelain veneers will produce stunning results. The shape and color of your teeth can be beautifully enhanced with veneers. And they will last for many years—15 years or more if you take excellent care of them.

Whether you choose dental bonding or porcelain veneers, find an experienced cosmetic dentist to get the best results. A cosmetic dentist will match dental bonding to seamlessly blend in with your natural teeth, or provide you with life-like porcelain veneers. If you want porcelain veneers, ask about financing options or payment plans that can help you receive an affordable smile makeover.

This post is sponsored by Plano, TX dentist Dr. Miranda Lacy.