Cosmetic Dentistry

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Failed Dentistry

Our goal is to help patients who are experiencing issues and even pain associated with failed or failing dentistry. We’re not going to judge any decision you’ve made in the past or judge a fellow dentist. We simply want to help you achieve a beautiful smile, alleviate any pain, and help you maintain excellent dental health for years to come.

Are you having problems with bad, failed, or failing cosmetic or implant dentistry?

Since opening our practice in 2001, we’ve helped patients who have experienced problems with cosmetic dentistry performed elsewhere. To be fair, cosmetic dentistry has a “shelf life” and some patients come to us because it’s simply time to “update” their cosmetic dentistry.

Below are some of the common issues we see and fix using the latest sedation techniques so that you barely feel anything during the procedure.

Improper Bonding

Dental veneers often fail when they have not been properly bonded to teeth. Specific guidelines must be followed to make veneers tenaciously bond to teeth. When dental veneers are not bonded correctly, they can chip or break off…sometimes in one large piece. Another sign of improper bonding is an obvious margin between the veneer and your gums; sometimes, it’s possible to see the underlying tooth. However, it is important to note that over time, the forces of your teeth in certain chewing situations or during grinding or clenching, can cause veneers and bonding to fail. Even the best dentists cannot always predict how dental bonding and porcelain veneers will hold up.

There are some very important things you can do with the help of your dentist to increase the longevity of your veneers though. Sometimes adding YEARS to your cosmetic dentistry. We would love to go over these with you in person. Schedule a FREE cosmetic dental consult today with one of the doctors to find out what can be done to create a beautiful smile that will last for years or help you keep the beautiful smile you already have.

Bad Construction

Dental veneers can also suffer from less-than-ideal construction. They can be made too thickly, yielding the appearance of overly large teeth. In addition, some dental veneers are not polished to the correct, natural-looking sheen, so they appear dull or monochromatic. Improperly made veneers can become discolored, sometimes as soon as two days after they have been applied.

While disappointing construction issues like the ones described above do not typically result in the structural failure, they do create a frustrating and inferior cosmetic result. Correctly made veneers are lustrous, stain-resistant, and long-lasting. Click here now for some before and after photos of Ballantyne Center for Dentistry patients.

There are several ways to ensure that dental veneers are properly constructed and yield a superior cosmetic result. One method is to use a computer to simulate the look of your smile before any veneers are constructed, so you can preview and choose the way your dental veneers will look. Also, it is incredibly important that a reputable laboratory constructs the veneers. Too often we see corners cut and veneers that come from labs in different countries. Our dental veneers are all made in the USA. All of the laboratories we use have been thoroughly vetted in order to get you the best quality and most esthetic result. Our porcelain veneers are GUARANTEED to be of the highest quality. Once our veneers are placed we can balance your bite with a Tekscan® to make sure that no improper forces exist that would cause premature failure.

Improper Tooth Preparation

A necessary step in the placing of dental veneers is some removal of the tooth structure. However, some dentists fail to prepare teeth for veneers properly; most commonly, not enough tooth structure is removed. This results in the teeth appearing oversized or “puffy”. In addition, inadequate preparation makes dental veneers prone to cracking. Adequate preparation requires planning and adequate time. In recent years, Lumineers, which require little to no tooth preparation, have become a very popular option for patients. In the right situation these veneers can look very nice, however they are only appropriate a very small percentage of the time in order to achieve optimal esthetic results.

Alignment Issues

When outfitting someone with dental veneers, a cosmetic dentist has to take into account your bite, tooth, alignment, jaw alignment, and other factors. If your bite is not properly taken into account when dental veneers are designed, constructed and placed, they are prone to failure. If your veneers have caused you pain or have made your teeth sensitive to pressure or varying temperatures for an extended period of time, or show signs of chipping or grinding, your veneers may be flawed, or you may need an adjustment. Sometimes it is necessary for people with veneers to wear a small appliance to bed every night to ensure longevity. This very simple appliance along with adjustment, has saved many veneer cases from having to be completely redone.

If you have one or more failed dental veneers, we invite you to visit our Charlotte, North Carolina cosmetic dentistry practice. If you kept any pieces of the veneer that chipped off, we invite you to bring the pieces with you during your initial consultation: this will help us when it’s time to fix any bite issues.

Because dental veneers have the potential for such stunning smile makeovers, it’s particularly devastating when they fail. We look forward to help you correct this type of bad cosmetic dentistry. Whether your dental veneers are simply disappointing or actively failing, we can help you.

Bone Issues and Dental Implant Failure

Dental implants can become loose when the jaw bone is unable to stabilize the implant, perhaps because of periodontal disease or neglect in a situation that calls for a bone graft. It is extremely common for poor bone quality to prevent the successful placement of dental implants. If this is the case, a good dentist will perform a bone graft or seek another treatment for your missing teeth.

So, how will you know if your’re experiencing dental implant failure? Though there can be many reasons a dental implant fails, the symptoms are generally the same. The main symptoms of late and early dental implant failure you should look out for are:

-Pain or discomfort in the area of the dental implant

-A loose or shifting feeling

-Swelling or inflammation around the gums of the implant

-Gum recession around the dental implant

-Difficulty chewing and biting on the area where the dental implant is located

How do you treat dental implant failure?
The treatment for failing dental implants is dependent on the cause of the failure. In cases where a gum infection is causing the implants to fail – called peri-implantitis- the treatment may involve disinfecting the implant and focusing on better oral hygiene . If detected and treated early sometimes implants can be salvaged and are not neccesarily doomed to failure. There is also a condition called peri-implant mucositis which is an inflammatory response around the tissues of a dental implant. This condition is reversible if treated in a timely manner and may prevent the evolution into peri-implantitis.

In cases of damage or stress to the bone around a dental implant, a bone graft may be required. Dental implants can only be placed in areas in the jawbone that have sufficient bone volume and density. If jawbone loss or bone damage has caused an implant to fail, there is still hope if caught early enough.

Most individuals with failing dental implants don’t even know the failure is occurring unfortunately. They may not have any symptoms. The best way to make sure that your dental implant stays healthy and intact is to visit a dental office that places, restores, and treats dental implants like Ballantyne Dentistry. We are a full service dental implant practice and experienced in all types of dental implant problems and failures.

Loose or Broken Implants

Dental implants, when properly placed, should stay stable for life. Any loosening is a sure sign of failure that should be treated immediately. Trauma, injury, bone issues, tissue disease, and other oral health issues can cause an implant to loosen. In extreme cases, the screw that anchors the implant can break, causing the implant to fall out. Again, if an implant falls out, the issue should be addressed immediately.

Early Implant Failures

Early failures of dental implants can be caused by errors made during the implantation procedure: overheating the bone during the placement of the titanium post, using too much force during placement, or contamination of the implant’s titanium anchor. Sometimes Implants will fail due to infection. It is common to give a patient antibiotics immediately after implants to prevent the natural bacteria in your mouth from creating an acute infection around the newly placed implant. A 3D CT Scan should be taken prior to any dental implant placement. If you have not had a CT Scan it is imperative that you do. Many times in the past dentists have attempted to place dental implants without this technology. Today this is absolutely unacceptable. The standard of care for implant dentistry has changed recently and without the appropriate diagnostic films and tests, you are at much greater risk for an early dental implant failure.

Late Dental Implant Failures

Late failures also stem from errors made during the implantation process, but emerge as time goes on. If you clench your teeth, have a shifting bite, or experience changes in the vertical dimension of the jaw, this can put excessive force on the implant and cause it to fracture.

Dental implants hold a tremendous amount of promise in replacing missing teeth, but placing them is a highly technical, extensive, multi-step process that requires experience and expertise. More and more general dentists have begun to place dental implants in recent years. Some of them do it very infrequently and do not have all of the necessary technology. Also, if you are not seeing a dentist who regularly provides the surgical placement of dental implants, they may not understand all of the causes for late dental implant failure. Experience and Expertise is especially important when you have dental implant dentistry done. If you have one or more failing or simply disappointing dental implants, contact us now for an appointment.

Failing Crowns

Crowns are important to the health, strength, and beauty of your smile. Failing crowns can be extremely painful and pose an increased risk for the infection and major injury of the affected tooth. In addition, old crowns that contain metal can have unsightly margins. Patients coming to our North Carolina practice to have their metal crowns replaced with porcelain crowns find the procedure simple and rewarding.

Poor Bonding / Structural Failure
Improperly made crowns, including those that have not been properly bonded, can become loose and uncomfortable. In extreme cases, crowns can fall out with no warning, leaving the patient in pain and scrambling for a solution. In addition, decay or infection under a crown can cause a painful failure which necessitates intervention from a skilled dental professional.

Visible Margins On Dental Crowns

While today’s crowns are often constructed entirely of porcelain, many old crowns contained metal. The look of metal crowns is familiar: a small line of metal is visible at the gum line. Using porcelain crowns, we can give you a crown that is strongly bonded and looks completely natural, blending in with the surrounding teeth.

Bite Issues With Crowns

Crowns, if they are improperly made or bonded, can cause pain when biting, which sometimes begins very soon after the crown is applied. This can occur if the crown has made the tooth extend too far beyond its natural height, or if it was bonded without properly considering the biting surface of the adjacent tooth. In extreme cases, crowns that challenge your natural bite are eventually ground down…a situation that can compromise your health and cause extreme pain.

We are fully qualified to correct this type of bad cosmetic dentistry at our Charlotte, North Carolina cosmetic dentistry practice, so contact us today if you have one or more failed crowns.

Old dental restorations eventually wear out–a reality that many people have discovered as their old metal fillings have cracked, popped out, or otherwise failed. Because old metal fillings contain mercury, which expands and contracts with changes in temperature, these fillings are particularly prone to failure. In addition, silver fillings grow more visible over time, as the metal eventually blackens during oxidization.

If your metallic fillings have failed, or if you are simply dissatisfied with their appearance, we welcome you to have them replaced with tooth-colored ones made of ceramic.


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