Posts for tag: dentist 37013

By drglasmeier@nashvillefirstimpressions.net
March 12, 2014
Category: Uncategorized

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Hello,

 

I have no idea what to do. After receiving a cosmetic dentist referral from Lumineers, ten months ago I had eight top teeth done for about $8500.00. Three days after the Lumineers were applied, one fell off. Since then I've had all but one of the original set of eight replaced, mostly due to the Lumineer breaking. I pretty much expect that last one will also fracture before long. I have been in the dentist chair 17 times and never known a single month in the last ten months - not once - when I had all eight Lumineers on at one time. I have always been waiting for a replacement or I was on my way into the office to get a mold taken to get the replacement.

 

I've nearly lost my job for all the time I had to take to accommodate the dentist's schedule, I've suffered unbelievable embarrassment when one will break and fall into someone else's drink or plate of food while out in public and I've always had a gap of one tooth or another while it was on order. The dentist tries to be nice, but he has reminded me a million times that "something like this has never happened before." A member of his office staff says he's only done 10 sets thus far (he told me hundreds during the consultation.) I know I am stuck with this office as far as the Lumineers warranty goes, and thus far none of the second set have cracked or popped off. I have absolutely no faith in this product and know I have no recourse, if the first set of Lumineers was defective as Lumineers keeps an ironclad "no compensation for anything" policy after 30 days. But this has gone on for ten months and will continue for another one (at least) as I have another replacement to get a mold taken and ordered yet. I could not be more unhappy with the whole Lumineers experience.Do you have any advice for me? Any at all? I would be so grateful, you just don't know.

 

First Lumineers, or also known as "no prep or no drill veneers" are a nice conservative way of reshaping and correcting color and esthetic issues with teeth that are in otherwise healthy condition. They require little to no drilling and no injections/anesthesia.

 

Answer: Sounds like there are some bite issues that are preventing the Lumineers from being successful. I don't do many Lumineers unless the conditions are right. You have to have a certain bite to be able to do those. There are other things that can cause them to fail, but they are fairly foolproof since there is no tooth preparation and the procedure for cementing them in very easy. I doubt its the Lumineers as much as you not necessarily being a good candidate for Lumineers. I would get a second opinion before you have them redone and would investigate whether or not you grind your teeth as this could be contributing to the problem as well. Not everyone is a candidate for no prep veneers and the dentist should be evaluating not only the physical appearance of the teeth but also analyzing your bite and ruling out that you grind or clench your teeth.

 

Good luck!

Dr.Glasmeier

 

By drglasmeier@nashvillefirstimpressions.net
August 30, 2009
Category: Uncategorized

How is gum disease(periodontitis) treated?

 

 

Treatment Overview

Early treatment of gum disease is very important. The goals of treatment are to prevent gum disease from permanently damaging tissues, control infection, and prevent tooth loss. For treatment to be effective, you will need to:

  • Keep your teeth clean by brushing twice a day and flossing once a day.
  • See your dentist regularly for checkups and cleanings.
  • Avoid all tobacco use. Tobacco decreases your ability to fight infection, interferes with healing, and makes you more likely to have serious gum disease that results in tooth loss.

Treatment for early-stage gum disease

If you have early-stage gum disease (gingivitis), you may be able to reverse the damage to your gums:

  • Brush your teeth twice a day, in the morning and before bedtime.
  • Floss your teeth once a day.
  • Use an antiseptic mouthwash, such as Listerine, or an antiplaque mouthwash.

Your dentist will want to see you for regular checkups and cleanings. Professional cleaning can remove plaque and tartar that brushing and flossing missed. Once you have had gum disease, you may need to see your dentist every 3 or 4 months for follow-up.

Your dentist may prescribe antibiotics to help fight the infection. They can be applied directly on the gums, swallowed as pills or capsules, or swished around in your teeth as mouthwash. Your dentist may also recommend an antibacterial toothpaste that reduces plaque and gingivitis when used regularly.

Treatment for advanced gum disease

Early-stage gum disease (gingivitis) that is not treated promptly or that does not respond to treatment can progress to periodontitis. Periodontitis requires prompt treatment to get rid of the infection and stop damage to the teeth and gums, followed by long-term care to maintain the health of your mouth.

  • Your dentist or dental hygienist will remove the plaque and tartar both above and below your gum line. This procedure, called root planing and scaling, makes it harder for plaque to stick to the teeth.
  • Your dentist may give you antibiotics to kill bacteria and stop the infection. They may be applied directly on the gums, swallowed as pills or capsules, or inserted into the pockets in your gums.
  • You may need surgery if these treatments don't control the infection or if you already have severe damage to your gums or teeth. Surgery options may include:
    • Gingivectomy, which removes and reshapes loose, diseased gum tissue to get rid of the pockets between the teeth and gums where plaque can accumulate.
    • A flap procedure, which cleans the roots of a tooth and repairs bone damage.
    • Extraction, to remove loose or severely damaged teeth.
  • After surgery, you may need to take antibiotics or other medicines to aid healing and prevent infection.

After treatment, you will need to keep your mouth disease-free by preventing plaque buildup. You will need to brush carefully and thoroughly after all meals and snacks and floss daily. Your dentist will probably prescribe an antibacterial mouthwash.

 

Your dentist will schedule follow-up appointments every 3 to 4 months for cleaning and to make sure that the disease has not returned.

By drglasmeier@nashvillefirstimpressions.net
August 23, 2009
Category: Uncategorized

What is a crown?

 

A crown is a restoration that I prescribe to fix badly broken teeth or a tooth that has been root canal treated. A crown is cemented over top of the tooth after it has been prepared. Badly broken teeth can result from large cavities, root canal treatment and trauma as well. Sometimes crowns are placed on teeth that are cosmetically unacceptable by the patient. By doing a crown, I can alter the shape, contour, color and bite of the original tooth so that patients are happy with its function as well as its appearance.

 

Crowns also sometimes require additional procedures based on the existing condition of the tooth such as a root canal, crown lengthening surgery, and teeth buildups. Please consult me if you have any questions about crowns or bridges. Crowns can be made of gold, porcelain, or metal/porcelain which is called a porcelain fused to metal crown(PFM). The decision on the material is based on the position of the tooth, the demand for esthetics, and what type of chewing forces the crown would be subjected to. Ask your dentist about the benefits of crowns and well as what is most suitable for your situation!