436 N Roxbury Drive Suite 100, Beverly Hills, CA 90210 Call Us: (310) 276-2468
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Brian LeSage, DDS, FAGD, FAACD

Imagine yourself with an
exquisitely beautiful smile.

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My dentist can’t get the color right on my implant crown

My dentist tried to adjust the color of my implant crown, but it still isn’t right. I want a uniform smile. It’s a shame that the shade of my dental flipper was closer to my tooth color than my implant crown. My dentist doesn’t think this is a big deal. What is he doing wrong? Will I damage my implant if I find a new dentist to replace the crown? – Milan from NM

Milan,

We are sorry to hear about your frustrating experience with your implant crown.

You can find an excellent cosmetic dentist to replace your crown, and it won’t damage your implant. It takes artistry, skill, and patients for a dentist to perfectly match a crown to your tooth shade. Dr. LeSage won’t bond crowns unless he achieves a perfect match.

Some cosmetic dentists use these steps to customize crown shade:

  • Send written instruction for a master ceramist that specify a basic shade
  • Draw areas where the ceramist must add specific tints
  • Try in the crown before cementing it to the tooth
  • Take a picture of the try-in if the ceramist needs to adjust the color
Before-and-after porcelain crowns photos

Dr. LeSage placed ceramic crowns on the patient’s front teeth for beautiful results

You’re probably in the wrong dental office to receive crowns that match your natural teeth. Although most dentists aren’t concerned about a high level of aesthetics, your dentist doesn’t seem to be concerned at all.

We recommend that you find a cosmetic dentist with extensive training who partners and communicates with a master ceramist to achieve the perfect shade for your crown. Your smile shouldn’t be a source of stress. Look for a dentist with credentials in the American Academy of Esthetic Dentistry or the American Academy of Cosmetic Dentistry.

 

Beverly Hills dentist Brian LeSage, DDS, FAGD, FAACD, sponsors this post. Dr. Lesage achieved fellowship status in both the American Academy of Esthetic Dentistry and the American Academy of Cosmetic Dentistry.

What are my options for a front tooth that’s turning dark?

For the past four years, I’ve seen my left lateral incisor get progressively darker. I’ve been concerned that if the tooth is dying, I’ll need an extraction and dental implant. My endodontist tested the tooth with ice and electric current and said the tooth is still alive. An x-ray shows a faint horizontal fracture. The endodontist said I can get a root canal, but it would weaken the tooth. The other option is to get some cosmetic work done to hide the dark color. What are my options for cosmetic dentistry? Thanks. Justin from Las Vegas

Justin,

Diagram of a two dental implants - before and after crown placement

If your tooth is healthy and can be saved, you won’t need a dental implant

Did the endodontist say your tooth is infected? If it isn’t infected, a root canal treatment is not necessary. Although Dr. LeSage would need to examine your tooth, it’s unlikely that it’s fractured. A fractured tooth would be dead. And root canal treatment would further weaken the tooth and make it susceptible to leaking and root canal failure. Based on what you’ve described, you’re not in danger of requiring extraction and a dental implant.

What’s Causing Your Tooth to Turn Dark?

If you’ve had trauma to your mouth in the past, it can cause a tooth to turn dark. A traumatized tooth builds a defense, or secondary dentin, that shrinks the tooth pulp, darkens the tooth, and makes it less sensitive to cold or other stimuli.

What Are Your Options for Cosmetic Dentistry?

When a tooth is turning dark, a true dental artist can use a porcelain veneer or direct composite to conceal the discoloration. This is artistic work that you shouldn’t entrust to a family or general dentist.

Color matching – Precise color-matching skills are required to match your surrounding teeth.

Conservative treatment – A cosmetic dentist is trained to make your tooth dark tooth look natural and match surrounding teeth. You won’t need bonding or veneers on multiple teeth to accomplish that.

A family or general dentist doesn’t have the training or experience to color match teeth with veneers or dental bonding. Some dentists recommend placing crowns on several front teeth. Avoid that option.

Look for a cosmetic dentist with credentials from the American Academy of Cosmetic Dentistry or the American Academy of Esthetic dentistry. You’ll receive seamless results, and you won’t be able to tell that your tooth was dark.

Brian LeSage, DDS, a cosmetic dentist in Beverly Hills, sponsors this post.

Three out of five dental implants came out on the third day!

I paid $1800 each for six dental implants to support my dentures. After they heal, I’m supposed to get two more implants. The third day after implant surgery, 3 of the 5 implants came out. Should I have to pay for three implants that came out? What should I expect from the dentist? – Samuel from Nevada

Samuel,

Successful dental implants stay in, so you shouldn’t have to pay for unsuccessful treatment. But more than that, your dentist needs to explain why three out of five implants came out. Authority Dental estimates that dental implants have a 5% failure rate that mainly results from poor surgical technique. And they fail within months or years after implant surgery—not days. But you’ve experienced a 60% failure within three days. You deserve an explanation.

Why Do Dental Implants Fail?

Dental implants can fail for a variety of reasons, but six typical culprits include:

  1. Diagnostic shortcuts and failure to accurately assess bone volume to support implants
  2. Incorrect implant placement
  3. Patient’s medical issues (less common)
  4. Poor-fitting fixtures that lead to infection
  5. Prematurely loading implants with dentures or crowns before they fuse with the jawbone
  6. Substandard implant fixtures
Diagram of a two dental implants - before and after crown placement

Dental implants must fuse with the bone to anchor dental crowns or overdentures

A few things to think about:

  • The two remaining implants – If three of five implants failed on the third day, will the remaining two last?
  • The two implants you’ll receive later – If you receive two more from the same dentist, they might be at risk of dislodging.
  • You don’t have overdentures yet – Dental implants usually fail after placing stress on them. But if yours failed without stress on them, it’s unlikely that the remaining implants would support your overdenture.

Unfortunately, you are the victim of a dental implant horror story. But what can you do about it now?

  • Ask your current dentist for copies of your dental records and diagnostic studies. He is ethically obligated to give you copies.
  • Find a dentist with expertise in dental implants who is a distance away from your current dentist to ensure they don’t know one another. Look for a dentist who partners with an oral surgeon to place implants or has fellowship status in an implantology organization.
  • Ask for a second opinion as to why the implants failed.
  • Depending on what the second opinion dentist or oral surgeon tells you, demand a refund for everything you paid your current dentist—not just the three implants that came out. If you have any difficulty from your dentist about issuing a refund, the state dental board would be interested in knowing it.
  • Don’t allow your current dentist to do any further work in your mouth. Find another trustworthy dentist to correct and complete your treatment. And be patient with the process of getting your implant overdentures done right.

 

Brian LeSage, DDS, of the Beverly Hills Institute of Dental Esthetics sponsors this post.

Three out of five dental implants came out on the third day!

“Because of your smile, you make life more beautiful.”
– Thích Nhất Hạnh

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