I used to have a beautiful, white smile until my dentist got a hold of it. I had these sensitive spots at the top of my gum line that were filled in with composite bonding. But, the color is off and it’s noticeable. Plus, the bonding looks opaque. How do I fix this? Do they remove and replace it or just put a different color on top?
What you are experiencing with the sensitive open spots at your gum line are known as abfraction lesions. It used to be thought these were caused by brushing too hard. That has changed. Now we think it has more to do with teeth clenching and grinding. The exposure of the open area can be very sensitive to air and touch. The solution you and your dentist decided on can work, and it shouldn’t have been that hard for him to do.
You can have this re-done safely. I’d go to a different dentist this time. If the only thing wrong with your teeth are these notches, you don’t need an expert cosmetic dentist like you would for a smile makeover. However, he or she does have to be aware of the type of material they’re using. Because you are likely clenching your teeth, he doesn’t want to use a stiff material. That can cause the filling material to essentially pop out. He will need to use a more flexible composite resin so when you clench the material can move with it.
When Do You Need an Expert Cosmetic Dentist?
If you were getting cosmetic bonding done on a chipped tooth or a total smile makeover with porcelain veneers, then it would be time to find a cosmetic dentist with serious expertise both technical and artistic. The easiest way to do that is to find a dentist who has reached accreditation with the American Academy of Cosmetic Dentistry.
AACD accredited dentists have done a considerable amount of post-doctoral training, passed stringent exams demonstrating their technical knowledge, and turned in a large number of cases showing visual evidence of their artistic abilities. Any one of them can give you a stunning new smile.
This blog is brought to you by La Jolla Cosmetic Dentist Dr. Stephen Doan.