Two of My Porcelain Veneers Cracked After a Hygienist Used an Ultrasonic Scaler

Both veneers on my upper lateral incisors fractured after three dental cleanings, during which the hygienist used a magnetostrictive ultrasonic cleaner. Is this type of scaler known for fracturing teeth? Why would the hygienist use it? I think the practice should cover the cost of veneer replacement. – Thanks. Kyle

Kyle,

There are two main types of ultrasonic scalers: piezoelectric and magnetostrictive. The most popular magnetostrictive scaler, the Cavitron from Dentsply, is the original ultrasonic scaler and has been used for decades. Though often considered gentler, it requires a higher level of skill and has greater potential to cause damage if not handled correctly. A proficient hygienist should be able to use it without any issues, even on porcelain veneers.

What Are the Potential Risks of an Improperly Used Ultrasonic Scaler?

The incorrect use of an ultrasonic scaler can lead to damage. When a hygienist fails to control the instrument properly, the tip can nick or damage dental restorations, like veneers, and create rough areas on the roots of teeth. These rough surfaces can trap plaque and calculus, which could lead to gum disease or decay over time. Given these risks, we recommend avoiding a dental office where a hygienist has a history of causing such damage.

What Are the Benefits of Magnetostrictive Scalers?

A study published in the Journal of Clinical Periodontology found that while the magnetostrictive scaler took longer to use, it resulted in a smoother root surface compared to the piezoelectric scaler. Patients with porcelain veneers should choose a dental practice that specializes in cosmetic dentistry. Hygienists at these practices receive specialized training on caring for aesthetic dental work.

Choosing a practice with this level of expertise helps prevent future problems and preserve your veneers. Avoiding nicks on restorations and rough areas on tooth roots can protect your investment and maintain long-term oral health.

Ask your dentist about veneer replacement for the damage done during your appointments.

 

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist, sponsors this post. Read about how he strives to provide the best dental care in Rocky Hill.

My Gums Are Inflamed and My Front-Tooth Crown Is Still Too Dark

After multiple attempts, my dentist still can’t get the color right for my front tooth. It’s still too dark. I’m concerned because my gums around the crown are inflamed. I want to tell my dentist which materials I prefer for a better match. What should I ask for? Thanks. Bethany from CT

Bethany,

Most dentists are skilled at function and repair, but only a few have the artistic eye needed to create natural-looking results. These dentists are proud of their work and typically showcase it in a smile gallery on their website. When evaluating a dentist, take time to review those photos for their beauty and naturalness.

Why Be Cautious About Affordable Dentistry?

If a dental practice’s website emphasizes affordability or being an insurance-friendly office, proceed with caution. High-quality cosmetic dentists usually avoid discount insurance networks. That’s because creating a beautiful smile requires the best materials, the best labs, and attention to detail that is impossible to achieve with deep insurance discounts. At most, excellent cosmetic dentists will work with one or two insurance plans, and many of the best avoid them altogether.

Which Porcelain Veneer or Crown Materials Are Best?

It’s natural to ask which dental crown or veneer material is best. However, an advanced cosmetic dentist can produce excellent results with a variety of quality materials, including:

• Layered zirconia
• max (lithium disilicate)
• Feldspathic porcelain

A skilled cosmetic dentist and a talented ceramist can make any of these look beautiful. Think of it like choosing an artist. You would judge them by the quality of their work, not the brand of paint used. The same is true here: focus on the artistry, not just the material.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist, sponsors this post.