Archive for February, 2008

Am I a candidate for Lumineers

Wednesday, February 27th, 2008

Dr Goldstein:

I’m seriously considering Lumineers. I’ve been to 2 dentists with a very extreme difference in price, however neither of them are “Cosmetic” dentists. I have heard of the “cautions” about how they are put on and I want it done right but I also don’t want to be over-priced either. I really need an honest and fair opinion. Both said my teeth are good and I’m a good canadite for them with very minor adjustments. I have tetracycline. Can you help?

Dr. Goldstein answers:
I am very interested in answering your questions, and in general terms you may be a candidate for Lumineers. I would need to see the extent of your tetracycline discoloration and the position of your teeth in order to offer the fair and honest opinion you are seeking. Julia, our Patient Coordinator, is available Monday, Tuesday, Wednesday and Friday from 8:00 – 5:00 p.m. please give her a call and she would be happy to schedule an evaluation visit for you.

Dr. Jay Goldstein

Read more about porcelain veneers.

Can I get dental insurance to help pay for Lumineers?

Thursday, February 21st, 2008

I am trying to find cosmetic dental plan that will help me pay for Lumineers. How can I do this?
- Jan

Dear Jan,
If you think through what you’re asking, I think you’ll realize that you want something that isn’t going to happen.

What you want to find is a dental insurance company who will sell you a dental policy, and let’s use a number to help you understand it, let’s say that it costs you $300 a month or $3600 per year. Now you want to get a new smile with Lumineers that will cost $6000 to $15,000, and you want them to help pay for it, so that it doesn’t cost you so much. You can see that the dental insurance company isn’t going to make any money on this deal, so they’re not going to sell you a plan like this. If you ran the insurance company, would you sell a policy on these terms?

Dental insurance makes sense when your employer pays it, because they’re paying for it with before-tax dollars, so it represents a tax savings. But buying it yourself rarely makes sense. Dental expenses are generally reasonably predictable and are rarely of the sort that will wipe out someone’s life savings. So when you realize that the insurance company needs to collect more in premiums than they pay in benefits, you can see that it probably isn’t going to make sense to buy a private dental insurance plan. Medical insurance is different, because you can face life-threatening diseases and astronomical doctor and hospital costs for certain medical problems. Most people will lose money on medical insurance, but you need it to protect yourself against catastrophic loss.

But even with employer-paid dental insurance, they usually exclude cosmetic procedures because they’re elective.

We hope this is helpful.

Related information:
Cost of porcelain veneers
Cost of Lumineers

Can you seal a gap in a porcelain veneer?

Monday, February 4th, 2008

I had porcelain veneers placed four years ago. All of them look great except one which started leaking and became slightly senstive every now and then. I went to my dentist who told me there’s no cavity and the gap is around 30 microns. My question is could this gap be fixed? The fact that it gets sensitive bothers me a lot. Thank you for kind reply.
- Al in Massachusetts

Dear Al,
Yes, you can fill and seal this gap, but it requires special porcelain bonding techniques that most dentists aren’t familiar with. To be properly sealed, the porcelain has to be etched and primed, and the enamel does, also. Then a clear sealant can be bonded into the gap and it should be taken care of.

If you go to someone who is a sustaining member of the American Academy of Cosmetic Dentistry, like Dr. Goldstein is, that insures that they will have the knowledge they need to do something like this.

Related information on Dr. Goldstein’s web site:
Porcelain veneers
A list of Dr. Goldstein’s credentials in cosmetic dentistry
Tooth bonding