Miami Cosmetic Dentists

Why Are my Two Front Teeth Still Different Sizes After Filing to Correct This Issue? (photo)

I had my 2 front teeth filed down. The first dentist didn't file them to my satisfaction. The tooth on the right seemed longer. I went to a cosmetic dentist and had the one on the right filed again, but to my eye it STILL looks longer. Why is it so hard to get them even? I know that on the left tooth, the inner gum line is different (slanted, almost), and that doesn't help visually. But when I bite STRAIGHT down on a ruler my right tooth hits it when my left tooth doesn't. Am I being too picky?

This is tricky in the first 2 pics it looks fine visually and the fact the tooth to the right the edges where they meet are different and the gum line issue but the ruler test is not a good indicator unless u also have a level on it because you wont know what straight really is if you pulled gently on the ruler up on to the left they would both touch head tilts and other muscular issues can throw your eye off and change your perception

Good Luck

Dr. G

Raul Garcia, DMD

Miami Cosmetic Dentist

Want Veneers on Both Lateral Teeth, Do I Need Additional Internal Bleaching First? (photo)

Both lateral teeth grew in with white spots and now as an adult are much more stained than the other teeth. One of the lateral teeth has had a root canal and 3 or 4 sessions of internal bleaching, due to a cyst that grew right next to the root of that tooth. I'm currently whitening my teeth at home but am wondering if I need more internal bleaching of the lateral tooth, shown in the picture, before having Veneers put on?

You have beautiful shape of the teeth and aesthetics, especially color and structure can be significantly improved with porcelain veneers. The internal bleaching most likely won`t be beneficial at this point. You can get your porcelain veneers without additional procedures.

Olga Kharevich, DMD, PhD

Miami Cosmetic Dentist

Two Recently Crowned Teeth Need Root Canals?

I recently got two crown lengthing/crowns. I waited a month between the lengthening and crown. It's two weeks later and I'm still throbbing in pain. It's hyper sensitive to cold. Now he says I need a root canal, without even looking in my mouth. I'm suspicious that two teeth suddenly need canals and suspect the process. These new crowns are all ceramic (not metal on ceramic) and I read the cement used might be the issue. I'm leaning towards getting a second opinion.

Often the teeth can experience the increased sensitivity after cementation of any crown. It can be caused by previous preparation of the tooth, leakage under the temporary crown, possible infection. But in your case it sounds more like this also can be triggered by crown lengthening as well. The zone apical to the cemento-enamel junction can be extremely sensitive and react to cold. You should definitely ask for 2nd opinion and clear the actual reasons for the throbbing pain.

Olga Kharevich, DMD, PhD

Miami Cosmetic Dentist