Archive for dental lab

It’s Time to Find a New Dentist!

Posted by: The Hightech Dentist | Comments Comments Off
Sunday, February 14th, 2010

Question:

My dentist told me that most porcelain veneers are made by the same labs and that talk of different quality is just sales talk. Is this true? Are there labs that are better than other labs?

Answer:

You dentist is so wrong that it is scary. Probably 99% of all cosmetic dentists send their work to a dental lab and never see the porcelain veneers until they are finished and delivered into their office. The problem is the porcelain veneers are made without any customization by the dentist therefore all decisions that could make a world of difference for the patient are made by the lab. The dental lab has never seen the patient and has no idea. The porcelain veneers made without dentist supervision tend to be fake looking, thick, lack surface texture, are poorly proportioned, lack translucency or have too much translucency for the color of the teeth. All of this is normal for most cosmetic dentists as they totally rely on the lab to produce porcelain veneers without any customized guidance by the dentist. The result by the dental lab is limited if the knowledge and skill of the cosmetic dentist is limited.

My opinion is there is a huge difference between dental labs and an even bigger difference between dentists.

I have found over the last 30 years that the dentist must personally work on each porcelain veneer personally in order to maintain quality. I have developed a system of photography that includes over 40 images and diagnostic model measuring that helps me develop customization and create individualized quality that is unsurpassed from multiple facial angles. I personally work on every patient’s porcelain veneers before the final glaze is fired which permits me to insure the best shape, surface texture, size proportioning, veneer angling, surface contour, color and overall quality that is ideal for my patients. Over the years, I have worked with multiple dental labs that are the biggest and best in the industry and still personally work on every single case before the lab finishes their work. The ability of the lab is limited if the cosmetic dentist’s ability is limited. Every patient has different needs and there are so many ways the porcelain veneers could be better if the cosmetic dentist could only recognize it when he or she is looking at the patient.

How to Pick a Cosmetic Dentist?

I am honored that such a large number of my patients have signed model release forms (without payment) that gave me permission to show their entire face on the Hightech Dentistry Gallery. It is the ultimate testimonial. I highly recommend that you compare before and after photos of potential cosmetic dentists work and make sure the expressions and smiles are matched. Also, look at the close-up photos too. Find the best cosmetic dentist possible and make sure they have the photos to prove they are competent.

Categories : Best Cosmetic Dentistry, Blog
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Lumineers vs. Custom Porcelain Veneers: Just Marketing?

Posted by: The Hightech Dentist | Comments Comments Off
Tuesday, October 20th, 2009

Question:

Is there really a difference between Lumineers and your acclaimed custom porcelain veneers – or is it just marketing?

Answer

It is NOT just Marketing!

We keep getting patients that just had porcelain veneers done by a “coupon dentist” and got a cheap price that are extremely unhappy. They feel violated, they can’t smile, and they look unnatural and fake. These patients are angry and would rather go back to their natural teeth than keep the new veneers placed on their teeth.

See the Samantha Lumineers video at www.hightechdentist.com for a live testimonial about her experience with lumineers.

After practicing dentistry for over 30 years and having 25 years of porcelain veneer experience, I have developed a keen understanding of the level of care necessary to please our patients. The biggest problem with most types of lab processed “custom” porcelain veneers is that so many of them look fake. Patients that are considering porcelain veneers are postponing treatment because they did not like the work recently completed on their friend by some other dentist. I found that porcelain veneers made in a dental lab are just not good enough anymore for most patients. I had to go to another level.

Custom Porcelain Veneers

Everyone claims that his or her porcelain veneers are custom made. Lumineers, Da Vinci Lab and all of the other labs claim their porcelain veneers are custom made and technically they are custom. But, there is a big difference in the porcelain veneers I produce and that is, patient satisfaction.

Fake Looking Porcelain Veneers

Bad porcelain veneers are fake looking. They are square, bulky, and thick and lack natural coloration. Cheaper porcelain veneers fade over time and stain easily. Years ago, just about any cosmetic improvement with porcelain veneers was considered good cosmetic dentistry. However, today, patients are more demanding and far more sophisticated about their dentistry. Patients want a natural look created to their specifications. The standard lab made porcelain veneers are not good enough anymore for many people.

Patient Specifications for their Porcelain Veneers

Some patients like longer looking teeth or square looking edges to their porcelain veneers. Other patients want very white teeth that do not look natural to me but are perfect to the patient. Some patients want their teeth to look undetectable yet still make their teeth permanently whiter. While other patients want their teeth to be a little bit crooked because it is part of their personality. This is the type of customization necessary for the ultimate level of care with porcelain veneers. Sending an impression to a lab just does not produce consistent patient satisfaction. More customized individualization, better shapes, better sizing and better translucency had to be done.

The Ultimate Level of Porcelain Veneers

Patients have an idea of the type of look that they want. They bring in pictures of smiles or want the shapes to be a particular way. Some patients have said to me that I am the expert so go ahead and do the treatment. Even though I was awarded the “Master” and was picked the Best Dentist in Los Angeles, I have found that some level of communication regarding patient expectations was vital to making the patient thrilled with the results. See www.hightechdentist.com for photos of my work or www.faceliftdentistry.com for one of the highest quality photo galleries of “before and after photos” matched up so you can compare the results.

What are Custom Porcelain Veneers?

I used so called “custom-made” porcelain veneers from dental labs years ago. I did what just about every single dentist in the United States does today, and that is take the impression and send it to the lab. When the porcelain veneers come back, they bond them into position and sometimes their patients are very unhappy. The labs do the best that they can do but they are not looking at the patient, nor do they understand how to customized cosmetic dentistry to the specific patient. Dental Labs have a tendency to produce the same looking teeth for everyone. It is not their fault; it is just the level of communication between the dentist and the lab. There just is no substitute for the cosmetic and creative eye of the dentist.

What are the Best Porcelain Veneers?

The best porcelain veneers are hand shaped by a highly skilled cosmetic dentist. In my office, I have about 20 close-up photos and 20 full face photos from all angles of every patient in order to visualize my patient while I am shaping and truly customizing their porcelain veneers. I have talked with the patient, shown them photos of my patients that have signed model release forms so they may visualize all of the variables and help choose the characteristics that they like for themselves. I have all of the information and then work on every single patient personally to create the natural look, cosmetic vision and the best porcelain veneers customized to that particular patient. I cannot do this with Lumineers because their ceramists are too far away.

See the Porcelain Veneers in you mouth Before they are Bonded!

After creating the best porcelain veneers for my patient, we gently place them on the patient’s teeth without bonding them so my patients can see my work BEFORE IT IS BONDED. They can go outside with my assistants to see how they look in the sun, and go back inside the office in various lighting to see how they look in office lighting. At this point, we can still increase the intensity of the shade or lower the intensity. Only after seeing the truly customized porcelain veneers in you mouth cans you, the patient, make an intelligent decision. If necessary, I can also bring in my ceramist that works only 2 blocks away to visualize form himself the improvements that are necessary if big changes need to be made.

Our patient satisfaction level is so high that they sign the model release form without any compensation. These patients for giving us permission to show their full face “before and after photos” honor us.

Marketing vs Educating

I am trying to educate my existing and potential new patients about the advantages of getting their dental care completed in my office. It has taken me many years to develop my “eye” for the ultimate level of cosmetic dental health care. The photography of my work validates the quality and the high level of patient satisfaction makes my professional work experience very satisfying.

Categories : Blog, Lumineers, Porcelain Veneers
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Dr. Sam Muslin received the 2009 "Best Cosmetic Dentist in Los Angeles" award from LAs Best, featured in the Los Angeles TImes.

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