Tag Archives: dental crowns

Sedation Dental Work without Permission

I don’t know what to do. I’d developed some pretty severe anxiety and have been neglecting some important things as a result, including my dental care. I’ve been seeing a therapist and one thing he suggested just to get my oral health back on track was to see a sedation dentist until I’ve got my anxiety more under control. I thought it was a good idea. I saw a dentist and they listed out all the work I’d need. It was more than I anticipated so we set up a schedule where we’d do something called phased treatments. I’d do so much each visit and can take a break to save up for the next visit. Everything seemed to go fine with my first visit and I really thought this was going to be my answer. He was supposed to do a root canal treatment and crown along with three fillings. When I got home I was thrilled because I didn’t even remember the appointment so there was no trauma to increase my anxiety. However, the next morning, they called to tell me he was able to fit in a second dental crown in the time they had and they want submit the additional payment. I mentioned we had a set schedule for the work and I wouldn’t have the money for the additional procedure until the next scheduled time. She threatened not to bond the permanent crowns once they came in. I’m not sure this is fair because we had an agreement. What do I do?


Dear Odessa,

A woman lsleeping in a dental chair from dental sedation
Dental sedation is designed to give you peace of mind.

This is highly unethical on the part of your dentist. In fact, I’d go so far as to say he could get into legal trouble for his actions. A dentist is to have your express permission before doing any dental work. There’s no way he can obtain your permission while you’re under sedation.

I’d call and ask to speak directly to the dentist. Remind him you had a schedule for the work and did not approve the additional crown. Let him know what the front office threatened. If he has integrity, he’ll agree to place the crowns and not charge you for the one done without your permission.

If he gives you any problems with that, feel free to tell him you’ll be speaking with the dental board. That should put things back into perspective for him.

Find a Different Sedation Dentist

You should not allow this office to continue to do your care. I wouldn’t trust them. They’ve already violated dental ethics on a couple of levels. There are plenty of legitimate sedation dentists out there who are worthy of your trust. I’d not waste another moment on a practice which isn’t.

Make a list of dentists who offer the services you need in your area. Then, be certain to check their reviews to see what type of service patient’s have received from them. If they check out, then give them a try. Your current dentist is required to turn over all notes, x-rays, etc., that will be useful in your continued care. Though, this dentist should place the permanent porcelain crowns for you.

Please don’t let this one bad apple spoil you off getting the care you actually need.

This blog is brought to you by Libertyville Dentist Dr. David Potts.

What’s the Difference Between a Grill and Dental Implants

My friend says I’m getting a grill because I’m getting dental implants. He says Lil’ Wayne has grills. I don’t think they’re the same thing. Who’s right?


Dear Marcus,

Libertyville Dental Implants

Normally, this would be a straightforward, easy answer. But, you added Lil’ Wayne into the equation which muddies the waters a bit. Lil’ Wayne has gone on the record saying they are not a grill. In fact, he said that he’s dying with them because changing them would require surgery. You can see the conversation in the video below. That would imply that he has dental implants.

So why is that muddy? Because his dentist implied it’s a grill on his website. Though, since then, all articles he had on his site about Lil’ Wayne have been removed. So, either, his dentist wasn’t honest about what happened, Lil’ Wayne just didn’t like him using him to drum up business, or Lil’ Wayne has no idea which procedure he actually had. I do know whatever he did cost him over $150,000, which unless he’s wearing real diamonds, would make me think it’s implants.

A Grill versus Dental Implants

But, to answer your original question. A grill is removable and just goes over your teeth. Dental implants are surgically implanted and are permanent. In fact, they’re as strong as natural teeth.

You can still get them decorated like a grill if you wanted to. It just increases the price for you. Also, unless you’re getting dental implants on all your teeth (which would be ridiculously expensive) make sure you whiten your teeth first. For whatever color your implant crowns are made is permanent. If you want white implants, you’ll want them to match white teeth.

This blog is brought to you by Dr. David Potts.

Are Dental Implants My Only Option for Broken Teeth?

I’ve broken two teeth down to the gumline. I’m assuming I have to have dental implants to replace them, but the idea of being at the dentist’s that long terrifies me.  Do I have any options?

Aaron A. – Boston


You have several options. The only one that is out is a crown because there isn’t enough tooth structure.

Let’s start with your terror. Don’t feel alone or foolish. Lots of people are afraid of the dental chair. Something to consider is sedation dentistry. You won’t have to worry about pain. In fact, you’ll feel pretty good. It doesn’t knock you out, so you’re still in control of your faculties.

Now, let’s talk about your options. First, dental implants. They are honestly, the best option. You’ll be the happiest with their functionality than any other option. You won’t spend any more time in the chair for that procedure than another, but it is more involved.

Two other options for you is a dental bridge and a partial denture. Generally, with a dental bridge, you’d just have one false tooth suspended between the bridge crowns, but you can do two.  The partial denture is something that will just attach to your other teeth, but not quite as securely as a bridge.

I know you’re scared. Go to a dentist that regularly treats fearful patients. You’ll find more compassion and patience with them.  Some search terms would be sedation dentist or cater to cowards dentist.

This blog is brought to you by Dr. David Potts.

How often should a crown fall off?

I’ve had a dental crown fall off six times.  I’ve not had any dental crowns and I’m wondering how common it is for them to fall off. it’s becoming quite inconvenient to constantly have to schedule appointments to have it bonded back in.

Hannah S. – Little Rock, AR


Six Times! Are you kidding me?  I need to tell you that most dentists go an entire career without having a crown fall out. I can’t hardly fathom a dentist have the same crown fall out more than once.

I’m going to tell you to go to a different dentist. If you can’t get into one quickly, I suggest just going to an emergency dentist.  Anyone is bound to bond it on better than your dentist.

I’m very sorry this happened to you.

This blog is brought to you by Libertyville Dentist Dr. David Potts.

Whitening dental crowns

I’ve got four dental crowns. Two of them are in the back and are not visible. But two of them are my canine teeth which are very visible. They’ve gotten kind of stained over the years. I wanted to whiten my teeth anyway. So would I just be able to whiten my crowns with regular teeth whitening or do crowns need a special type of teeth whitening?

Alethia- Bartlett, TX


You have asked a great question. Professional teeth whitening will do a great job in giving you brilliantly white teeth, however it will not whiten your dental crowns (or any type of dental work such as bonding or veneers) at all.

Here is my recommendation. You mentioned that your dental crowns are stained. I don’t know how long you’ve had these crowns, but it may just be time to replace them. BEFORE you replace them, you should whiten your other teeth. Don’t worry about your crowns because the whitening gel will not negatively affect them.

Give the whitening about two weeks to settle, then you can have your crowns replaced. When you do replace them, I highly suggest you get all porcelain crowns. I don’t know what kind of crowns you currently have, but the porcelain will absorb and reflect light the way your natural teeth do. They also are more natural looking. A good cosmetic dentist will be able to match your crowns to your new white teeth with ease.

Please let me know if your dental crowns are not very old. If that is the case then it means the glazing on them was damaged, which is why they are stained. With the proper glazing, dental crowns will last for many years and retain their brilliant color without picking up any stains.

This blog is brought to you by Libertyville Dentist Dr. David Potts.