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Displaying 1-6 of 6 results.

Crowns

I travel a lot, so time is very important to me. I need a 2 new crowns and am wondering if same day crowns are as good as crowns that may take more than one visit. Is one better than other for how long they last or how they look?

Larry

Larry October 7, 2019
answered by
Hossein Saadatmandi, DDS
Vista, Dentistry

Larry,

Same day crowns are a great option for restoring teeth. Not only are you done and have your actual crown on the same day, saving your multiple trips. They also are very strong and fit great and can last a very long time, they are milled from a solid block of porcelain or zirconia and hence... [read more]

Larry,

Same day crowns are a great option for restoring teeth. Not only are you done and have your actual crown on the same day, saving your multiple trips. They also are very strong and fit great and can last a very long time, they are milled from a solid block of porcelain or zirconia and hence are very strong. With that being said sometimes we do still need to send certain crowns to the lab but for the majority of the cases we do them in the office. Our practice at Premier Dental Arts has the ability to do same crowns and its great for patients like yourself who have a very limited schedule.

Dr. Hossein Saadatmandi
answered by
Rohit Keshav, DDS
Ramona, Dentistry

Same day crowns are a wonderful option for those patients that have time constraints. The technology is amazing and the materials are similar to those available the traditional way.

Having said that, the longevity, durability, aesthetics, fit, maintenance, etc are all very dependent on the... [read more]

Same day crowns are a wonderful option for those patients that have time constraints. The technology is amazing and the materials are similar to those available the traditional way.

Having said that, the longevity, durability, aesthetics, fit, maintenance, etc are all very dependent on the dentist and his/her training. If the dentist is rushed or does not pay attention to details, minute flaws that may not be immediately noticeable will show up months or years later.

As everything, there are pros and cons. Ask the right questions, be assured that the dentist and his team have had extensive training on the technology and then make a decision.

Dr. Rohit Keshav
1 found this answer helpful
 
 

Veneers

I am thinking of having Veneers to help my smile. Because I understand it is not reversible I want to make sure I get it done right. I know there are different kinds of Veneers, but don’t really understand the difference. I hear about porcelain and Lumineers. What is the difference and what makes one better than another. I am 46 and deal a lot with people in my work... I feel a better smile couldn’t hurt.

Lee Ann
Lee Ann October 7, 2019
answered by
Parizad Seraj, DDS
Chula Vista, Dentistry

Hello Lee Ann,

The difference between veneers and Lumineers is the amount of reduction we have to do on your natural teeth. If you already have bigger and protruded teeth then it needs more reduction and you should get veneers. If your teeth are already small and not protruded, minimum or no reduction... [read more]

Hello Lee Ann,

The difference between veneers and Lumineers is the amount of reduction we have to do on your natural teeth. If you already have bigger and protruded teeth then it needs more reduction and you should get veneers. If your teeth are already small and not protruded, minimum or no reduction is needed and you can get lumineers. This will be evaluated on your consultation visit and depending on your teeth and what you are looking for we can make a determination which one you will need. The pricing is pretty much the same.

When we do this procedure, we will provide you with after digital photos, make temporaries shaped like the final result and do try ins to make sure you like it before the final delivery. You can request changes if you don’t like something about them up to the final delivery.

 
 

Large Pores

I am a 31 year old female. I have large pores all over my face, especially my forehead. I swear I am the only one with this issue. My entire group of friends and co-workers all have very smooth skin you can’t even tell they have pores! I use several creams and moisturizers. I’ve done face masks that promise to shrink pores. Is this something that can be corrected? I had acne as a young teenager and wonder if this is what caused this. Now I have great skin other than the pore issue! It’s just so noticeable to me so I can’t imagine what other people are thinking. Are there cosmetic options that can help?
Becky October 4, 2019
answered by
Jennifer Chiang, MD
El Cajon, Dermatology

It is completely normal to have visible pores, and it is generally accepted that the size of facial pores is inherited and we can't really change the size of them. We do know that pore size can increase or decrease over time due to a number reasons, so although no promises can be made, it is possible... [read more]

It is completely normal to have visible pores, and it is generally accepted that the size of facial pores is inherited and we can't really change the size of them. We do know that pore size can increase or decrease over time due to a number reasons, so although no promises can be made, it is possible that perhaps we could modify some of the factors that could influence pore size. Enlarged facial pores are thought to be possibly related to 1) high oil excretion, 2) decreased elasticity around the pores, and 3) increased hair follicle volume. Studies have shown that aging and sun exposure decrease the structural support around the hair follicle, which increases pore size. In addition, a history of severe, inflamed acne could result in scars inside the follicle opening, which could indirectly lead to pores enlarging, as you mentioned may have happened to you. Hormones can play a role as well, as androgen activation can lead to increased oil production as well as increased hair follicle volume - which would then increase the visible size of pores. There aren't great evidence-based studies that certain medications and therapies will decrease pore size, but in theory we can try treatments to target various steps in the process that could lead to enlarged pores - either by reducing oil production, improving skin elasticity, or reducing hair follicle volume.

First and foremost, aggressive sun protection is essential to the prevention of aging of the skin, so that should be the first step! Next, I would recommend a trial of prescription-strength tretinoin, which is a topical retinoid that has multiple benefits on the skin. It decreases the formation of blocked pores by normalizing the life cycle of the cells that line the pore opening. When pores are less clogged, the pore volume is decreased, which can translate into smaller pore size. Tretinoin also increases collagen content in the skin, which can theoretically add support around the follicle and decrease the pore size appearance. Additionally, there are certain oral medications that can be prescribed that could decrease oil production, such as isotretinoin (accutane) or several hormonal therapies (combined oral contraceptives or spironolactone), but this is best discussed with an in-person provider as to whether this would be appropriate for you. Lastly, there are numerous cosmetic procedures which can be done in the office that can target sebaceous glands or hair follicles, which can theoretically help decrease pore size. Some of these treatments include photodynamic therapy (PDT), diode laser devices, nonablative radiofrequency devices, or intense pulsed light sources. In summary, there is no miraculous proven way to reduce pore size, but there are several options to consider that could potentially help! If all else fails, there are many great cosmeceutical products out there which can really help hide the pores and create the appearance of smoother skin.

Dr. Jennifer Chiang
 
 

Dermatology

My 7 year old daughter a few weeks ago got a bunch of “mosquito bites” on her legs. Well, that’s what I thought they were at first. After a few days they started growing into what looked like long red burns or scabs all over her legs. We had a wedding to attend and I was mortified of what people may be thinking. We put all types of ointments and creams on them, and it seemed to be making it worse with each new cream I would run out and buy. She complained that it itched so badly but I had to remind her to not touch them. I had set up an appointment to see our Doctor after about a week of this. Then next thing I know, they were just gone! Completely disappeared. I wish I had a photo. Could this be psoriasis? My question is, what do I do from here since they’re gone and it’s not like I can take her in with completely clear legs to see what it may have been? Any suggestions?
Kelsie September 25, 2019
answered by
Nick Celano, MD
San Diego, Dermatology

Jordann H.,
I'm so sorry to hear about your daughter's recent rash but I'm happy that it went away. From your history the rash seemed to have a rapid onset and was intensely itchy leading me to believe that the rash was either an allergic contact dermatitis to something she brushed up against (maybe... [read more]
Jordann H.,
I'm so sorry to hear about your daughter's recent rash but I'm happy that it went away. From your history the rash seemed to have a rapid onset and was intensely itchy leading me to believe that the rash was either an allergic contact dermatitis to something she brushed up against (maybe poison oak) or indeed was a reaction to bug bites. The rash produced by poison oak, known as rhus dermatitis, often is linear, crusty and blistered in nature in the location where an individual brushed up against the plant while walking or running. This rash usually starts 12-24 hrs after the exposure to the plant. Alternatively, bug bites are often linear in nature, where an insect will bite in groups of three known as the breakfast, lunch and dinner sign. Furthermore, with bug bites, individuals can develop linear streaks up their extremities called a superficial lymphangitis. This occurs when the allergic response involves the lymphatic system. Unfortunately, for both conditions, over the counter anti-itch creams often aren't strong enough to alleviate a patient's symptoms.

I do not believe your daughter has psoriasis as psoriasis rarely just disappears and often is a chronic, lifelong condition.

In regards to what to do next, make sure your daughter wears protective clothing when outdoors, both to limit brushing up against poison oak and to avoid bug bites. If the rash recurs, she should see her pediatrician or a dermatologist who can prescribe an appropriate treatment for your daughter. And don't forget to take a picture :) Hope that helps.

Nick Celano, MD
San Diego Family Dermatology- Pediatric Dermatologist
2 found this answer helpful
 
 

Veneers

If I've already had braces can I get veneers? I had Invisalign about 7 years ago, but the older I get the more I realize I just don't like the shape of my teeth and would just love veneers. The problem is, I have to wear my retainers every night or my teeth will shift during the day it seems like. So I'm quite the stickler about wearing that retainer. How will I wear the retainer and get veneers?
Kelsie September 18, 2019
answered by
Gavin Miller, DDS
858.546.7667, San Diego, Dentistry

Hi Kelsie,
Great question. Yes you can still get veneers after your orthodontic treatment. A new retainer would have to be made to fit over the veneers. It is possible to make it same day so that you don’t have to go without it and that way prevent any tooth movement. Hope this helps.
Dr.... [read more]
Hi Kelsie,
Great question. Yes you can still get veneers after your orthodontic treatment. A new retainer would have to be made to fit over the veneers. It is possible to make it same day so that you don’t have to go without it and that way prevent any tooth movement. Hope this helps.
Dr. Gavin Miller
1 found this answer helpful
 
 

Veneers

Can I get veneers if my bite is off? I have an over bite, do I need to have this corrected first or can Veneers help with that?
Victoria September 10, 2019
answered by
James Snow, DDS
760.460.4525, Encinitas, Dentistry

Victoria, The short answer is yes you can if your bite is off. By getting veneers it may aid in some correction. Depending on the severity of your bite, you may be better off doing orthodontics first. The more functional your bite the longer your veneers and overall dentition will last. Dr Snow
Victoria, The short answer is yes you can if your bite is off. By getting veneers it may aid in some correction. Depending on the severity of your bite, you may be better off doing orthodontics first. The more functional your bite the longer your veneers and overall dentition will last. Dr Snow
1 found this answer helpful