My doctor tells me he is using the same lab used by another much more expensive doctor. Could this be?
		Yes, it is very possible, just be sure to find out if an expert ceramist, or an apprentice will do your teeth.
	My dentist does not have computer-imaging equipment and suggests that I go to an independent imaging service. Is this advised?
		Absolutely, in several instances: If the work you will have done is extensive and will show each time you smile and if you are confident that your doctor and ceramist agree that they can bring the computer image to life in your smile. The technician operating the imaging computer needs to have a vast knowledge of dentistry also.
	My dentist offered a choice between two technicians for my bridgework. One, he explained was "a bit more artistic, but a bit more expensive." Which should I select?
		You probably need more information. Look at photos of each technicians' work. Check references. Ask to speak with the ceramists. Then, you should know which is right for you.
	A dentist I'm considering has been practicing for 30 years. Is this a reason to trust him?
		As in any profession, experience is critical to success. But it's also essential that your dentist is using state-of-the-art techniques, not merely the "tried and true" methods he has used for years. For example, a dentist may recommend crowns simply because he does not know how to do porcelain laminate veneers. By having the most up-to-date information, and asking the right questions, you can make an informed choice.
	In my work, I do a lot of public speaking. Will my restoration affect my speech?
		If it does, more than likely the work has not been done properly. This is one of the many concerns that should be addressed at the stage of your temporary restoration.
	My teeth and gums are relatively healthy, but I just don't care for my smile. Is there anything I can do? What about crowns, for example?
		There are many things that can be done to enhance smiles. For example, cosmetic contouring can reshape teeth that are not nicely shaped. Teeth that are crowded can be improved with orthodontics. Underbites can be corrected with orthognathic surgery or sometimes with orthodontics. Removing part of the gum tissue with tissue sculpting can treat a smile that is “too gummy”. In the case of healthy teeth, however, crowns should be a last resort.
	My family dentist says he can do root canals and crowns. Do I really need a specialist?
		Perhaps not. Some talented general practitioners can perform at the level of specialists. If you dentist has answered your questions to your satisfaction, and if you are comfortable with him and his track record, you may not need to look further.
	Why are laboratories paid by the dentist? Is there anything preventing the patient from paying directly for lab services?
		According to some state laws there is no legal reason why laboratories should not be paid independently, as occurs in some other countries. Some dentists like patients to believe the teeth are made in the office. Some may fear that dental technicians will begin to do the functions of dentists. If you, as a consumer, wish to pay directly for laboratory services, this should be possible as long as you check your states laws.
	The crowns I have in my mouth have a "bulky" look. What's wrong?
		One possibility is that the tooth was not adequately reduced, making the crown protrude farther than it should. Also, the ceramist may not have sculpted the tooth sufficiently to give it a natural appearance. Bulkiness can also be a color problem -- if the layers were not sufficiently translucent.
	Do I need temporaries if I'm getting porcelain laminate veneers?
		Only if the laminates will dramatically alter the position or size of the tooth. In such a case, temporaries give you a chance to approve the result. Or if the dentist has to prepare the area where the teeth contact each other, case the teeth may shift if some type of temporary is not placed in the contact areas.
	A friend had porcelain crowns that broke soon after she got them. What should she do?
		She should see her dentist to discuss repair or replacement. Breakage could occur for a number of reasons, a metal base that was too thin, or teeth that were "baked" too many times. The habits that break natural teeth break crowns, too, like chewing ice, hard candy, popcorn kernels or grinding your teeth.
	How important is the tooth preparation that the dentist creates for my crown?
		The foundation or preparation of your tooth by the dentist is critical to esthetic success and comfort. A tooth that is not sufficiently reduced necessitates the ceramist to make a bulky restoration. If the finishing margin isn't done properly, a black line may appear at the top of the crown.
	Why do implants fail?
		When titanium implants fail, it is usually due to insufficient integration with the bone. This can be corrected, but in some cases it can be a complicated process. Today's implant science delivers an impressive success rate, success being defined as a well-functioning, esthetically pleasing product that lasts. How long it lasts depends on the health of the patient, and the maintenance of the restoration. Your team members will show you how to clean and care for your restoration using special products.
	I've heard that there is considerable controversy about sterilization of handpieces. Could you explain?
		The handpiece is the one piece of dental equipment used on almost every patient. Studies conducted by Dr. David L. Lewis of the University of Georgia demonstrated how bloodborne pathogens, such as the HIV virus, could continue to live on handpieces and other instruments even though they were treated chemically with germicides. You should make sure that your dentist uses heat to sterilize all the instruments and handpieces. Autoclaving is the method suggested by OSHA.
	What if a needle while working on the patient before me pricks my dental hygienist? What are the hazards for the hygienist, and for me?
		Your hygienist will likely know the precautions to take if he or she receives a needle prick. Eliminating any risk to you. Health care workers are required to change gloves each time they enter or leave a treatment room, which further reduces your risk. Dental professionals are trained to treat every patient as if they were infected with a bloodborne pathogen – This is called universal precautions.
	My dentist has recommended several costly procedures. Before I sign the treatment agreement, I'd like to somehow "see" how it's all going to end up.
		Computer Imaging will give you some idea. You can also look at photos of patients who have had similar work done, or if possible seeing these patients face-to-face.
	How do I know if I should seek a second opinion?
		For many people a second opinion that sounds similar to the first offers a feeling of relief, and, in turn, permits you to go with the dentist whom you prefer on a personal level, or the one who has the best reputation. If the opinions are vastly different from one another, then probably your search is not over.
	What are fissure sealants?
		Fissure sealants are a coating on the chewing surface of the tooth that prevents decay. Sealants, plus fluoride treatments have proven extremely effective in preventing decay.
	How can I encourage my kids to care for their teeth?
		With very young children, the best approach is to set an example -- show them how you brush and floss and do it with them. They want to be like mom and dad and will hopefully follow your example.
	I have a limited budget for my son's orthodontic treatment. We live near a prestigious dental school - should we seek treatment there?
		There are about 48 dental schools in the U. S.; if you are lucky enough to live nearby, this can be a great source for good treatment on a budget. Treatment is overseen by a faculty member and may take longer because of the training aspect. But standards of care are usually quite high.
	What conditions would necessitate gum surgery?
		One reason is the presence of periodontal disease. Another is for cosmetic reasons, such as a gummy smile. Techniques exist to reduce the gum tissue and expose more tooth structure in the case of a gummy smile. Whatever the reason for this type of surgery, it should be undertaken cautiously and with a practitioner with good credentials, experience, and a vision to complete the job to your satisfaction. You'll also want to be assured that the periodontist who actually does the surgery is in close communication with the dentist who will restore your teeth. Your esthetic needs are a key component in this type of procedure. Make sure that you ask the surgeon if your smile will look any different after periodontal surgery.
	Do patients interact with the Oral Design Centers, or is the relationship between the doctor and the center only?
		As a patient, you may schedule an appointment at an Oral Design Center, however you will be referred to one of several doctors associated with the Center.
	How can I learn more about the Oral Design Centers?
		Oral Design Center technicians and associated doctors frequently lecture and give demonstrations to audiences at conferences and seminars around the world. We will try to update the activities of the Oral Design Center through this website.