Issue link: http://cp.revolio.com/i/1520
16 | James Hubbard's My Family Doctor | The Magazine That Makes Housecalls Dentist Who's Who Catrise austin, D.D.s., VIP Smiles, New York city; author, 5 steps to a Hollywood a-List smile: How the stars get that perfect smile and how you can too! Michael i. barr, D.D.s., palm Beach smiles, Boynton Beach, fla. Mark R. Colin, D.D.s., F.a.G.D., general dentistry, fort Lauderdale, fla. Robin Feltoon, D.M.D., Holly tree dental, Hanover, Mass. susan C. Fiorillo, D.M.D., and Donald D. Fiorillo, D.D.s., general dentistry, Worcester, Mass. Mary Gharagozloo, D.D.s., general dentistry, McLean, Va. Michael J. Goldberg, D.M.D., F.a.G.D., Gallery 57 dental, new York city Jeffrey Gross, D.D.s., F.a.G.D., the Healthy smile, cleveland Heights and eastlake, ohio; associate clinical professor, case Western reserve school of dental Medicine, cleveland Dennis Guest, D.D.s., general dentistry, oakland, calif. shayne Guffey, D.M.D., Mountain View family dentistry, Mesa, ariz. Timothy Kosinski, D.D.s., M.a.G.D., smilecreator of Bingham farms, Mich.; adjunct assistant professor, University of detroit Mercy school of dentistry Timothy P. shannon, D.D.s., shannon dentalcare at stonebridge ranch, Mckinney, texas Daniel C. smith, D.D.s., F.a.G.D., focus dentistry, agoura Hills, calif. Helaine smith, D.M.D., F.a.G.D., M.b.a., cosmetic dentistry, Boston, Mass. Eso Tiu, D.M.D., edgewater cosmetic dental Group, new Jersey; author, tooth survival Guide: a guide to protecting and preserving your teeth in today's society Kevin s. Warthan, D.D.s., Homecare dentists, san Juan capistrano, calif. Warning! There are good dental trends and bad ones. These are a few our dentists warned against. Television dental makeovers: Sure, those folks get gorgeous teeth, but they may not last. From the looks of them, many makeover participants have gum disease and should have had weeks to months of treatment before crowns or veneers, says Dr. Evans. "Without healthy gums and supporting bone, the fancy, expensive cosmetic dentistry is doomed to fail prematurely." Even with a healthy mouth, crowns and veneers might only last about 10 years, he says. "Young patients in their 20s or 30s may require three or four replacements in their lifetimes, at a staggering expense." Unnecessary procedures: In order to be an in-network provider, den- tists must discount their services for insurance companies. Dr. Shannon believes this revenue loss has vaious consequences, including potentially on treatment. "Regrettably, such financial pressures on the contracted provid- er can, and often do, cloud the doctor's professional judgment so that he diagnoses and treats conditions that either do not exist, are not necessary, or do not require such expensive remedies." Bad bleaching: Bleaching usually looks great, says Dr. Guest, but can occasionally "be overdone to the point of looking unnatural and making the teeth sensitive." For any procedure, Dr. Feltoon recommends asking for photos of previous patients. Dr. Helaine Smith warns against bleaching at malls and gyms. "The technicians who perform the procedure are not dentists—or even medi- cal experts." She believes this can pose problems. Nondentists may not recognize that your teeth shouldn't be bleached because you have crowns or veneers or because "your teeth have been discolored due to illness in childhood or even too much fluoride." (She suggests microabrasion for some types of stains instead.) "In addition, many dentists recommend that pregnant and lactating women hold off on teeth whitening until a later date—again, something a tech may not know." Cheap crowns: "Some dentists are sending their crowns to China for fabrication," says Dr. Kosinski. "As you may have seen in the media, these crowns are sometimes poorly made and regulated, with lead ending up in the crowns. The public needs to be made aware that a cheap crown is just that, cheap."