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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

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

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.

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

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

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

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