Dr. Bailey with Lane & Associates Family Dentistry Discussing Cosmetic Options Available

Dr Bailey is the encyclopedia of knowledge and experience when it comes to cosmetic dentistry. At Lane & Assoc Family Dentistry, there are many options and Dr Bailey sits down with Erica DeLong to walk us through all of them.

Episode Transcript

(00:00):
It's Erica DeLong here with doctor Baileyfrom a Lenin Associates Family Dentistry, also
the official dentist of the Carolina Hurricanesand doctor Bailey, so welcome, Thank
you, Gus. He sent yousolo, which that's a good sign.
I mean, they're like, theytrust that you can handle this by yourself.
Well I hope so, yes.So how long have you been in
dentistry? So this is twenty yearsfor me doing dentistry. You're a baby,

(00:22):
yes. So I grew up locally, went to school locally, and
graduated dental school in two thousand andfour, and I spent a year kind
of traveling around doing community health centersand I've been with Lanin Associates ever since.
That's the thing about Lanin Associates.People stay. They come in and
they stay, They're invested. Sothat's so amazing. One thing I really

(00:43):
like about it, which kind ofties in with the Hurricanes thing, is
I like being part of a team. So we have specialist general dentists who
sort of focus on different aspects.So I feel like as a team we
can do more than each of uscould do individually on our own. And
I thought I would come and youknow, be two years with the practice
and strike off on my own andI just, I mean, it's it's

(01:07):
been something where it's been great forme to stay and it's not for,
you know, for everyone. Somepeople don't like part of that. They
want to make their own decisions.But I think I can deliver better care
if I've got people on either sideof me that i can use to bounce
ideas off of and do things likethat. And also, I know you're

(01:29):
a Carolina Hurricanes fan obviously, sotell us about that because you're working with
the Kinges, right. So growingup locally, I was a big football
and basketball fan. In college iswhen I first got interested in hockey and
we had the ice Caps, andthen the Hurricanes came and I would even
drive to Greensboro to see them.So my family is all big hockey fans,

(01:49):
your know, g to the CarolinaHurricane. So when they were looking
for I guess there's three of usthat cover so doctor Lane Dot to write
and they were thinking of a thirdperson, and I think that was sort
of the first thought just because ofbeing a fan. So at first I
was excited to do it just tobe closer to the team and kind of

(02:13):
see how that works. But thenI kind of realized it was exactly what
we were doing in our practices,where it's a team of physicians including like
orthopedic surgeons, emergency room doctors,ophthalmologists, and a lot of times we're
dealing with something in an emergency,it maybe two or three of us at
the same time. What's the craziestand I I can't give it so much

(02:36):
detail, but what's the craziest emergencythat y'all had to deal with? Because
I know teeth go flying right duringthose games, right, So in one
night, we had a person gettheir two front teeth broken, the next
period have their lip kind of splitopen in a tooth pushback, and then
the third period a guy for theother team because we covered both teams,

(02:57):
and then the third period his visorflipped down and put a pretty nasty cut
inside of his mouth. So youhave to have a tough stomach, obviously
to be on hand at the game. And y'all are there with like a
full it looks like a full dentistoffice. Sit upright and c it's it's
it's so it's right off the trainingroom and it's a room where they would
do any emergency treatment. So somebodyneeds sutures on their hand, or needs

(03:21):
to have like their knee looked ator whatever. It's a room that's got
bright overhead light. It's set upto do kind of emergency treatment. Okay,
so we're going to get into cosmeticdentistry today. Obviously some of the
guys may need that after they play, you know, for many years,
they wait and get them knocked out, and then they go into cosmetics.
So we've got veneer's crowns, andthen there's new ways of achieving that smile

(03:42):
that you want. So can weget into the primary differences between crowns veneers
and then the snap ons, whichI'm super interested in. So the ones
I think people are most familiar withare the crown in the veneer, and
I think people kind of have anidea of what's involved. But a crown's
going to cover the entire veneer isgoing to only cover a portion of it.
And so generally with a crown,there's not enough room to cap that

(04:05):
tooth unless you take something away first. And so for a crown, you
have to take away all the wayaround the tooth. You take the outer
layer off With a veneer, you'rereally only covering the front of the tooth,
and a lot of times the bitingedge too, So sometimes you don't
have to take anything away at all. You can just apply it right to
the surface of the tooth. Butif you do have to take away,

(04:28):
you take less away. So whenyou're doing more of a minor fix,
you're correcting like minor color changes,mild crowding, things like that. A
veneer would be much more conservative forthe tooth because you're taking very little away
and sometimes none at all. Butif you have more of a major correction
so there's a big structural problem withthe tooth, or you're dealing with the

(04:50):
color or a shape or an alignmentissue that's just too difficult to correct with
something minor, then you would coverthe entire tooth with a crown. So
both of those are cemented in theydon't they do not come out right okay,
And you can do all of yourteeth. So you probably wouldn't see
someone do all of their teeth witha veneers because they're just not great for
molars for chewing. But you couldsee someone do all of their teeth with

(05:14):
crowns, but they would typically beindividual crowns or maybe if you connected to
stabilize them. Whereas the snap onsmile is going to cover the entire arch
is going to cover all the teethat one time. You're not shaving or
taking anything away, and it's notcemented permanently. It's something you fit down
over your teeth. You wear itthroughout the day. They're designed to eat

(05:35):
in. Yeah, I was aboutto say does it snap ones? Do
they snap off? But no,they're secure right, so, and then
you usually have to use both handsto get them out. If you lift
on one side, you don't reallyget much movement at all. There's been
similar things that people have been ableto do. So you can make like
an aligner like you would within visilline and put teeth in there to fill

(05:57):
in missing gaps, but you haveto take it out to eat. And
so if you're replacing teeth with yourmore conventional type of replacement option, you
know it sits on the roof ofyour mouth like the little flipper, So
this doesn't sit on the mouth ofthe roof of the mouth at all.
It just fits over the teeth andyou can eat with them, and so
it can change the way your teethlook like crowns and veneers can. But

(06:18):
you can also replace missing teeth withit as well. So it's really nice
in that it can allow somebody tochange the way their entire arch or both
top and bottom arches at one time, with much lower costs, no invasive
treatment at all. It's just notpermanent. Now, who would be a
good candidate because like, for instance, I have I think healthy teeth.

(06:41):
I'm a patient doctor lene In AssociatesFamily dentistry, and I want bigger teeth
though, and so the snap almostsomething I was like, ooh, I
would love to try that. Sothat's one of the things that we will
do with it is sometimes somebody hasan idea in their head how they would
like something to look, and sosometimes we'll do one of these for them
to have a chance to wear itand see how it actually looks in their

(07:02):
mouth, or for us to kindof figure out what we need to do
to make it exactly right. Sosomeone who would want to change the appearance
of their teeth either don't want todo anything really invasive, so they'd like
to I don't want to, youknow, grind my teeth. I don't
want to cut my gums or whateverthey're worried about, but they would like
to change the appearance of the teeth, could certainly do something like this,

(07:25):
or someone who said, I dowant to do the more definitive, bonded
in type of thing, but I'mnot sure what it would look like.
This is like a walking trial whereyou can put it in, So that
is one application for it. Ify'all really do cover all of the bases
to make sure you're hitting everybody's kneesright, whether they do want the permanent
and so, what makes you agood candidate for the crowns? Dental crowns,

(07:48):
right, So with a dental crown, the majority of crowns are actually
being done for probably not cosmetic reasons. So teeth that have large cavities,
or they've had a root now they'vehad multiple fillings and you've just kind of
hollowing the tooth out each time itgoes along. Someone that's had a lot

(08:09):
of grinding and wear and tear orreflux as eroded, they're enamel fractured a
tooth, those sorts of things,you've kind of made the decision that the
tooth as it is just isn't gonnacut it anymore, even building it back
up with fillings, it's just goingto be too weak. And so you
take the outer layer of the toothaway and place a crown on it.
But in this context here you're kindof applying the same principle where you need

(08:35):
to change something about the appearance orthe position of the tooth, and minor
modification's not going to do it.So veneers were designed to just fit on
the face of the tooth, andthey get all of their strength from bonding
really tightly to the tooth, whereasa crown gets its strength by being thicker.
So anything where you're going to haveto do major changes to the tooth,

(08:56):
you're gonna have to take a littlebit more away. You would want
to put a crown on the toothinstead of a veneer. So you can
kind of like look at them aslike option A or option B. So
if you've got some discoloration to theteeth, you tried whitening, it's just
not very effective. Or some peoplehave like congenital like odd spots on the
teeth, almost like inclusions in adiamond, where the enamel's got some imperfections

(09:20):
and it looks splotchy or mild gapsbetween the teeth, mild crowding. Those
would be where you would really wantto look at doing veneers, so very
light shaping of the teeth. Veneersactually are pretty good at blocking out colors,
and with some of the new materialswhich we can get into, you
can actually block out really dark colorswith some of the modern veneers. And

(09:43):
you say permanent to how permanent?Like how what's the longevity and what can
you do to extend the life ofthese treatments? Right, So, so
a veneer you're looking at probably tento fifteen years, so right, a
crown was probably going to be alittle bit longer. I think you'd probably
say ten to twenty but cheating moretowards that that twenty year just because it's

(10:03):
a thicker and more durable material.So taking good care of them is really
going to be like one of thebest things you can do any you know
where the tooth and veneer meat isa place where it could potentially be exposed
for cavities, So if you're notkeeping clean, don't have good hygiene habits,

(10:24):
you can get recurrent decay there.But probably the biggest thing that I
would recommend for people doing crowns orveneers would be to get a night guard.
Okay, And the best analogy iskind of like you buy a nice
new phone and you immediately put itin a case right to break it exactly
so you want it to last aslong as possible and be as nice as
possible. So there are some peoplewho grind like nightly, and without guards,

(10:46):
they destroy even their healthy teeth.And does that go into some of
the risks that like the grinding orthe decay, Like, what are some
of the risks that come with veneersor crowns? Right? So that is
one of them, is that withyou you go through the effort of shaping
the tooth and putting the veneer crownon. If you don't protect it and
it breaks, now you've got anexposed tooth there, and your natural enamel

(11:09):
is more resistant to decay than anydental material is. So you just if
you're somebody that really takes good careof your teeth, you're not going to
be at any higher risk for recurrentdecay if you have crowns or veneers.
But if you're not so great atit, you need to become really good
at it and you know. Ithink the other thing that people have heard

(11:31):
is that teeth can become sensitive sometimesafter dental work, and that's certainly true.
But the key is to just takeaway just as only what you need.
And that's why I think Veneers havekind of hung around Veneers where I
think a much bigger thing when theprevious generation materials where either the crowns were

(11:54):
strong but ugly, beautiful but weak, or beautiful but but with the cost
of having to grind a lot oftooth away, and Veneers are nice and
being very conservative in that regard,so less chance of sensitivity and issues like
that. So what's the full processfrom start to finish if you're looking to
be a candidate, you know,to get these So it actually starts with

(12:16):
just a good evaluation to start with, just to make sure the gums are
healthy, the teeth are healthy.If you go in and put beautiful crowns
and veneers with unhealthy gums, thegums are going to recede and then you're
going to see your root or partsof the tooth that should have been covered.
So just to good make sure you'rea good candidate first, and then
we do what's called a wax upor a mockup where we'll take molds of

(12:37):
the teeth, so we're usually doingdigital molds, and then some dentists will
do the mock up themselves, butwe usually have a lab do it and
we tell them what we want tosee and they do it on a digital
model. And then we can eitherteam view with me the patient and the
lab together if I know the patienthas very specific needs and they're going to

(12:58):
want and say no, no,no, no, do this this way
or this that way, or Ican just approve it myself. Knowing what
the patient wants, we then showthem a model and preparations. The key
right, everyone knows exactly what toexpect, so if what a patient wants
tells me I'm going to have togrind a little bit more tooth away than
what I anticipated, then we'll talkabout shifting from veneers to crowns. So

(13:22):
once that process is taken care of, it actually becomes pretty quick. So
we would shape the teeth, takea mold of it, and then some
offices will make stuff themselves in house. I prefer the lab stuff. It's
I just like having their expertise tocatch stuff that I may not be aware
of and doing digital too actually movesthings along quicker it does. It actually

(13:46):
does move it along a lot quicker. And then it allows me to actually
see immediately what, blown up toa large size, what everything's going to
look like. Sometimes you're shaping theteeth and then you take a putty mold
and you're looking at it and tryingto envision what your shape is like.
But I can see digitally blown up, I can measure the distance I've created
for bite, I can see ifI like, I can just look at

(14:11):
the whole mouth on a screen andsee if I need to do modifications that'll
make the labs job easier to do. It's really come a long way because
it used to be like put thatstuff in your mouth, make them mold,
and we'll send it off. Right. So does insurance cover any of
this or what's that process? Soinsurance typically doesn't cover veneers because they'll consider
it cosmetic. Okay, it doesn'tmean they won't, but it's just typically

(14:33):
they don't. Insurance will cover crowns, but again a lot of times they
have to have some other justification fordoing it. So we usually recommend if
we're going to try to go throughthe insurance process, just to pre authorize
it, just to send it toinsurance and see what they say, so
people are prepared. Now a lotof people are able to use stuff like

(14:56):
FSA and HSA stuff on it,but I think that that would be dependent
on each person's plan. So thegood thing is is our front desk and
our treatment coordinators are are way betterat figuring that part of it out than
I am. So usually before weever even get started, we've already figured
out what insurance may cover. Soveneers typically not crowns. It depends,

(15:18):
and then the small transition. Someof them we're coding them as actual partials
because they're replacing missing teeth and theycan be covered, but genuine we're doing
it just for like a cosmetic fixup, they wouldn't be covered. So
obviously that's great to know what you'regoing to pay upfront or if you can
use your SAHA account, what isthe cost range typically for veneers or you

(15:41):
know, even snap on what arethe different prices so the so in network
with insurance, even if they don'tcover the procedure, you'll still get in
network fee. So for veneers andcrowns, it will probably range somewhere between
nine hundred and fifteen hundreds bad asI thought. You know, they're going
to last ten to twenty years.Rights and insurance can cover up to fifty

(16:03):
percent, or some plans will covereven higher, but standard is usually about
fifty percent if they are going tocover it up to a maximum. The
snap on smile is around sixteen hundreddollars for an arch. If it's being
coded as a as a partial whereyou're going to replace missing teeth, insurance
may cover a portion of that.What scenario would you recommend a snap on

(16:26):
smile versus more of those permanent solutions. So sometimes, like so for replacing
a missing tooth, you can dosomething called a bridge, which is actually
crowns that are all fused together andthey'll cap the teeth on either end.
So there are sometimes where people don'twant to grind multiple teeth to be able
to replace a missing tooth, andthey're not ready for one reason or another

(16:48):
to do like a dental implant,and so we'll use a snap on smile
type of appliance as a temporary untilthey're ready to do the implant. Actually
had a case of not really wellwith a twenty one year old who went
through ORTHODONYX had all her teeth linedup and was ready to replace her missing
front tooth, but she wasn't readyto do implant yet, and even though

(17:11):
she had everything lined up with braces, there was still a small gap between
her two front teeth, and ifwe just stuck a little flipper tooth in
there, that tooth would look toowide compared to the one next to it.
So with the snap on smile wewere able to fill in the missing
tooth and make the other tooth lookwider, and so everything was a perfect
harmonious match there. Okay, andwe had someone else who needed to have

(17:34):
all their teeth removed, there wasn'ttime to do it and get dentures ready
for them or any implant options becauseof her daughter's wedding, So we actually
just made a snap on smile typeof appliant. So I love that,
just to get her through the wedding. Then, so the weekend she left
to go to Nashville, I waslike, normally would tell you to take
this out to sleep, but don'tyou take yours out at all, just
in case anything happens to the teethunderneath. So we made one that literally

(17:59):
just got her through three days.She came back from the wedding, removed
her teeth, and moved into themore definitive plan. So for the hockey
guys, so a lot of themdo want to do implants down the road,
but they're kind of hesitant to dothem now because they can take another
stick or puck, yeah, andreally damage the teeth. So I've made
this for probably seven of the Hurricanesplayers and a very thankful for well right,

(18:26):
And for most of them that iskind of the thing. They don't
wear them on a day to daybasis for them, but they have them
specifically to go do things in vacationlike that. And I can tell you
this because this player gave me permission. He was like, heck, yeah,
okay, So Brent Burns, Ilove Burns. Burns is like whatever,
So but Burns asked for one.Yeah. I don't think his kids
had ever seen him with the teeth, and his wife really loves it.

(18:48):
And when he was on vacation,he had something happen to his and asked
for a replacement. And we kindof tease himse that all your wife wants
you to get it back. Hesays, heck no, this is the
best part. Shall have everyone warrant. So he's wearing it as a partial.
He was like, I can talkwith it, I can eat with
it. It doesn't bother me ordrive me crazy. So he literally wears
his whenever he wants to have teethin so away from the rink. So

(19:12):
that's great. Are there limitations thoughwhen it comes to the snap on so,
so you do need to take themout and clean so you don't want
to just wear it all day.It can get food underneath it since it's
not sealed or cemented in place,so you generally want to take it out
after a meal when it's discreete todo so, like you know, not

(19:33):
at the table type of thing.Excuse me while I rents this out.
So they're pretty easy to take careof. You just rent them in water
and just store them dry. Sosomeone would just take them out a couple
times a day, clean underneath them, and then leave them out to sleep.
And do you brush them normal?You have them out right, you

(19:56):
would take them out and just brushyour teeth underneath like normal, and then
you can use brush, but withouttoothpaste to clean them. Toothpaste has a
little bit of silica to help scrubyour teeth, and so it'll scratch things
like dentures and snap on smiles.The other thing with it is you can't
You can replace a stretch of missingteeth, but you can only go so

(20:17):
far. You can't replace like fouror five teeth in a row. It
doesn't have enough strength necessarily to dothat. We've also used them for someone
who's lost a lot of teeth andtheir bite collapsed. The teeth that would
only hold your mouth in a certainposition, they don't line up anymore,
so she bites too deep. Sowe made her these to open her back

(20:37):
up to her normal position until herjaw accommodates to that, and then we'll
start adding crowns in to replace it. So she's gonna wear it for three
years. She's gonna wear ass ofpermanent device while we transition her into her
other treatments. Turning so much sothe limitation wise, it's actually a pretty
tough durable material. Okay. Now, as far as technology, of course

(21:02):
is constantly like getting better, howhas that helped the effectiveness of the nee
year's crowns and snap ons? Right? So the you know, the arms
racing medicine is usually new medicines,right, like everyone's coming up with new
medicines and dentistry. It's materials isexactly what you just said, so we're
kind of in like fifth generation.Now I would guess on materials for crowns

(21:23):
and the two aesthetic materials we usenow one's a hardened glass and one is
a metallo ceramic. And the metalloseramicjust didn't look very good for the first
ten years of its existence, andyou can't bond it. You have to
cement it, but it's really tough, so you don't have to take much
tooth structure away. So now there'sa protocol for bonding it. They've created

(21:48):
more aesthetic versions of it, sothe technology is allowing you to be more
versatile. So you can for someonewhere you need really high aesthetics but with
teeth that are pretty good themselves.You can use the heart and glass for
someone whose teeth are really dark froman antibiotic and you need something that's a
little better at blocking out that coloror really hard destructive bite. Now you

(22:08):
can use the metallic ceramic that didn'tlook good before and couldn't bond. Now
it'll bond almost as well as theother material. And we're using a lot
of AI, which I know isa scary thing, but you can work
with it to grow and be better. That's it because if you feed back
into it what doesn't work, itgets smarter and helps us predict what we

(22:30):
can do. And now we canalso pull up these digital models and patients
can point at what they want tochange, so we're getting them involved.
And like I was saying earlier,the best outcome is the one with the
best preparation. And sometimes now we'reable to use lasers to modify the gum
tissue and advance so we can geta better shape and even in vislines.

(22:55):
So we kind of didn't touch baseon that. But for some people or
braces would be a better option ifthey like their teeth, they just don't
like how they're positioned. So butpeople don't like going in and having wires
adjusted or having to go in andget new aligners. And vis Line has
a lens now that fits over yourphone and it has little cheek retractors and

(23:15):
you it basically positions your phone inthe exact right position and it reflects the
instructions on your mirror that you're standingin front of so it tells you when
you've got the camera in the rightspot and you can snap a picture.
And as long as the AI issatisfied that the teeth are moving like they're
supposed to, you keep getting alignerswithout having to go in that. I

(23:37):
think that side of it, it'sbecoming a tool to help us. It's
not something that's replaced. It makespeople's lives more convenient for everybody exactly.
Yeah, and that's actually one ofthe players is doing in visil line and
it's really difficult for them to comeinto the office, and so we're using
that technology with him. Okay,so somebody, so I do having vislin

(23:59):
in. My teeth were fairly straight, but I had like a little gap
in between, and so I usethe invislain. But now I'm that last
retainer that I think is disgusting.So what do I do as somebody that
needs new retainers? But I don'thave time or effort or want to necessarily,
I don't want to go through thewhole process of everything again. So
if you're happy with where your teethare, you just need new retainers,
then that's saved on file. Yourlast place you were so a lot of

(24:23):
times you can just let your orthodonisknow I'd like new retainers from envisline and
they'll send them. Yes, howlong are you supposed to wear those?
Because mom look kind of dingy aftera while. So sometimes it's just the
plastic, just ages and discolors.But most orthodonys, I think, would
recommend to replace the retainers every coupleof years. Okay, they just distort

(24:44):
over time, even the bonded metalones they distort overtime as well. So
you know, you'll hear a lotof orthodonias say that retainers should be replaced
on a regular schedule to make surethings don't move. And of course,
your smile is so important. It'sconfidence, it's presenting yourself to the world.
Is there a transformation that you cantalk about that was just like wow,

(25:04):
that one. That's why I dowhat I do, right, So
I think as far like if we'retalking about the snap on smile, those
are so drastic and so sudden.I think the one who's the lady I
was telling you whose bite has collapsedand she's not really able to chew food
and except on her front teeth,so she's worn her front teeth down to

(25:26):
small nubs, and if she continuesto wear them down, she'll end up
needing rootnails on them. So withouthaving to numb her or to drill into
any tooth or cut anything at all, we were able to take her scans,
do a mock up, let herapprove it, and get them back.
And we had to because we openedher bite back up and changed her

(25:47):
bite. We had to work onthem a little bit to get her bite
even in where she was comfortable chewingwith it. And as soon as we
got her at that point, shebooked a vacation to go see her family
in the caravan had not gone forseveral years because she didn't want to see
them. And then for another person, we did crowns on their front teeth

(26:07):
where they had been chipped and decayed, and his wife came to me and
said, thank you. He wasso afraid to talk to people at work
that everyone thought he was just astuck up jerk, and now he's comfortable
enough to be himself, and youknow, it's changed his life and his
workplace and all that stuff. Sopeople don't realize the smile. My husband

(26:30):
has like a small little thing andhe smiles with his mouth shut, and
people are like, why doesn't hesmile, And I was like, he's
just self conscious, that's it.And even though other people may like someone
smile, if they don't really right, they won't smile, they don't laugh,
they don't talk, they don't enterin social situations where they normally could.
So I tell people, you know, your smile is way more than

(26:52):
your teeth. So you got abeautiful smile, but let's help you feel
comfortable doing it by addressing what youwant to do. Dress And for some
people, like I do have asmall space between my teeth, and that's
I liked it as so I keptthat so but I have some other crowding
that's shown up over the years andthat I think has causing me to have

(27:15):
uneven wear. So I can correctthat without touching what I don't want to
touch. So for each person,it's a specific thing. We were talking
about crowns and veneers, it's notall or one. For some teeth they're
fine with just a veneer, otherones with a crown, and some other
ones you can still do just bondingon them, which we didn't get into

(27:36):
either. So to kind of backup into that another new technology thing we
were talking about doing the digital mockups, so there are some veneer circumstances where
you don't have the grind the teethaway at all, and you can actually
bond material to the face of thetooth. It's not as long lived,
it will discolor over time because it'sfeeling me too, but it's very affordable.

(27:56):
And now we can go from thesedigital mockups and they can make a
clear matrix over that that then wecan fit over the teeth and it has
little little doors, little cabinet doors, and we open it and then fill
the tooth inside the cabinet door andit takes the shape of that matrix that
was put on the model. Soit's given even even more options for stuff

(28:18):
like that. So people can combine, Ok, you can do envisiline to
fix some things, and then youcan veneer some minor things. And then
the one tooth that got smacked andbroken and discolored and a crown on that
one, so it's very custom exactly. And then we were talking about AI
and all the technology has grown somuch. What is the future looking like
as far as like when it comesto dentistry and the innovations on helping people

(28:41):
have the perfect smile, right.I think. So one thing is,
I think social media helps make peoplemore aware that there are options that they
weren't aware of otherwise. And thenI think people are able to post kind
of what happened, how their casewent, for good or for bad.
Right, So I think with thecaveat that most social media posts aren't really

(29:02):
designed to show you the full story. Apparrently, you can see someone's before
and after, but not realize thatthey had to have a lot of time
in the chair to do that becausethey had to care or whatever. So
it can be misleading in that sense. But I think social media and then
integration across different different platforms from apodcasts like this and then get someone interested,

(29:25):
and then they're able to go toa website and look something up,
and then they come in already armedwith all the information. It makes things
so much easier on our end.And then I think the material changes are
going to make stuff even easier inthe future. I think somewhere down the
line we'll be doing three D printing. Most of these materials are three D
milled, which is kind of hardto do in the office. There are

(29:48):
units that can grind these crowns outof blocks of speramic and then harden them.
But sometimes the aesthetics are a littlebetter when it's done in the lab.
But if you can three D printa crown in ten minutes, that's
hard and durable. I mean thatwould change crazy that it's even a thing,
But you can, Like, there'sso much technology now and so our
labs are three D printing our denturesfor us, and I think it's too

(30:11):
expensive for us to do that inhouse ourselves, But I think stuff like
that's coming. So even if youwanted a lab to put their expertise into
a design, if you did haveyour milling unit in the office, you
can send your impression to the lab, they can design it and send it
back to your milling unit. Youcan make it in house and put it
in So again I still prefer thelab made ones, but there are a

(30:34):
lot of people who have great successwith the stuff they make in office there.
So I think that's the materials aregoing to continue to improve quickly?
Do they change? Like the materialslike you said, we're in fifth generation,
So what does that mean like asfar as how quickly things were changing,
right, So originally it was prettymuch gold. That was what you

(30:56):
had to do crowns right, andthey would use porcelains, which are kind
of the same thing. You wouldn'thave a little figuring in your house from
just not very strong they could break. So most of what the crowns I
think through most of the twentieth centurywere portioning the layered every gold, and
it just wasn't much change at all. Anything they would come up with as
an alternative, it either wasn't aestheticenough or strong enough, so that hardened

(31:19):
glass I was mentioned in the Lithiandisilicate. That's been around since the nineties,
so they just keep coming up withdifferent variations of it that are stronger
that you don't have to take usmuch away. And the zirconia was the
metallos ceramic I mentioned that's been aroundsince the late nineties, early two thousands,
but it's only really been probably thelast ten years that has been aesthetic

(31:41):
enough to use in the front.And it was very opaque even when it
looked nice, so you still hadlimitations to it. So the last five
years they've come up with some thatare semi translucent partially you know, fully
translucent and things. So I feellike now we're probably in like a steep
part of the the curve where there'sso much development and resources is put into

(32:05):
changing these materials. You know,every couple of years, I think there's
a new product, right, butit's still at this point, it's just
a variation of the ones that havecome before. Okay, and land in
the associates family dentistry, you arealways staying on top of everything to know
all of the new things that arecoming out. If someone is considering cosmic
dentistry, what advice do you havefor them? So the first thing would

(32:28):
be to kind of do a littleresearch in advance to know what some of
the options are. I don't thinkyou're fine right and you're not going to
understand it all, but it's hardsometimes when someone knows nothing about the options
and where you're trying to do aconsult But it can definitely work that way.
But once you do a little research, schedule to do a cleaning and
a checkup. If you're up todate on your cleanings and check up,

(32:51):
then just do a consultation where youjust have a chance to ask whatever questions
you want to ask. Can seesome examples of different things, and then
I think the mock up is keywhere you want to see that wax up
done, whether the dentist does itin house or in a lab, and
then have a chance just to seewhat's involved. I think the key is
just preparation, preparation, preparation,Like you're asking what some of the risks

(33:15):
are and doing this. The biggestrisk is actually having an outcome you're not
happy with. Right Like the crownsemineers are really safe. It's rare for
people to have problems after they're done, but it's not uncommon if somebody doesn't
prepare properly to be like, well, I wanted it to look like this.
I didn't want it to look likethat. I didn't know my teeth
are gonna look fatter. You havea chance to see all that upfront if

(33:36):
you prepare okay, you're like anencyclopedia of all things cosmetic dentistry. I
love that it's comes from trial anderror. I love it all. Right
Lane dds dot com you can call, you can get an appointment, schedule
that consultation today. I was juston the phone with you all the other
day. They were so great withall they except most insurances and know with
cosmetic no, but there's options foryou. Thank you for your time today.

(33:58):
Sure, I appreciate it. Ireally enjoyed coming to see you.
Thank you. Thank you. DoctorBailey with Lane and Associates Family D Industry
for the Carolina podcast Network All ThingsCarolina. Find out more at landds dot com