In today’s world, there are numerous procedures available to enhance your smile. Among them, teeth whitening has become the most popular. However, modern dentistry has advanced far beyond just whitening, offering solutions like bonding, porcelain laminates, and implants that have largely replaced traditional dentures.

But with so many options, how do you decide which procedure is right for you? And more importantly, how do you choose the right dentist? Since most cosmetic dental procedures are costly and not covered by insurance, it’s essential to be well-informed before making a decision. Below are key considerations, as advised by experienced dentists:
Evaluating a Dentist’s Office
Before committing to a dentist, observe the basics. Ask whether the water used in procedures is filtered, if the instruments are sterilized via autoclave (which is preferred over cold sterilization), and if the hygienists follow proper hygiene protocols by wearing masks and gloves. Additionally, check if the treatment rooms are adequately sanitized after each patient.
Dr. Richard Price, an ADA consumer adviser, suggests paying attention to the office environment. A clean and well-organized office with a responsive staff is a good sign. More importantly, assess whether the dentist treats you as a valued patient rather than just another case.

Equipment and Treatment Options
Dental technology has come a long way. Some clinics still use traditional hand-applied needles for anesthesia, while others employ the “wand,” a computerized injection technique that minimizes discomfort. Ask whether the dentist uses air abrasion or laser technology instead of high-speed drills for cutting teeth. Also, inquire about restoration options for fillings and crowns. Notably, experts like Goldstein advise against dentists who exclusively use silver (amalgam) fillings. If a dentist becomes defensive or dismissive when asked about options, Price suggests looking elsewhere.
Use of X-Rays
Frequent X-rays are not always necessary. Dr. Price emphasizes that older X-rays from a previous dentist can often be used. Some modern clinics now employ computer radiology, which not only reduces radiation exposure but also provides instant results on a computer screen.
Comprehensive Oral Maintenance Programs
A good dental practice goes beyond just suggesting daily brushing and flossing. Soft tissue management programs, for instance, focus on the overall health of the gums and mouth. It’s worth asking your dentist about advanced oral care programs that extend beyond just teeth whitening.
When a Tooth with a Filling Hurts Years Later
One of the most common complaints among dental patients is when a tooth with a filling hurts years later.
- Decay Under the Filling: Over time, bacteria can seep beneath an old filling, leading to new decay.
- Cracked or Worn-Out Fillings: Fillings, especially older ones, can deteriorate or crack, exposing sensitive areas.
- Nerve Damage: In some cases, a deep filling can affect the tooth’s nerve, causing persistent discomfort.
- Bite Issues: If the filling was not properly shaped, it can create pressure points when chewing, leading to pain.
If you experience pain in a filled tooth years later, consulting a dentist is crucial. A thorough examination, possibly including an X-ray, can determine whether the filling needs replacement, a root canal is required, or if another solution is necessary.
Second Opinions Matter
Never hesitate to seek a second or third opinion, especially if a recommended procedure is invasive or expensive. A reputable dentist will not discourage this; in fact, experienced professionals often suggest it themselves. While cost is an important factor, it should not be the sole determinant when making decisions about dental care.
By staying informed and asking the right questions, you can ensure that you receive high-quality dental care while maintaining your oral health for years to come.