Patient Information on Veneers
Porcelain Veneers at Ocean Dental Cancun can be provided in 3 Ways, Either Regular Dental Veneers, Lumineers, Thin Veneers or No-Prep Veneers, or composite veneers(Not Porcelain). Dental Veneers are used to improve the cosmetic appearance of your teeth, You can fix worn,chipped,discoloured, or misaligned Teeth. Some Veneer treatment might require other treatments prior for the best outcome like orthodontics. or some restorative procedures. Each case is specific to the patients needs, budget,time frames, desired outcome. If you are interested in getting a quote for your dental veneer, Please contact us at 1-800-278-3215, you can also fill out our contact form Here for Veneers.
Dental veneers can be made from either porcelain or composite material, and may be used for a single fractured or discoloured tooth, as part of the Hollywood style makeover and anything in between. Composite veneers are placed directly (built-up in the mouth), where as veneers are made outside of the mouth by a dental technician and bonded in at a later appointment. There are a number of slightly different types, brands and materials available for porcelain veneers and these will be discussed later.
Because they produce dramatic results they are a favourite of dentists for before and after pictures and are largely associated with the cosmetic side of dentistry. They have become more and more popular with advances in bonding technology and now provide a popular, durable and natural looking (most of the time) solution to getting a big bright white smile… but as with all treatments, they are not without their downside.
They are responsible for the majority of the dazzling white smiles we see on movie stars and celebrities today. If it looks too perfect to be natural, then it probably is. Celebs who are famous for having this done include Nicholas Cage, Demi Moore, Celine Dion and Miley Cirus- just in case you are wondering. Interesting fact: They were originally invented by a California dentist named Charles Pincus to change the appearance of actors’ teeth.
Reasons you may wish to consider veneers
If your natural teeth look fine and function well, veneers may not be the best choice because (most of the time) they involve permanent removal of some of your natural tooth structure. This depends of course on what you want to achieve- they may be the ideal treatment for you. There are a number of alternatives to dental veneers that exist and these should all be carefully considered and discussed with your dentist before making this decision.
It is always sensible to consider more minimally invasive (less destructive) ways to improve your appearance first. They can save you time, money and most importantly, keep and protect your natural teeth. Veneers may be the right choice for you, but no-one would argue that making a true informed decision after considering all the options is the best thing you can do.
Veneers are a bit of a paradox.
The most ideal candidates have healthy teeth and gums, and are looking to improve the appearance of their smile. Yet, obviously the more discoloured, out of position and broken down a set of teeth are- the greater the perceived need to have cosmetic treatment and the more dramatic the finished result will be.
These more significant case can sometimes require a combined approach, involving teeth whitening, veneers and crowns, maybe even implants and dental bridges. It depends what the dentist has to start with and what you want to achieve. Veneers tend to be a way to get a great result for more minor cosmetic problems, or in combination with other treatments for more major ones.
What problems can be corrected by veneers?
The sorts of problems that may be corrected by veneers include:
Aside from size, teeth may have uneven surfaces, colours, blemishes, little pits or bulges- all sorts of cosmetic issues which may be of concern to you.
Your teeth may be asymmetrical; the middle (centre line) of front top teeth could be off to one side like Tom Cruise or one tooth could be different in shape or position to the other side.
Porcelain veneers can be used to cover the whole front surface of a damaged tooth and where a section of the tooth has been lost- this piece can simply be incorporated into the veneer.
Veneers can help restore teeth that are too short or too long compared to their neighbours. Maybe they were just formed that way, have fractured or just worn down over time from wear, age or grinding.
This is the term for a space between your upper central incisors… like Madonna. It has become more accepted and popular in recent years with an increase in models such as ‘Sea Folly’ sporting this look. Veneers can help to effectively close this gap, if preferred to the use orthodontic procedures.
Teeth with multiple different fillings which have been put in over a number of years and have discoloured from day to day wear, may no longer be acceptable to you. Or you may be tired of a filling that keeps coming out, or of a small chip that the dentist can’t seem to get material to bond to which is failing repeatedly.
As we age, teeth change in colour as the amount of dentine (the second layer of the tooth under enamel) thickens, causing a yellowing of your teeth. Add to this, everyday staining from food and drink such as coffee, tea and smoking and we can see a noticeable darkening of our teeth over the years. Small cracks, chips and general wear and tear also add to a deterioration in the appearance of your teeth.
This gives a premature aged appearance. Over time the thin layer of enamel on the outside of your teeth can wear down and become dulled or discoloured. The thinner it gets the more the yellow dentine layer underneath shines through and the darker your teeth appear. If you grind your teeth you accelerate the wear of your teeth dramatically and increase the chance of breaking your fillings or restorations such as veneers. Preventative measures are a must!
Sometimes you may have a tooth that doesn’t form properly. The most common example is a peg shaped lateral where in place of a regular sized lateral incisor, you have a funny little tooth. These are an ideal candidate for veneers as often they don’t even need preparing and a veneer can be bonded onto the front to give a great improvement in aesthetics. Gaps left by other small teeth can be hard to close via orthodontics and the resulting smile not ideal; veneers can be very useful in these cases.
Can I have Dental Veneers?
There is a little bit of a misconception that porcelain veneers can be used for every situation to make your smile beautiful. Some problems just aren’t suitable for dental veneers or would be better treated by other means. They are also quite an involved process and can be costly, meaning you need to think carefully about your choices. In Ocean Dental, in addition to having the best costs of veneers in Mexico, we help you to orientate yourself about your treatment with the following information.
- The right mouth (Good dental health)
A nice healthy mouth is essential if you are serious about having veneers. If you have untreated, active gum disease, gingivitis, or multiple areas of decay- these must be treated before veneers can even be considered.
Let’s take gingivitis as an example. If they stayed and you suddenly improved your hygiene or the gingivitis progressed to gum disease and your gums shrunk slightly, the margins of the veneers would no longer be in the right place.
The look of your smile would be compromised and the veneers may need to be replaced, causing more destruction to the natural teeth underneath and another large bill.
- The right attitude (realistic expectations)
The limitations of dental veneers need to be appreciated and their risks understood. Not only on their own, but in the context of all the other available cosmetic treatment options. You need to understand what is being done to your teeth, the procedure, how much do veneers cost in mexico, what happens in 10 years time- all of these things. Porcelain veneers are a really great way of improving a smile. we have the best dentist for veneers and cosmetic dentistry in mexico
Do your homework, understand it and ask any questions. This is not a time for a rushed decision, believe me.
Here you can find out everything you need to know before and after or you can contact us from our contact forms that we have available for people who come from abroad for dental veneers
- The right teeth (awareness of all the options)
Majorly crooked teeth or teeth that are severely out of position generally are not suitable for veneers and more extensive treatment is likely to be required. Possibly a combination of different cosmetic treatments.
At the other end of the scale, very minor problems could be corrected just with whitening, shaping and tooth bonding it all depends on your situation and your desired outcome. You will evaluate each case individually and decide on a treatment plan that suits you after going through all the possibilities.
So, should I have Veneers?
Assuming you are a suitable case for veneers: you have the right teeth, the mouth, and the right attitude, then only you can answer this question.
If the happiness and psychological benefit of having cosmetic treatment will make a big difference in your life and you have weighed up all the other options and decided veneers is the way to go… then you have done all your homework- Congratulations! Now all you need to do is select a suitable dentist to do them!
Please share your story with us to help others understand what you went through and how it has affected your life.
Advantages of Porcelain Veneers
Porcelain veneers provide a very natural tooth appearance. They mimic the light reflecting properties of natural teeth and characteristics of tooth enamel incredibly well. They can be made very thin and translucent.
In suitable cases that are executed well by the dentist and well looked after by you, porcelain veneers can be expected to give 10 -15 years service. There is of course risks and complications to veneers -they could chip, come off or be damaged and need to be repaired or replaced.
The colour of the porcelain veneer can be made to match your natural teeth very closely. In most cases it is not necessary to veneer all your teeth as part of a Hollywood style makeover, unless that is what you want.
That said, multiple veneers can produce very dramatic and almost instant improvements in your smile- as ‘before and after’ photos clearly demonstrate. Just be fully aware of the process and what you are actually having done.
Porcelain veneers can improve shape, colour and position (if minor) all at once. Therefore if you have a range of cosmetic flaws such as spaces, discolouration, staining, chipped or fractured teeth, these can all be dealt with at the same time. A combined approach using other treatments may be needed depending on the situation (see below).
This type of veneer requires the removal of less tooth structure than a full crown- providing a conservative alternative. Because of this they are much less likely to affect the nerve inside the tooth than a porcelain crown. That said, they are more destructive to your natural teeth than tooth bonding or composite veneers.
Porcelain veneers may be used in combination with treatments such as crowns, bridges, dental implants, orthodontics, teeth whitening, even tooth bonding to achieve a smile makeover.
The porcelain of a veneer will blend exactly with the porcelain of crowns, implants and bridges if they are made at the same time (i.e. from the same mix of porcelain) to give a perfectly uniform colour to your teeth. Assuming of course, that the tooth underneath isn’t so dark it influences the colour.
Veneers can be used to fix just a few teeth, all the teeth or to mix and match with other treatments to meet your cosmetic goals. For example, after whitening your teeth, you may find that it’s only the gap between your front teeth that you wish to fix and just two veneers can give you a great outcome instead of the expense and destruction of a 6 or 8 veneers.
Once the decision to have veneers has been made, it’s normally just two or three appointments spaced out over a couple of weeks. If your dentist has cad-cam technology sometimes it can be completed the same day- though the results from an experienced ceramicist (technician) tend to be superior and noticeably more natural.
After your veneers have been placed and the anaesthetic has worn off (if it was needed) you are pretty much good to go. The veneers are set firmly to your teeth so you are good to resume normal function almost immediately. Check out our veneer aftercare instructions for a few precautions to help you protect your new teeth.
Porcelain resists the classic stains of coffee, tea, smoking and soft drinks very well and can look as good as the day they were put in for years to come. Gums also respond well to porcelain margins making them (when done correctly) very well tolerated and easy to keep clean.
They can help strengthen fractured teeth and restore them to normal function. Remember that porcelain veneers are not as strong as untouched natural teeth and as such need to be treated with a bit of r.e.s.p.e.c.t. and extra care. That said, they are not too far away and bonding technology is advancing all the time.
Nothing is needed other than good daily brushing and flossing.
The shape, colour and size of the veneers can be chosen within the limits of your mouth to give you the personal smile that you have always wanted.
Veneers are not removable, they are put on with the intention that they are never coming off. Admittedly most people who choose to have veneers are looking for a permanent solution to their cosmetic problems, but don’t be fooled into thinking you can just have them popped off at a moment’s notice and be back to square one. Once you have porcelain veneers, you will always need them.
The colour or shape cannot be altered once they have been cemented in place.
They are not particularly good for people with grinding or clenching habits or whose teeth are very worn and now meet edge to edge, since the extra pressure can cause them to chip and fracture. A preventative night splint is definitely required!
They are not the best treatment option for very crooked or misaligned teeth.
If they break, the whole veneer often has to be replaced. This is more likely if you have an unfavourable bite (edge to edge), or grind your teeth. If you are a bruxist, wearing a splint is crucial to protecting your veneers. Other chips or break could possibly occur when chewing hard food items such as pips in olives, seeds or nuts so you would need to be extra mindful.
You should be prepared to pay the price for replacement porcelain veneers if this type of accidental damage occurs. Very minor chipping and fracturing may be smoothed or repaired without the need to replace the whole veneer. However any more than a minor chip and the whole thing will often need to be replaced. You sometimes can get away with repairing the fracture with a bit of white filling material but if it is the incisal edge (most common) getting this to stay on can be tricky.
A longitudinal study found that veneers that needed replacement were only slightly higher at 11% than those that could be repaired -8%.
If the preparation for the veneer goes into the dentine layer of the tooth, the bond is weakened considerably and you are more likely to have problems.
They are best on relatively healthy teeth and not a good choice for teeth with a lot of decay, multiple fillings, very large fractures or any situation where there is not a good amount of enamel for bonding to.
Sensitivity to hot and cold may be a side effect because enamel has been removed, however this is normally only temporary.
Veneers are not as strong as crowns.
In nearly all cases to a lesser or greater extent, the front surface of your teeth will need to be filed down removing some of the enamel to make way for the veneer. Even ‘minimal prep‘ or ‘no prep’ veneers tend to require some drilling. Whilst they are less damaging (more conservative) for a tooth than a dental crown, they are more destructive than tooth bonding or composite veneers.
Whether due to the bonding procedure, the fit of the veneer, decay, stress from your bite, mechanical failure of the cement or the porcelain, or simply improper care- the veneer could de-bond and pop off. If this happens, keep the veneer and take it to the dentist to see what they can do.
Dentists should (no guarantees) if everything else is still intact and fits accurately, be able to clean the veneer and your tooth and re-attach it. If you lose it or swallow it, unfortunately a new one will certainly need to be made
* Like any restoration… Veneers could fail and the natural tooth around the veneers can still decay. Your oral hygiene becomes even more important after you have them!
Others methods or alternative to porcelain veneers
If the alignment of your teeth is an issue then moving your teeth with orthodontics or braces is the best way to ensure you keep your own natural teeth for life. You won’t have to watch what you eat or how you care for your veneers because your teeth are exactly that… your teeth.
Porcelain veneers can correct slight misalignments in the positions of your teeth but they cannot correct bite problems or move teeth that are some way out of position.
They are not a substitution for braces to correct overbites, under-bites or severely crowded or crooked teeth.
Orthodontics however can only change the position and not the colour or the shape of the teeth. This means that sometimes a combined approach is needed and either tooth bonding, whitening or veneers should be considered once the braces have been taken off.
Only natural teeth will whiten; that means no porcelain (crowns, veneers, implants, bridges) or white filling material will change colour with application of the bleach. If you already have some of these in visible areas of your mouth, you need to be aware that if you whiten your teeth, they may stand out more and require changing for cosmetic purposes.
Not all colour issues can be solved with whitening, but they can certainly be helped. Even severely ‘tetracycline’ stained teeth can be greatly improved with a bit of dedication over a number of months. That said, the even-ness of colour and brightness that you can get from porcelain generally isn’t achieved. Whitening will not change the shape or position of teeth. As such, it is very good when combined with orthodontic treatment as part of a restorative plan and can help reduce the number of teeth requiring treatment or the amount of tooth that needs to be drilled away to get the desired colour.
Dental Crowns require drilling away considerably more tooth than veneers since space must be made for the crown to sit completely over the top of the tooth and not just to attach it to the front like veneers. Cosmetic crowns are thus much more damaging where healthy untouched teeth are concerned. In these circumstances, they should be avoided most of the time in favour of cosmetic bonding, orthodontics, whitening or veneers.
If teeth are quite heavily filled and restored this is a different story. Here, veneers are much less suitable and crowns become a good way of actually strengthening the teeth whilst improving the appearance. Crowns are also more reliable when you have a bite that is particularly heavy, awkward (eg. if you bite edge to edge), or where you have a grinding habit. The extra stresses in these circumstance are more likely to cause problems and failures with your veneers.
Sometimes a combination of crowns and veneers can be a good solution and since the technicians in the lab can use the same mix of porcelain, they can be made to match perfectly so you would never tell be able to tell the difference.
Types of Veneers
- Composite resin
Composite veneers are made directly (inside the mouth) at the time of your appointment with the dentist. Consequently, only the one visit is generally necessary. It can be quite a long appointment though depending on how many you are getting done. Composite resin veneers or teeth bondings are a cheaper, quicker, less destructive way to restore and correct more minor cosmetic problems.
Porcelain veneers are made indirectly; prepared at your appointment but created outside your mouth by a dental technician. This type of veneer takes two to three visits.They have a superior appearance and are most appropriate for more severe cases of discolouration, chipping, fractures, crooked, spaced and uneven teeth.
Porcelain veneers resist stains from coffee, tea or smoking much better than composite veneers. They last longer and stay looking good for longer. Porcelain has the best light reflecting properties of any dental material currently available, giving your teeth a very natural and attractive appearance.
On the downside, they are considerably more expensive, more difficult to repair if something goes wrong and generally more destructive to your teeth underneath.
Influence on the Success of Veneers
- Their experience and expertise in placing veneers. All dentists do veneers but some favour certain types of veneer. The more of a particular type you tend to do- the better you become at them.
- The assessment of your expectations, mouth and teeth in selecting the most appropriate veneer for you.
- The quality of veneer preparation.
- * The accuracy of the impression: This is the only thing the technician has to build the veneers on, so its accuracy is vital.
- *The quality of the cementation or bonding procedure: This is crucial for the strength of the veneer and any contamination with saliva or blood will weaken the veneers.
The Technician/ceramicist (lab)*
- Their experience and expertise- specifically in working with the type of veneer you have requested.
- The quality of communication with the dentist to get the shade right and incorporate any special considerations.
- The quality of the veneer construction itself. This includes the margins against the tooth and contact points with other veneers or natural teeth.
- The ability to match the shade to your existing teeth or create the natural colour requested by you and the dentist. This is where art meets science!
How Long Do Veneers Last?
There are no definite answers to this questions- there are many variables that will influence not only how good your veneers look, but how long they will last and how long they will stay looking good. We discuss all of these in our veneer success factors article so I highly suggest you have a read! A composite veneer or tooth bonding would probably look good for 5-7 years. It will look best when it is first done and will weather a little over time depending on your lifestyle and habits.
During this time it may need touching up or re-polishing more frequently since composite is more prone to picking up stain than its porcelain counterpart. However, if you do have a problem (maybe a chip), it is generally easier to repair and less damaging to your natural tooth. Porcelain Veneers on the other hand tend to last longer and keep their looks a little better. Problems can occur with veneers but upwards of 10 years service, sometimes considerably longer would be the aim.
- Whether the veneer is composite or porcelain.
- The type of composite or porcelain used- different types of composite and porcelain systems are available. These are down to the preference of the dentist- some are more aesthetic and have more colour/shade choices than others.
- The preparation- selecting the right way to prepare the incisal edge (tip) of your tooth for the veneer is important. The dentist has a couple of different ways to do this depending on the strength of the tooth and aesthetics required; they can finish the veneer at the edge or reduce the height of the tooth to give the ceramist or themselves room to create a more natural looking result.
- The type of bond/cement used to attach the veneer*.
- The amount of enamel available for good predictable bonding of the veneer.
- The colour of the teeth to be veneered will dictate how much tooth needs to be removed in order to place a sufficient thickness of porcelain or composite to mask it out.
- The position of the tooth or teeth- if it is out of position, it may require some more preparation, unless the tooth is too far back, in which case preparation can be kept to a minimal and the thickness of the veneer simply increased.
- Existing fillings- the more filling you have in a tooth the less strength the veneer will have. Sometimes bonding can be improved by filling at the time of cementing the veneer, or if it has a fractured edge, incorporating the filling part into the actual veneer.
- Teeth with Root canal treatment or a post – these are generally best restored with a crown. That doesn’t mean that other teeth cannot have veneers.
- The bite (how your teeth come together) – how do they move across each other.
Planning for Dental Veneers in Mexico
Before embarking on veneers, the crucial first stage is the consultation and examination
This is where you need to sit down with your dentist and discuss what you are trying to achieve. It is crucial that the dentist understands your expectations… What do you want? What result are you trying to achieve? What is it exactly that you don’t like about the shape, size, colour or position of your teeth? What is your budget?. Once they have examined you (X-rays may be needed as part of this) they can talk you through the various treatment options that are suitable for your teeth.
Veneer preparation is irreversible so once you have veneers, you are always going to need them and as such, and the decision should be given some proper thought.
Ask the dentist to explain the advantages and disadvantages of porcelain veneers compared to the alternatives, such as enamel shaping, tooth bonding, porcelain crowns, teeth whitening, orthodontic treatment etc. for your set of teeth so you understand and appreciate the limitations, benefits and the different choices. This is what we call ‘Informed Consent’.
Assuming you are suitable, the dentist will need to look at the rest of your mouth first and identify any issues that need to be addressed or treatment that must be completed first before the veneers can be prepared.
If you have poor hygiene, gingivitis or gum disease- your gums are likely to be swollen and bleed. This would make impression taking and bonding in veneers difficult- a poor impression means an badly fitting veneer and any contamination when sticking them in would drastically reduce the veneers lifespan.
Poor hygiene would also make it difficult to determine the best position for the margin of the veneers. You want the top of your veneers to just touch the gum or extend slightly underneath for the best aesthetics. To do this, we need you to have eliminated any swelling or inflammation by decent cleaning and flossing so we know where this should be. Improve your hygiene after instead of before the veneers and you have a problem… As your gums shrink down a little, the previously unseen margin of where the veneer meets the tooth can become visible.
Whilst the look of your teeth may be of primary importance to you, it is important that any active disease is first seen to. Here we are mainly talking about our arch enemies tooth decay and gum disease. If you lose some of your back teeth because you failed to address these problems, your front teeth are going to end up taking more pressure and stress. This will increase the risk of wear, cracking or fracture of your veneers.
It is important if you want to whiten your teeth (either because they are dark or you wish to see if you can get away with fewer veneers), this is done prior to picking the shade for your veneers. It is possible to match the colour very accurately this way. Doing this the other way round by placing some veneers that are whiter than your natural teeth and then trying then to use teeth whitening for the others is unpredictable and a recipe for a disaster.
It is important to let the colour settle for a few days before going in to have the shade taken- so don’t whiten up until the day of your appointment. A week’s break is ideal. If you are having any other porcelain work done such as an implant crown or bridge you will want to complete this all at the same time. This way the laboratory can use a single mix of porcelain and ensure a perfect colour match of these with your veneers.
How do i Know What my Veneers will look like?
When considering cosmetic (or as we say aesthetic work) it can be invaluable for you to see how the teeth may look following treatment. You must be actively involved in the smile design process because it is your expectations, your teeth, your mouth and your smile- not the dentists! You must communicate your feelings and preferences for the colour, shape, length and width of the veneers. This will help ensure you are happy with the result.
Think of these techniques as a way to check you and the dentist are on the same page. If something needs to be changed either from your point or the dentist’s, it is easier and cheaper to know upfront and make these changes before going ahead with treatment. There are a few ways the dentist can give you an idea of how things will look:
An impression of your top and bottom teeth is taken, poured up to create a replica in stone, and placed on an articulator that simulates how you bite . The technician will then grind down slightly the models (to replicate the veneer preparation) and then wax up new teeth shapes so you can see what your teeth would look like. This gives you a good visual idea and provides a great basis for you to discuss additional changes and features until you are happy. It also allows the dentist to assess in more detail your bite, the amount of preparation needed and predict potential issues.
As you can imagine, this takes quite a bit of time and effort on the technician’s behalf and therefore there will be a charge that you are likely to have to pay. The cost is normally per tooth and so will depend on the number of teeth that are planned to be done.
The amount you pay in comparison to the actual work is quite insignificant and it is of great benefit to you and the dentist. I urge you to not skip corners in these early stages- treatment planning and risk planning are the foundation on which quality dentistry is based.
Failing to plan properly as they say, is planning to fail and it can save a lot of disappointment, frustration, time, energy and expense down the track.
This can simply be placed onto your teeth, sculpted and set with the blue light. It is not bonded on so can be simply flicked off afterwards. This is good for assessing how a closed gap or minor cosmetic changes or tooth bonding will look before actually going ahead. This has the advantage of being the right color and in your mouth so you can see what your smile will actually look like.
The diagnostic wax up (discussed above) can be used to make a set of temporary crowns or veneers which when in place will allow further assessment by both yourself and your dentist.
Sometimes you will need to wear a set of good fitting temporaries for 6 months before having the real work done. This will allow the dentist to assess your bite and see how you respond to any changes they have made. For example, if your teeth are very worn, the dentist may want to open up your bite to allow the length of the teeth to be increased. If they do this too much it may cause some discomfort in your joints so they will need to adjust the temporaries in order to get it right.
Some ‘high-end’ practices may have computer technology that allows you to preview your expected results via special software. The advantage is that you can make any changes immediately to see how they affect the look of your teeth.
Cosmetic dentists also use Catalogues with different sets of teeth and looks in, that you can select from. Imagine flicking through a book of haircuts at your hairdresser, it’s just like that. They can also show you a range of before and after photos of patients like you that they have treated and take you through their case to give you a good feel for what to expect.
Procedure for a Dental Veneer
Preparing your teeth for porcelain veneers
Veneers are applied to the teeth in 2 visits to the dentist in Cancun: one to prepare the tooth/teeth for the veneer(s) and one to stick them in.
Dr. Irma Gavaldon will prepare the teeth by removing around 0.3 to 0.6 mm of enamel. That’s not a lot. This is roughly equal to the thickness of the veneer that will be added to the tooth surface. This tooth reduction is called ‘prepping’ in the US. She will later take an impression (mold) of the teeth sends them to the specialized dental laboratory in Cancun that will create the dental Veneers.
Anaesthetic: (if required)
Preparation of the teeth: This takes the majority of the time (and is discussed below)
Impressions: To accurately provide the lab with a mould of your teeth on which they will make the veneers
Shade: The dentist will take the shade of your teeth or mixture of shades that your new veneers will be. This may be done to match natural teeth or simply as the colour you want for your smile makeover.
Temporaries: (if required).
Temporary veneers may or may not be needed it depends. Circumstances when they may not be needed include:
Minimal or no prep veneers:
- Where the look of your teeth is not going to be an issue for a week and where you are unlikely to experience much sensitivity.
- Same day veneers- Some dentists may have a technician on site or use CAD/CAM technology (CEREC machine) to allow the veneers to be made that same day- saving you a second appointment.
- White filling material– This is good when you are having just one or two teeth veneered, some composite filling can be ‘spot etched’ onto your teeth. This means we only bond it a tiny bit so it can be removed;if we properly bonded it you would actually have a composite veneer.
- Cold cure Acylic (e.g. Luxtatemp)- This is the same material used for temporary crowns and is good for multiple temporary veneers and whole smiles. The diagnostic wax up may be used to create an impression mould or matrix. After the teeth have been prepared, the material is flowed into this and sat back on teeth where it is allowed to set in the shapes of the new veneers. This is then removed, shaped, cleaned up and stuck back onto your teeth with some kind of temporary cement.
For a simple filling in your back tooth, the dentist may use a single colour of composite resin (note that some high end dentists use multiple resins for the best possible look) but for veneers, quality dentists will build up multiple thin layers of differing shades to give a very natural attractive looking appearance. The experience in doing this and the level of attention to detail will be reflected in the price the dentist will charge for the veneers.
This is generally all completed in a single visit, so for composite veneers it is not necessary to come back for a second appointment.
Dr. Gavaldon will check the appearance and fit of the veneers and if it meets with your approval, the veneer will be bonded and permanently attached your teeth or tooth.
If anaesthetic was required for the first appointment, it is likely to be required again. Once this has taken effect, the temporaries need to be removed, hopefully with a simple flick or a minor bit of drilling.
Will need to try in the veneers for fit and colour and make sure you are happy. Because they are only a thin piece of porcelain, some color comes from the underlying tooth and the cement used to stick them in. Most kits these days come with ‘try in’ pastes of various shades to allow the dentist to match the colour a little more precisely and test which is the most appropriate shade of cement.
The dentist will need to prepare both the surfaces of your teeth and the inside of the veneers to get the best possible bond.
Answers About Aftercare of Porcelain Veneers
Nothing is ever quite as smooth or as strong as your natural teeth so your veneers need you to look after them. This is your investment- you need to take extra care to protect it!
Your dentist should discuss aftercare instructions with you once your porcelain veneers have been fitted.
Following these good habits will help to prolong the life of your veneers and your smile for as long as possible.
Once the veneers are cemented in you are pretty much good to go. You can eat, chew and smile as normal pretty much straight away.
If you have been given anaesthetic, it will take a few hours to wear off so just be careful during this period.
Sometimes when you are numb, it is not always easy to get you to bite in your natural position and so the bite on occasions may not be properly adjusted. If after the anaesthetic has worn off, it still feels high, and doesn’t settle down after a few days, pop back to see your dentist and they will polish it down to the correct level.
It is also possible, when the anaesthetic has worn off, that the veneers can feel a little rough in places after bonding-in. Often this smoothes down naturally on its own after a couple of days of normal eating and chewing. Should it continue to be a problem, your dentist will need to smooth it off.
No, Not really. Sometimes you may experience a bit of soreness from around the gum where the margins have been polished, or perhaps a little bit of sensitivity but everything should be back to normal within a couple of days. If you experience any more severe pain or problems you need to make an appointment to see your dentist to check everything is ok.
- Get a night splint if your a grinder. If you grind or clench your teeth you should be wearing one anyway, but if you have had veneers or any major dental work for that matter, it is even more important to get one made (and wear it!). This will avoid you damaging your veneers while you sleep.
- Cut up hard foods such as apples and break off chocolate bars; veneers are not as strong as your natural teeth and you need to take a bit of extra care with them.
- Be careful with bones, pips seeds, nuts etc.
- Do not use your teeth to open anything such as packets or beer bottles (heaven forbid) I am actually shaking my head but know some of you out there do it!
- Do not chew with your front teeth. This may sound a little weird initially when you read it but if you don’t have any back teeth- this is what you will end up doing. Incisors are meant for exactly that- incising food, molars and premolars are for chewing. This may mean restoring your back teeth in order to give you proper chewing surfaces if you don’t have them- ideally this should be planned and completed before having the veneers.
- Avoid biting your fingernails and chewing on hard objects such as pencils or ice.
- Avoid activities such as contact sports, in which your veneers and teeth could be damaged. If the chance of you getting a blow to the face is high (such as with rugby or mixed martial arts), it is often best to wait until you finish playing the sport before considering veneers or extensive cosmetic treatment. A severe blow could catastrophically damage your teeth and require many more thousands of dollars to achieve a satisfactory solution. It simply isn’t worth it! If you do participate in an activity where this could happen at the very least wear a quality dentist- made protective mouth guard.
Nothing new here really, just what you should be doing anyway
- Good dental hygiene
After your veneers have been placed, it is even more important you maintain good oral habits- brushing twice daily with a fluoride toothpaste and flossing once in the evening. This will help to avoid tooth decay and gum disease which could compromise the look of your new veneers.
- Good diet
By now most of us know what causes stain to pick up on your teeth, so to keep them looking at their optimum, it is recommended to watch the teas, coffees, red wines, colas and for all you smokers out there- I couldn’t think of a more perfect time to make a fresh start and kick the habit.
Teeth without veneers are even more susceptible to staining, so by doing this you help to keep everything nicely blended in.
- Regular checkups
Regular dental checkups and cleaning are necessary regardless in order to keep your mouth healthy and detect any problems in their early stages. The more work you have done to your teeth, the more important these checks become, as the likelihood of something going wrong increases. This way any early signs of problems can be dealt with before more serious damage is done.
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