What are veneers?
A Veneer is a thin shell of porcelain which is individually made to fit over the whole of the front surface of existing teeth.
When is a veneer required?
• Improve or alter the shape of the teeth
You can opt for veneers if your teeth are too small or too short and you are not happy when you are smiling. Veneers can be used to correct peg laterals:
• Closing the gaps.
They can also be used to close the gaps between the teeth and recommended only when orthodontic treatment is not suitable and should not be the first option for the patient:
• Discoloured teeth
Veneers can be used to cover the stained or discoloured teeth that could be a result of lifestyle choices like smoking, coffee, wine or medical conditions like tetracycline staining or hypocalcified teeth. Dental trauma to the teeth can cause some times causes discolouration and veneer can be used to change the tooth colour:
• Broken or chipped teeth.
The veneer can be used when part of the tooth is broken and cannot be repaired with filling:
• Teeth that are more inside.
Veneers can be placed on the teeth that are positioned inside and can bring them to the same level of adjacent teeth.
Advantages of veneers
How long does a veneer last?
What type of veneers are available?
• Porcelain veneers.
• Composite veneers.
• Lumineers veneers.
During the consultation, the dentist will first listen to your concerns, and expectations and later will carry out an intraoral examination. If the dentist thinks veneers are appropriate for you, he/she will discuss the types of veneers available, advantages and disadvantages and will let you make an informed decision. Once you make a decision, a tailored made treatment plan will be made for you. During this visit, photos and radiographs will be taken to check the existing status of the teeth.
If the dentist notices any signs of gum disease, treatment cannot be commenced immediately. Gum disease should be treated first before carrying out any treatment. Your dentist will give you an oral hygiene plan and as a part of this plan, you may need to attend the hygienist.
If you want whiter teeth and opt not to have all teeth covered, you may need tooth whitening of other teeth before treatment commences and has to keep with a tooth whitening schedule in the future. The costs of tooth whitening will be additional to the veneers.
What does the procedure with porcelain veneers involve?
- Step 1
In this step, a minimal amount of the enamel reduction will be carried out and the patient can choose to have a local anaesthetic to reduce discomfort, however, it is often not needed. After the tooth is prepared, the dentist will take an impression(s) and bite registrations. A shade guide is used to choose the colour. Impression(s) will be sent to the dental technician along with the laboratory prescription which has the information required to make the veneer
- Step 2
Tooth preparation will be minimal and therefore temporary veneer might not be required. However, in some cases like broken teeth, a temporary veneer will be placed.
The dentist initially will try the veneer on the tooth to check if the fit is good and will show it to you. Once you are satisfied with the result, your dentist will carry out the appropriate procedure and use special bonding materials to secure veneer safely in place. Regular check-ups are required and your dentist will adjust and polish them if necessary.
After care instructions
- Routine oral hygiene care should be followed including using floss and interdental toothbrushes where required.
- Need to visit hygienist regularly to maintain good oral hygiene.
- Composite veneers tend to stain with the usage of tea, coffee, wine or smoking and therefore needs to be extra careful.
- Should avoid hard foods to prevent breaking of the veneers.
Contraindications for veneer placement
1. When a patient suffers from parafunctional habits like bruxism and clenching, veneers are not indicated.
2. If a patient has poor oral hygiene, veneers cannot be placed at the first instant. The patient has to see the hygienist regularly and follow the instructions given by the hygienist. Once the oral hygiene is satisfactory, treatment can commence.
3. Presence of poor or insufficient enamel for bonding of veneers.
4. If teeth are positioned more labially, veneers cannot be placed as it involves too much tooth destruction.
5. If teeth are severely malaligned and crowded, it is recommended to have orthodontic treatment to correct them and then place veneers.
Claremont Dental Practice,
1-3 Terminus Buildings,
Claremont Road,BN25 1NT
Tel: 01323 897502
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