Veneers

Veneers are a natural-looking cosmetic treatment that can provide a dramatic smile makeover.

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Veneers can be secured to one or several teeth for any of the following aesthetic reasons:

  • Change the size or shape
  • Restore chipped teeth
  • Correct teeth that are slightly crooked
  • Correct gaps between the teeth
  • Correct uneven lengths
  • Correct slightly misaligned teeth
  • Correct discoloration

Veneers are secured to the front of the tooth surface and slightly wrap around the sides and biting edge of the tooth. In most cases, each tooth receiving a veneer will be prepared prior to the veneer fabrication and placement. This preparation usually involves removing a thin layer of enamel from the natural tooth in the areas that will be covered by the veneer. This allows the veneer to be secured seamlessly with the contours of the natural tooth. The veneers are attached using a thin but strong bonding material. When cured by a specialized light, material hardens.

There are several types of veneers:

Porcelain Veneers

The longest-lasting and most esthetic type of veneers are porcelain veneers. They are created in a lab to the exact specifications of the dentist and mimic the look of natural enamel, using multiple thin layers of porcelain. The size, color, shape, and fit are therefore fully customized.

Composite Veneers

Composite resin are made in the dental office or in a dental lab and are less expensive than porcelain veneers. They can alter the appearance of tooth color, size, or shape and can be an effective solution for less extensive cosmetic improvements. The composite material is somewhat susceptible to staining and does not last as long as porcelain.

Instant Veneers

Prefabricated resin veneers come in different sizes and shapes and are not customized to the shape and fit of your teeth. although they do. Instant veneers are not recommended because they do not provide the appearance, quality, or durability of custom veneers.

Laminate Veneers
Questions

01 What is the difference between a laminate and a veneer?

A laminate, a veneer, and a laminate veneer are really the same thing. They are a thin, fingernail-like covering that is cemented over the face side (front) of the natural tooth to improve aesthetics, tooth position, and also to address possible decay or a fracture.

02 How much do laminate veneers cost?

Laminate veneers may cost anywhere in the range of $800 to $3500 per tooth, depending on a dentist’s expertise and training. Any additional treatments such as soft tissue procedures (crown lengthening or gingivectomy) or bonding on adjacent teeth in conjunction with the laminate veneers are not included.

03 What are laminate veneers made of?

Laminate veneers are usually made with a biocompatible ceramic material like porcelain or e.max. Porcelain looks quite natural with its translucent properties, but it is weak and may be prone to fracture in patients with excessive biting forces. E.max, on the other hand, is a lithium disilicate, which is aesthetic, translucent, and has four times the strength of porcelain. In most cases, dentists and patients will prefer e.max as the material of choice for laminate veneers.

04 How long does it take to have laminate veneers done in my mouth?

The complete laminate veneer treatment for 10 teeth usually requires two longer appointments (3 hours each) and one shorter follow up visit (15–20 minutes). The first visit will include the preparation, impression making, and temporization of the 10 teeth. The second visit, which is usually shorter than the first visit, involves the removal of the provisionals and cementation of the final laminate veneers. A short post-insertion appointment to evaluate the gingival tissues is usually recommended two weeks after cementation.

05 Do laminate veneers ever break or come off?

Yes, but rarely. Laminate veneers are typically stronger than your own teeth and exhibit excellent bond strength to the enamel. If they do break or fracture, it is usually attributed to teeth grinding (bruxism), thin or weak ceramic material, or misalignment of the bite. When the laminate comes off (termed debonding), is usually due to contamination during the cementation process or not enough bonding surface on the prepared tooth.

06 How often do I need to replace the laminate veneers?

Usually every 12–15 years, depending on the amount of gingival recession that has occurred over time. Laminate veneers can last 30 years or more if little to no gingival recession has occurred. Patients usually replace the laminate veneers due to recession which exposes dark, unsightly root surfaces near the gumline.

07 Why should I bleach my teeth before getting laminate veneers?

We often recommend bleaching their teeth prior to laminate veneer treatment, if a patient’s natural teeth are darker than the desired shade. We advise bleaching the teeth because: first, the patient may be content with their tooth shade after the bleaching process and not require the laminate veneers after all; second, it will lighten the underlying tooth structure prior to placing the new veneers. Since the most aesthetic laminates are translucent like natural teeth, we recommend starting out with a lighter underlying tooth shade instead of a darker one for the best possible results.

08 What is the difference between a crown and a laminate veneer?

A crown is a covering or replacement tooth when a restoration is placed over the entire natural tooth to protect it from decay or fracture. This usually requires the removal of the entire enamel layer of the natural tooth. In most cases, a laminate veneer only requires 0.5mm removal of the enamel layer on the facial and incisal (face and biting) surfaces. A laminate preparation is more conservative compared to a crown preparation, because the integrity of the underlying tooth structure preserved. After cementation, laminate veneers are usually stronger and more esthetic than their crown counterpart. Nonetheless, if a tooth is severely broken down due to decay or fracture, a crown is the prudent choice.

09 Why are laminate veneers so expensive?

Laminate veneers are expensive due to the extensive dentist's time needed to satisfy the patient's esthetic demands and also due to the high laboratory cost. Patients should select a restorative dentist, preferably a prosthodontist, with extensive training in esthetics and smile design in order to achieve natural and functional results. Finding a dentist with expertise in laminate veneers is often difficult. Many restorative dentists offer laminates in their practices, however these often achieve unsightly results which appear too bulky, monochromatic, and white. In order to make strong natural looking restorations, a skilled dentist will always contract the services of a master dental technician. As a result of the precision, artistry and back-and-forth communication required between the technician, dentist and patient to produce esthetic results, the highest quality laminate veneers are the most expensive.

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