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Porcelain veneers are sometimes perceived as something out of Hollywood. There is a good reason for this as many actors and actresses have abnormally perfect white teeth. Cosmetic dentistry is an art and smiles can be recreated or they can be perfect. Perfection is in the eye of the beholder. Some like having small gaps between their teeth or a tooth slightly out of alignment. Porcelain veneers work very well when cosmetic changes need to be made without the need for more invasive dental procedures.

Are Porcelain Veneers Right For Your Smile?

-Desire For A New, Beautiful Smile. Generally when someone openly wants a change in appearance, especially one requiring a significant financial investment, they are usually more receptive to maintaining it properly. If the porcelain veneers are not cared for they can and will develop tooth decay as well as break down. Routine dental examinations, professional cleanings, and excellent dental hygiene are an integral part of keeping your new smile looking its best.

-Healthy Teeth And Gums. If extensive tooth decay, fractured teeth, or periodontal disease are present, you will not be considered a good candidate for porcelain veneers. Good oral health is required for porcelain veneers. The mouth needs to be  in a healthy, stable state to allow porcelain veneers to be considered an option. You will need a full dental examination to assess your dental health. If your mouth is not free of the above conditions, it is best to avoid porcelain veneers due to an increased chance of failure.

-Teeth Alignment. Severely misaligned teeth are not good candidates as this will cause issues with preparation of teeth for porcelain veneers. A good cosmetic dentist will try to be quite conservative when removing natural tooth structure. If the teeth are too far out of alignment it means more tooth structure will need to be removed to accomodate the spacing. Removing too much tooth structure can lead to tooth sensitivity and even nerve exposure (requiring possible root canal therapy). For teeth that are severely misaligned, invisalign, 6 month smile orthodontics, or traditional orthodontics may be needed to bring them into proper alignment.

-Sufficient Tooth Enamel Present. Tooth enamel is needed for the porcelain veneers to bond to your teeth. If the tooth  is severely worn down or damaged, porcelain veneers will not bond well and may not be a good option for you. In this case a full crown may be a better option.

-Tooth Color. In general, porcelain veneers look best when they are thin and translucent. If you have severely stained teeth (developmental dentin staining, tetracycline staining, root canal therapy staining), it is usually best to undergo teeth whitening prior to veneers. Blockout of underlying staining is possible, but the end result will not look as natural.

-Gum Tissue Alignment. Proper gum tissue contours are necessary to give a natural look. If the gum heights are out of proportion, they will need to be recontoured with a gingivectomy procedure prior to veneer placement.

- Oral Habits: Nail BitingTeeth Clenching/Grinding (Bruxism). Severe teeth clenchers or teeth grinders are not good candidates for porcelain veneers. Veneers are not able to handle the powerful stresses put forth by grinding and clenching. If a patient only grinds their teeth at night then it is possible to still complete porcelain veneers but only with the use of a night guard at night. Other oral habits such as, biting nails, chewing on pens, opening packages with your teeth, etc. will also cause damage to veneers and may cause them to fail.

 Porcelain Veneers Conclusion

Porcelain veneers can give the ability to transform an ordinary smile to an extraordinary one. The information above should give everyone some information on what to expect if they are considering making changes to their smile. A natural looking new smile is just a dentist visit away!

Porcelain veneers have become a popular and attractive cosmetic dentistry procedure for many people around the world. Many more are interested but unsure what the procedure entails to improve their smile. Below you will find some of the most commonly asked questions regarding porcelain veneers.

What Are Porcelain Veneers?

Porcelain veneers are custom made wafer thin pieces of porcelain. Porcelain veneers are bonded to the front of your teeth giving the dentist the ability to change the color, shape, length, and size of your teeth. Porcelain veneers reflect light in a very natural way. For many, porcelain veneers are performed in multiples usually the front 2- 8 teeth. Some might only require one to correct a flawed tooth.

Who Is A Good Candidate For Porcelain Veneers?

Porcelain veneers are used to correct cosmetic issues with a person’s smile and made with a translucency that mimics natural teeth. Porcelain veneers are sometimes referred to as “instant orthodontics” for their ability to correct mildly crooked or small teeth. They also have the ability to close spaces between teeth (also called diastemas),restore chipped teeth, or even to change the color of teeth.

Many people are good candidates for porcelain veneers, however, patients with tooth decay, periodontal disease, heavy clenching, or severe misalignment of teeth are usually not good candidates.  Patients with a history of bruxism (tooth grinding) may end up cracking their veneers, although if you only grind at night you can wear a mouth guard to protect the porcelain veneers.

What Happens During The Porcelain Veneers Procedure?

Once you have decided that you want porcelain veneers your dentist will take study models of your teeth. The reason for this is that your dentist will be able to give you a mock up of what your teeth can look like when the porcelain veneers are in place. At this time you and your dentist can discuss the size, shape, and color of your new porcelain veneers. Once these models are approved, an appointment can be set up for the actual procedure. A small amount of tooth structure is usually removed from each teeth to prepare them but sometimes they can be done without preparation to the tooth. Local anesthesia is generally recommended if there will be tooth preparation to avoid any discomfort. Once the preparation of your teeth is completed, your dentist will take an impression of your teeth. This impression will be used by the dental laboratory to create your custom porcelain veneers. Once fabricated, you will return to have the porcelain veneers placed onto your teeth. Initially your dentist will place the veneers  to check that the color, shape, and size is as desired. If they meet both your expectations, the dentist will bond them to your teeth creating your new smile.

How Do I Care For My Porcelain Veneers?

Dental hygiene visits should continue as usual. Home care is more important than ever, brushing and flossing will help prevent decay around your veneers. Porcelain veneers are quite strong but it is possible to break or fracture them. The following activities should be avoided: breaking nuts with teeth, tearing open packages, biting and tearing it hard items, and ice chewing. A soft electric toothbrush such as a rotodent could be helpful in polishing them and keeping looking like new.

How Long Do Porcelain Veneers Last?

The longevity of porcelain veneers will vary by individual. The general rule is they last about 10-15 years although some can expect a longer lifespan for them. If a porcelain veneer chips, cracks, or shows any wear they can be replaced refreshing your smile.

Can I Stain My Porcelain Veneers By Drinking Wine?

No, porcelain veneers are resistant to coffee, tea, and wine stains. Once a patient selects their desired color, the veneers will stay this way, without color changes .

Are Porcelain Veneers Expensive?

Cost will vary depending upon where you go. The cost is generally reflective of the materials and lab used. Be wary of offices where the price seems too good to be true. You get what you pay for and using an inferior dental laboratory or an inexperienced cosmetic dentist might lower the cost but will lead to earlier failure of the porcelain veneers. Studies have shown that almost half of all cosmetic dentistry needs to be redone. Porcelain veneers require high quality dental materials as well as an experienced cosmetic dentist. If done properly you will enjoy your new smile for a long time.

Are Porcelain Veneers Covered By My Dental Insurance?

Generally, no, as porcelain veneers are considered a cosmetic procedure. Most insurance companies do not cover porcelain veneers.

Conclusion

Porcelain veneers can transform an ordinary smile to an extraordinary one. The information above should give everyone some information on what to expect if they are considering making changes to their smile. As always maintain regular dental examinations and professional cleanings to maintain your current and future smile.

For many adults, braces or orthodontics have just not been an option. They do not want to invest the time and effort to make their teeth straight. For those that do want to correct their occlusion,  it is a worthwhile investment. Orthodontics is a great way to fix bite issues as well as some cosmetic issues. However, if you do not have any bite issues and are looking for a fresh start with a new smile, instant orthodontics may be the answer for you.

How Does Instant Orthodontics Work?

Instant orthodontics is achieved using multiple cosmetic dentistry procedures in a fairly short time to give you the white, bright, straight smile you desire. Depending upon how extreme your smile issues are to begin with, instant orthodontics can range from 2-3 visits to 2-3x times that number. Let’s take a look at some of the cosmetic dentistry procedures involved in instant orthodontics:

-Porcelain Veneers. This is a hallmark procedure in cosmetic dentistry for an instant orthodontics case. Porcelain veneers are a custom made thin shell of porcelain that is bonded to the existing teeth (after a small amount of preparation to the teeth). Once in place you have a long lasting durable dental restoration that can change color, shape, and size of your teeth. These are generally used on the top front teeth and  sometimes, bottom front teeth. Porcelain veneers work best in cases where minor changes need to be made in alignment, shape and color of teeth. Preliminary models of the teeth should be made to assess whether veneers can correct issues properly. If after diagnostic workup, it is found that the issues are too severe, a different method of correction will be necessary. So, porcelain veneers are ideal in cases where there is a limited amount of misalignment of teeth and/or the patient’s desire is to not only bring them back in line but also to change the color and shape of their teeth.

-Porcelain and Zirconia Crowns. These types of crowns are the most cosmetic offered in dentistry today. They are made from modern dental porcelains that range in strength and esthetics. If done properly, no one should ever be able to tell a porcelain crown from natural tooth. Modern porcelains possesses strength, color properties, and light reflection properties that very closely mimic our natural teeth. Porcelain crowns can be used to change bite alignment issues as well as change alignment of front teeth which are more extreme such as those issues that porcelain veneers alone cannot fix. More natural tooth structure needs to be removed in preparing a porcelain crown vs a porcelain veneer.

-Dental Bonding. This cosmetic dentistry procedure can be useful when closing a gap between teeth, changing a surface imperfection, or altering tooth shape. Dental bonding is much less expensive in the short term, but can change color,(stain), and chip requiring frequent replacement. Porcelain crowns or porcelain veneers do not change color and are more resistant to fracture. That said, dental bonding does a great job in closing gaps on teeth as well as changing the size, shape and color of one or more teeth much in the same circumstances diagnostically as veneers.

Why Choose Instant Orthodontics Over Traditional Orthodontics?

While traditional orthodontics has a necessary and important place in dentistry. Traditional orthodontic movement of teeth into correct anatomical position is the generally the more conservative approach due to the fact that the teeth do not require alteration to their anatomy. Many adult patients choose instant orthodontics over traditional orthodontics for the following reasons:

-Time. Traditional orthodontics can take a year or longer to achieve the results you are looking for. Orthodontics will not whiten teeth or change color or tooth shape.

-Periodontal disease. This needs to be under control prior to any type of dental work of this magnitude. Traditional orthodontics can make a situation where there is bone loss present even worse as the teeth move. Teeth moving into place may cause increased bone loss, tooth looseness, root resorption, and gum tissue recession.

-Tooth Decay/Old restorations present. When there is tooth decay present or an older dental restoration (such as a crown or previous dental bonding) that needs replacing, it may actually be easier and more cost efficient for the patient to get new dental restorations and re align the teeth in that manner.

-Bite Reclamation. Over time, our teeth wear (this is especially true for those who grind their teeth). This wear can cause a loss in what is called vertical dimension, collapsing our bites. A good cosmetic dentist can not only make your new restorations look perfect but they can also add the extra function of restoring that lost vertical height. This will give the effect of smoothing out the skin and wrinkles around the mouth thus giving you a more youthful appearance. Instant orthodontics can not fix loss of tooth structure.

Instant Orthodontics Conclusion

Instant orthodontics is not for everyone. For those who are unhappy with their smile and looking for more than just teeth whitening it could be just the answer for their needs. If traditional orthodontics is not feasible for you, instant orthodontics may be a great option. You can expect your smile to look great in just a few weeks,  but be aware, over time some of those restorations may need to be redone if they break or tooth decay becomes an issue. Remember, dental hygiene is the foundation of any cosmetic dentistry work. If you wish any restoration to last, you must brush, floss, rinse, and see your dentist regularly for examinations and professional cleanings.

Cosmetic dentistry is usually not the first place people look when they are desiring to look younger. Generally a plastic surgeon is the first stop for that task. Cosmetic Dentistry procedures such as teeth whitening, porcelain veneers, or even dental bonding can make a dramatic effect on a person’s outward appearance. Studies have shown that a person’s smile has a significant impact on how people look at them. More importantly, it affects how a person perceives themselves. Not only will they look younger but they will feel younger too.

Top Cosmetic Dentistry Procedures

1) Teeth Whitening.  This is the most common cosmetic dentistry procedure in the United States. It is not a classified secret that whiter teeth are considered more beautiful. But most people do not consider that teeth whitening can even make you look younger and healthier. Teeth whitening allows you to remove staining caused by drinking coffee, smoking, red wine, or even certain types of foods. Teeth whitening is considered a simple procedure that can be done in office or at home. Although simple it can give dramatic results that can instantly transform a dull, lifeless smile.

2) Porcelain Veneers and Porcelain Crowns. As we age our teeth and smiles can change dramatically. Teeth can shift, they can become worn down, or maybe they were never perfect to begin with. Porcelain veneers and porcelain crowns may be the answer to give you that Hollywood smile you always dreamed about. Porcelain

Veneers are custom made, ultra thin, tooth colored shells that are adhesively bonded to the teeth. This allows the cosmetic dentist to not only alter color of your teeth but shape and length as well. Porcelain veneers are sometimes referred to as instant orthodontics. This is because porcelain veneers can change the alignment of teeth if they are not too misaligned. Porcelain crowns would be utilized on teeth that either already have crowns or need more extensive work (having large restorations or decay). Both porcelain veneers and porcelain crowns can as used in cosmetic dentistry to give the patient a flawless, more youthful and sexy smile.

3) Dental Bonding. This cosmetic dentistry procedure can be completed in as little as one visit and along with teeth whitening can dramatically alter the look and color of your smile. Dental bonding is the process in which tooth colored dental materials are bonded to a tooth.  This is a cosmetic dentistry procedure that can be used to repair or improve the cosmetic appearance of a tooth that has been stained, fractured or chipped. This procedure is also used to close spaces or gaps between teeth.

4) Dental Implants. Many patients do not think of cosmetic dentistry when you mention dental implants. But dental implants can be extremely aesthetic especially in the front of the mouth. Missing teeth has long been a sign of old age. Having a full complement of teeth screams youth especially when they are bright, white, and sparkling.

When a person is missing a tooth they have several options. There are partial and complete dentures, traditional bridges, and dental implants. A dental implant can look and feel just like a natural tooth. It is often easier to keep clean as well vs a traditional bridge. Dental implants are placed directly into bone creating a solid foundation for a natural tooth replacement.

5) Bite Reclamation. Over time as we use our teeth we tend to lose some height on our teeth. This loss of height of height is also referred to as loss of

vertical dimension. Some other factors that cause this loss include acid reflux or teeth grinding (bruxism). Reclaiming a person’s bite utilizing dental implants and porcelain crowns will increase vertical height which will also remove some of the wrinkles around the mouth. These wrinkles develop as our mouth’s sag from this loss of dimension.

Evolution of Cosmetic Dentistry

Modern cosmetic dentistry has evolved to a point where your dentist is able to complete a smile makeover to make you look and feel younger. Procedures we consider routine today were unheard of 15-20 years ago. Modern materials allow us to create smiles that reflect light just like your natural teeth.

Cosmetic Dentistry techniques have also changed over time. Dentists main role was simply preventive and treatment of pain.  Now with cosmetic dentistry, dentists are able to transform the smile of anyone into one they can be proud of and want to smile all the time.

 

 

Cosmetic Dentistry and the Fountain of Youth
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