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Marielaina Perrone DDS Orthodontics Vs Porcelain Veneers
Orthodontics Vs Porcelain Veneers

A well trained cosmetic dentist has a list of procedures to use to give you the smile you have always dreamed of. Many do not think of orthodontics as a cosmetic dentistry procedure. It is more than that, as it can not only change your smile but the function of your teeth as well as the way your face appears. Porcelain veneers can bring about a dramatic change but in a much shorter time period. Let’s discuss each and how they work for your smile.

Porcelain Veneers

Porcelain veneers are also referred to as “instant orthodontics”. The placement of porcelain veneers can correct small mis alignments in your teeth to bring them into better balance. Cosmetic dentistry is an art form and smiles can be recreated or they can be designed perfectly. Perfection is different for each patient. 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. Porcelain veneers also work very well in conjunction with botox or a dermal filler like Juvederm. They can work hand in hand to improve your smile and overall appearance very quickly.

What Are Porcelain Veneers?

Porcelain Veneers Marielaina Perrone DDS
Natural Looking Porcelain Veneers

Porcelain veneers are wafer thin, custom fabricated shells of tooth-colored materials designed to cover the front surface of teeth to improve your smile. These porcelain shells are adhesively bonded to the front of the prepared teeth. Porcelain veneers have the ability to change the color, shape, size, or length of your teeth.

Porcelain veneers have the following characteristics:

Translucent qualities — Like natural tooth enamel, porcelain veneers are translucent. This means they allow some light to pass through and reflect off the natural dental material. This gives the veneer a natural depth, providing for a deep, dazzling smile.

Color matching — If you are replacing multiple teeth, then all your porcelain veneers can be a natural, bright color. When covering just one or two teeth, porcelain veneers can easily be matched to the surrounding natural teeth. This will provide a consistently natural, beautiful smile.

Non-porous surface — Porcelain veneers are ceramic glass and are non-porous, preventing future stains from ruining your new smile.

Patients with severely misaligned teeth are not good candidates for porcelain veneers. This will cause issues with preparation of teeth for porcelain veneers. A well trained cosmetic dentist will make every attempt to be quite conservative when removing natural, healthy tooth structure. If the teeth are too far out of alignment from one another, it means more tooth natural 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. This could require the possibility of root canal therapy in the future. For teeth that are severely misaligned, invisalign or traditional orthodontics would be the better treatment option to bring your smile into proper alignment.

A major advantage to porcelain veneers vs orthodontics is that they give you the ability to change the color of your teeth. Your dentist can give you a bright, white smile almost instantly.

Orthodontics Braces

Marielaina Perrone DDS Orthodontics
Invisalign Clear Aligners

Orthodontics generally comes in 2 forms…..invisalign and traditional orthodontic braces. Both will achieve the same goal but in severe mis alignment cases your dentist may recommend traditional orthodontic braces as your treatment may require more extensive movements.

It is important to note when orthodontics is the recommended treatment it can also be for functional reasons and not just cosmetic. A well trained dentist will note issues with the way your teeth fit together or issues where you have a dental overbite or dental underbite.

This crowding or bite issue can lead to increased risk of tooth decay and periodontal disease as well as increased difficulty in chewing and speech issues. Orthodontic braces can fix that creating a smile that is in harmony not only cosmetically but functionally as well. This will lead to being able to maintain dental hygiene easier which will lead to longer tooth life.

Sample Orthodontics Treatment Schedule

Your initial consultaion will generally be a no cost orthodontics evaluation. In addition to the thorough visual examination, x rays and photographs will be taken of your smile as well as your face. There may be an additional charge for these. These x rays and photographs will help the dentist and orthodontist map out your treatment safely and effectively. At your initial consultation you will discuss with dentist or orthodontist why you are there. They will examine you and look at the following factors to develop a personalized orthodontic treatment plan that is right for you and your smile.

-What is the orthodontic issue that brings you in?

-Multiple orthodontic options to correct the problem or problems.

-Customized treatment goals that you wish to achieve.

-Will any teeth need to be removed to accomplish these goals?

-Whether other dental services are required prior to orthodontic treatment to bring your dental health to optimal levels.

-A rough estimate on the length of your orthodontic treatment

-Estimated cost of orthodontics for adults care.

Orthodontic Treatment

As mentioned previously, teeth are moved with controlled directional forces over time. Orthodontists use clear aligners (invisalign) or braces to guide and move your teeth into their ideal positions. The tooth movement occurs as the underlying bone is broken down and then rebuilt. If the process goes too fast the bone does not recover properly. Timing is critical for long term health. Following orthodontic treatment, you can expect to wear a retainer to maintain the movements you have gained while undergoing active orthodontic treatment.

Orthodontics Vs Porcelain Veneers Conclusion

Luckily, in the choice of orthodontics vs porcelain veneers there is enough separation between the 2 dental procedures that a decision can be made quite easily. Porcelain veneers tend to be a cosmetic procedure only with limited orthodontic advantages while orthodontics can and usually comes with functional advantages as well. Talk to your dentist about the options available to you to give you the smile you always dreamed of. A well educated patient is the best kind of patient as they will make informed decisions and ask questions before proceeding into any major dental treatment. As always see your dentist regularly for dental examinations and professional cleanings.




Porcelain veneers are often used as part of creating a Hollywood smile. 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 You?

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 Periodontal Tissues. If extensive tooth decay, fractured teeth, or periodontal disease are present, you will not be a good candidate for the porcelain veneer procedure. 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/Teeth Grinding (Bruxism). Severe teeth clenchers or teeth grinders are definitely not good candidates for porcelain veneers. Veneers are not able to withstand 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.