We have already touched on how to improve the appearance of teeth using the materials available to us. These include materials such as porcelain- indeed they are the more appropriate answer for severe cases such as wear, tooth discoloration, extensive chipping, and cracking, gaps in teeth or uneven teeth.
I would however like to revisit composite bonding or composite veneers again. As mentioned I did training in the prestigious Geneva Smile Centre; spending days on how to emulate nature.
The benefits in composite are vast;
1. It is an inexpensive
2. It is a minimally invasive way to restore and correct small chips, cracks and discoloration in the teeth.
3. Porcelain veneers do generally require some reduction of the enamel tooth surface, while bonded dental veneers can oftentimes be done without cutting the teeth
However the disadvantages include:
1. Chipping, staining and breakages.
2. Indeed compared to porcelain veneers they are not as strong.
3. The colour stability for porcelain veneers can be better
Techniques Used in Dental Veneers:
For porcelain veneers an indirect Technique. This means that a lab technician makes the bespoke veneers outside the mouth. There will be a period where you must wear temporaries whilst they are being fabricated and then they are glued unto the teeth with a special glue.
For composite veneers a direct technique is used. This means that the teeth are created on the spot there and then. The procedure may or may not require local anaesthetic.
How long do composite veneers/bonding take?
It can take 2 appointments for simpler cases where limited number of teeth are involved. I often review the patient and provide any fine tweaks to ensure that we the patient gets the best results. The first appointment is usually 3 hours depending on the number of teeth involved and the second is usually an hour or so.
Care of Dental Veneer:
Long term maintenance and care is demanded of any dental work. The beautifully fabricated teeth can break and chip if they are treated with disrespect. This includes biting on unfavourable objects such as using your teeth to bite into bottles (yes this does happen). I also advise my patients against grinding, fingernail chewing, and biting directly into things such as carrots. If you are a grinder it is also recommended to have a nightguard at night. Meticulous oral hygiene is paramount to the success of dental veneers. Hygiene cleans are a must.
Dental Veneers Conclusion:
Veneers allow you to change several aspects of your smile. This includes the appearance, colour, shape, size, position and form. Indeed I use a combination of techniques to provide my patients with the optimum look. As a minimally invasive dentist I often straighten the teeth first with invisalign, then I provide whitening and cosmetic bonding. As always, before pursuing dental veneers of any kind, a thorough consultation is provided to ensure that I can discuss and talk through any queries and make the appropriate diagnosis.