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Advanced cosmetic and general dentistry

Archives for September 2021

How much longer will my composite veneers last?

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I’ve been using Supersmile toothpaste for years on my composite veneers. I’ve heard that they only last a few years, but I’ve had mine for nine years. How much longer will they last? I want to plan to find a cosmetic dentist who will do them as well as my dentist in NJ. – Thank you. Amanda from Erie, PA

Amanda,

Thank you for your question. The longevity of your composite veneers shows how well you have taken care of them and that you received high-quality veneers.

How Long Do Composite Veneers Last?

Although the average lifespan of composite veneers is about five years, they can begin to attract stains within a year or two. You can extend their life by taking care of them with a non-abrasive toothpaste and non-abrasive dental cleaning. Composite veneers require more maintenance than porcelain veneers. But they require less tooth enamel removal than porcelain veneers. And, they cost less than veneers.

How Long Do Porcelain Veneers Last?

Porcelain veneers have an average lifespan of eight years but can last ten to twenty years. Porcelain is stain resistant.

When it is time to replace your composite veneers, whether you choose composite again or porcelain—only get them cleaned by a trained dental hygienist. Hygienists who understand how to care for porcelain and composite will not use chemicals or polishes that damage the surface.

Look for an Advanced Cosmetic Dentist

Skilled cosmetic dentists mix dental resins and apply and harden layers on your teeth. They sculpt the composite to match the characteristics of your natural teeth. After refining tooth shape, your cosmetic dentist will polish your teeth to a natural-looking gloss.

 

Michael Szarek, DMD sponsors this post. Dr. Szarek is an accredited cosmetic dentist in Lowell, MA.

Before-and-afte composite bonding photos from Lowell, MA dentist Dr. Szarek

Dr. Szarek beautifully restores teeth with composite bonding

 

Why is my dentist recommending a crown for a healthy tooth?

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Asian woman smiling - for info on dental crowns on healthy teeth from Lowell, MA dentist Dr. SzarekI wonder if my dentist’s business is in a slump, and he is looking for ways to generate income. I’ve had this dentist for four years. He did a root canal on my canine tooth three years ago, and now he says I should consider a crown to prevent the tooth from breaking. I have no symptoms in the tooth, and the x-rays show it is sound. Why would I get a crown? Thank you. Wei from MA

 

Wei,

Thank you for your question.

Does a Front Root Canal Tooth Need a Crown?

A front tooth with a root canal does not need a crown unless it is weak or is already missing most of its structure. Sometimes, a dentist will place a crown for aesthetic reasons, but an advanced cosmetic dentist might use another option to improve the tooth’s appearance.

How Does Root Canal Affect a Front Tooth?

Root canal treatment removes tooth infection, but it also makes any tooth more brittle. Although it is easy to crown the tooth, more care is needed with a front tooth.

Canine Teeth and Root Canal Treatment

Preparing a canine tooth for a crown requires a dentist to remove about one millimeter of structure all around the tooth. About 50% of the tooth’s fracture resistance will be left. If the tooth weakens over time, it can break and create the need for a dental implant.

Canine teeth have long roots to absorb intense horizontal stress to protect back teeth. So, grinding down a canine tooth for a crown is not advisable when the tooth is in reasonably good condition.

Your dentist’s exam and x-rays show that your canine tooth is sound. So, we recommend not accepting a dental crown. You can ask your dentist for more information on why he recommends a crown if the tooth is in good condition. But based on the information you provided, we would not disturb the tooth and weaken it without good reason.

You may choose to get a second opinion from a nearby accredited cosmetic dentist.

 

Michael Szarek, DMD, an accredited cosmetic dentist in Lowell, MA, sponsors this post.