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Advanced cosmetic and general dentistry

If a Porcelain Veneer Falls Off, Should It Be Replaced with a Crown?

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Last December, my dentist placed 6 porcelain veneers on my front teeth. Two weeks after my dentist bonded the veneers, one of the incisor veneers fell off and broke while I was eating. The tooth was quite sensitive. My dentist said that he needed to adjust my bite. He shortened the opposite bottom tooth and the porcelain veneer. My dentist applied chemicals to my tooth that hurt so bad because it was already sensitive, despite his claims that the fix would be painless.

Last week, the same veneer fell off while I was eating. I feel the same sensitivity in my tooth. I called my dentist’s office to report the problem, and he returned my call and asked me to schedule an appointment for a porcelain crown because my bite must still be off. My dentist hasn’t looked at my tooth, and he wants me to get a crown. I’m suffering from sensitivity in the tooth, and I’m very skeptical about returning to my dentist. Is it normal for a cosmetic dentist to replace a veneer with a crown that keeps falling off?  – Omar from CT

Omar,

Two things aren’t normal about your situation. Porcelain veneers don’t commonly fall off, and it isn’t reasonable to grind down your tooth to replace the veneer with a dental crown.

Your dentist’s explanation about why your porcelain veneer is falling off doesn’t sound logical—especially since your dentist adjusted your bite, and the veneer fell off again. When a dentist properly bonds a porcelain veneer, it might chip or crack—but not fall off.

Why Do Porcelain Veneers Fall Off?

Improper bonding – Porcelain veneers require skill and proper bonding techniques. A dentist needs post-graduated cosmetic dentistry training to understand which tools and materials are needed for successful bonding. We are skeptical that your dentist has received the proper training to give you a long-lasting smile makeover.

Aggressive tooth preparation – If your dentist aggressively prepared your tooth and removed too much enamel, it would cause sensitivity in your tooth and make it a challenge for the veneer to stay in place.

Switch to an Advanced Cosmetic Dentist

If you take the veneer to an advanced cosmetic dentist—preferably accredited— he or she will ensure your tooth is prepared correctly and bond the veneer back in place. A cosmetic dentist who can save your tooth from a crown and ensure your veneer is secure.

Michael Szarek, DMD, an accredited cosmetic dentist in Lowell, MA, sponsors this post. Dr. Szarek’s office is conveniently located near Dracut, Chelmsford, Tewksbury, Billerica, Westford, Andover, Lawrence, Wilmington, Bedford, and Burlington.
Below are porcelain veneers photos of one of Dr. Szarek’s patients.

5 Facts About Tetracycline-Stained Teeth that You Shouldn’t Ignore

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Many people are tempted to self-treat severe tetracycline staining by whitening their teeth or asking their family dentist for porcelain veneers. But this aesthetic issue requires much more skill than most dentists have.

1. What Causes Tetracycline Stains on Teeth?

If you took the antibiotic tetracycline as a child while your permanent teeth were still forming, the antibiotic might be discolored. Most likely, your teeth are grayish brown, and in severe cases, they are very dark.

2. Does Teeth Whitening Help Tetracycline Stains?

The KöR whitening system is so powerful that it can lighten tetracycline stains. Other teeth whitening systems are ineffective for these stains. Although KöR might not completely resolve the issue, it’s less expensive than porcelain veneers and can improve your smile. Keep in mind that your cosmetic dentist might not use KöR as treatment, or it might not be an option for your case.

3. Will Porcelain Veneers Help?

Although some dentists try to cover tetracycline stains with porcelain veneers, the results often don’t look good on your smile. There are several reasons:

  • Porcelain needs to be translucent to look natural – But translucency allows the dark stains to show through your veneers.
  • Opaque porcelain veneers don’t look natural either – If a dentist chooses to reduce the translucency in your veneers to conceal tetracycline stains, your teeth will look chalky or pasty.
  • Full coverage is needed – Often, dentists who lack experience in concealing tetracycline stains cover the fronts of the teeth—not the sides. This technique leaves dark shadows on the edges of your teeth.

The above scenarios attract attention to your smile for the wrong reasons. And that’s what you’re already trying to avoid. But in the hands of a skilled dentist, porcelain veneers can transform your smile.

4. Your Choice of Dentist Matters

Photo of dental forceps holding a single porcelain veneers, from the office of accredited cosmetic dentist Dr. Szarek of Lowell, MA.

Only advanced cosmetic dentists can conceal tetracycline stains with veneers

Porcelain veneers can conceal tetracycline stains. But it requires the skill of an accomplished cosmetic dentist who understands how to block dark discoloration in your teeth while maintaining translucency in your porcelain veneers. It’s an art that most dentists lack. Aesthetic-driven laboratories craft opalescent porcelains that advanced dentists use to help you smile with confidence.

5. Consult with an Advanced Cosmetic Dentist

We recommend that you search for an accredited cosmetic dentist. Avoid asking your family dentist to try to resolve this issue for you. Most family dentists will taper your teeth and place porcelain crowns over them. Still, if the stains are very dark, crowns won’t completely conceal the discoloration. An accredited cosmetic dentist will preserve most of your natural tooth structure by treating the tetracycline stains with veneers or KöR whitening if appropriate.

During your consultation and exam, ask the accredited cosmetic dentist a few questions:

  • What treatment will you use to conceal the tetracycline stains in my teeth?
  • What results can I expect?
  • How many cases like mine have you completed?
  • May I see before-and-after photos of tetracycline cases you’ve treated with porcelain veneers or KöR whitening?

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

Thinking About Sectional Veneers for Your Teeth? 3 Reasons Not to Insist on Them

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Are you thinking about asking your dentist for sectional veneers to restore your teeth? Some skilled cosmetic dentists use this innovative treatment. But how do you know if it’s right for you? And should you insist that your dentist uses it?

Sectional Veneers vs. Porcelain Veneers

A porcelain veneer is a thin shell of porcelain that covers the entire front surface of a tooth. Porcelain is also used to make a sectional veneer, but it only covers the portion of a tooth that needs restoring—not the entire front surface.

When Are They Used?

Some cosmetic dentists use sectional veneers to correct small or minor issues on teeth, including:

  • Small gaps
  • Small chips
  • Minor cracks or fractures

Sectional veneers preserve more of your natural tooth structure and require very minimal preparation of a tooth. If there is significant damage to a tooth, an entire porcelain veneer might be required.

Which Veneers Should You Request?

Before you ask your dentist for any cosmetic treatment, you should wait until you receive a diagnosis and explanation of your treatment options. Several factors affect whether or not your dentist will recommend sectional veneers or porcelain veneers.

1. The Condition of Your Teeth

The condition of your teeth and gums, the extent of damage to them, and the goals you want to achieve for your smile all affect treatment recommendations. Your dentist will examine and x-ray your teeth to make a thorough evaluation of the external and internal condition of your teeth. He or she will let you know if porcelain veneers—or sectional veneers—are an option.

2. Your Dentist’s Experience and Preference

Only highly skilled cosmetic dentists can produce beautiful results with porcelain veneers. And experienced cosmetic dentists work with private laboratories and skilled ceramists who understand how to manipulate porcelain to give you lifelike results. Many cosmetic dentists don’t offer sectional veneers at all. Their experience, preferences, and each patient case affect which treatment they recommend. Experienced cosmetic dentists often prefer cosmetic resin as the first choice in concealing minor flaws in teeth. And they achieve beautiful, long-lasting results.

3. Your Risks

So although you can ask a dentist for any treatment, you should wait until you understand the condition of your teeth and the results you can expect from your treatment options. If you’re determined to receive a certain type or brand of veneers, only receive them from a dentist who regularly uses them. Otherwise, you might be dissatisfied with the results.

What Matters Most

If you want excellent results and a natural-looking smile, search for accredited cosmetic dentists in your area. Accreditation requires a dentist to pass oral and written exams and submit several cosmetic cases of varying complexity. Accredited dentists have proven their ability to give you gorgeous results. And after all, isn’t a gorgeous smile what you want?

 

Accredited cosmetic dentist Dr. Michael Szarek of Lowell, MA, sponsors this blog. Visit Dr. Szarek’s smile gallery to see examples of his artwork.

Before-and-after porcelain veneers photos of one of Dr. Szarek’s patients.

Close-up smile photo before a patient received porcelain veneers from Michael Szarek, DMD of Lowell, MA.

BEFORE

Close-up smile photo after a patient received porcelain veneers from Michael Szarek, DMD of Lowell, MA.

AFTER

3 Factors to Consider if Your Porcelain Veneers Don’t Match

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Porcelain veneers are an investment in your smile. Teeth that are worn, crooked, misaligned, or discolored can be beautifully transformed with these thin wafers of porcelain. But what if you’ve been waiting to get your dream smile only to find that your porcelain veneers don’t match? Consider three factors before making a hasty decision.

1. Have They Been Bonded On?

If your porcelain veneers don’t match but have not been permanently bonded in place, stop. Don’t allow your dentist to bond them on. The try-in is your opportunity to let your dentist know whether or not you’re completely satisfied with your veneers.

Porcelain is colorfast, so the color can’t be changed. Once they have been bonded on, it’s too late. Before they are bonded, let your dentist know that you’re aware of the mismatch and you’re dissatisfied. The veneers should be removed and sent back to the laboratory to be remade. Don’t hesitate to let your dentist know there is a problem with your smile makeover.

2. Insist on a Match

Don’t let anyone convince you that the mismatch in color is okay or that you’ll get used to it. It won’t take long until you’re completely dissatisfied and looking for ways to get the off-color porcelain veneers removed and replaced. You paid for smile enhancements, so insist on a match. Settling for less will detract from your smile and become stressful as you find yourself hesitant to smile.

3. Get a Second Opinion

Photo of a porcelain veneer, which cannot be whitened, held against a natural tooth for Lowell, MA cosmetic dentist Dr. Szarek

Porcelain veneers cannot be lightened or darkened.

If you have given your dentist a reasonable amount of time to correct the veneers that don’t match but have not received positive results, it’s time for a second opinion. A true cosmetic dentist is an artist who knows how to manipulate porcelain so all veneers will match.

Schedule appointments with at least two cosmetic dentists—preferably accredited dentists—to examine your veneers. Unfortunately, your porcelain veneers will need to be replaced with new ones. An accredited cosmetic dentist will work with a master ceramist to produce beautiful veneers that match and make you feel confident—not embarrassed—about smiling.

It is possible that the dentist who originally placed your veneers will be willing to negotiate with you on the expense of having the veneers replaced.

This post is sponsored by Lowell, MA accredited cosmetic dentist Dr. Michael Szarek. If you’ve received faulty cosmetic dentistry, schedule an appointment with Dr. Szarek for a consultation or an exam.

I don’t trust my dentist to polish my porcelain veneers

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2 of my porcelain veneers had small scratches in them, so my cosmetic dentist buffed them out. The scratches are gone, but so is the shine on the veneers. They look like they have a matte finish. I asked my dentist about the process he used, and he said he used a process called “cups” and then he polished the veneers. I’m really not satisfied with the look, because the 2 veneers are not shiny. But I’m also afraid that if I ask my dentist to do the correction he might make the situation worse. If I decide to keep the veneers as they are, will they eventually stain and need to be replaced? Thanks. Karyl

Karyl,

Photo of dental forceps holding a single porcelain veneers, from the office of accredited cosmetic dentist Dr. Szarek of Lowell, MA.

Porcelain veneer

The matte finish will make your porcelain veneers more susceptible to stain. Your veneers can be polished to restore their original gloss. A skilled cosmetic dentist knows the process and has the materials needed to correctly polish veneers.

Restoring Shine to Porcelain Veneers

Restoring the shine to previously scratched porcelain veneers requires the following tools and materials:

  • Diamond polishing instruments
  • Polishing paste
  • Ultra-fine diamond polishing paste

If your dentist placed your porcelain veneers, he should have these tools and materials in his office and be able to restore the glossy shine. Many skilled cosmetic dentists use the Brasseler’s Dialite porcelain polishing system to get highly aesthetic results.

If your dentist seems uncertain about how to restore the luster of your veneers, you can schedule a second opinion with an accredited cosmetic dentist to discuss your options.

This post is sponsored by Lowell, MA accredited cosmetic dentist Dr. Michael Szarek