If I have crowns on my two front teeth, will a dentist need to remove them for me to get porcelain veneers? I’m not sure how it will work, and I would like some ideas before I go to a dentist who wants to take off the crowns when it might not be necessary. I’m narrowing my list of dentists down to three, and I hope to meet with two of them within the next few weeks. Stacie from Boston

Stacie,

Thanks for your question.

Porcelain veneers and porcelain crowns are made of the same material. But they differ in how much of the tooth they cover.

• Porcelain crown – A dentist shaves the entire circumference of a tooth before placing a crown over it. You can’t leave the altered tooth uncovered, and you can’t use a porcelain veneer on it.
• Porcelain veneer – It covers the front and sides of a tooth. Your dentist will lightly shave the fronts of your teeth to ensure the veneers fit well at your gumline and look natural, not bulky.

What About Covering a Dental Crown with a Veneer?

Some dentists will shave a dental crown and put a veneer over it. There are disadvantages of placing a veneer over a crown:

• The veneer will be vulnerable and might fail, but a crown will last longer.
• It doesn’t look as aesthetically pleasing as a new crown.
• It takes the same amount of work as replacing the crown, and it doesn’t save money.

Select an Advanced Cosmetic Dentist

An advanced cosmetic dentist is concerned about aesthetics and your oral health. They will replace your two crowns, place veneers on your remaining teeth, and ensure they all match perfectly.

Select a dentist who is skilled in cosmetic dentistry and has training in the art—beyond dental school. Look for a smile gallery of patient photos on the dentist’s website. And read the dentist’s bio and look for indications of post-graduate training in dental aesthetics.