What Would Make Someone Not a Candidate for Porcelain Veneers?

I was wondering if someone with very crooked/crossed teeth could still be a candidate for porcelain veneers. If veneers will not work, are there any other cosmetic procedures that don't require years of treatment (braces)? Thanks.

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7 Doctor Answers | Asked by mfmdg2010 in chicago,il

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Solution for very crooked teeth

If the teeth are severely malpositioned (crowded, etc) it will depend on the position of the tooth in the dental arch. Very often if the tooth is positioned very buccally it can be compromised due to the lack of bone support. In order to define what can be performed in order to improve the smile, precise and careful evaluation should be made by the specialists: prosthodontist and orthodontist.

Veneers versus Invisalign

Crooked teeth will need heavy cutting down for veneers. Yes they are made within 2 weeks, but if something goes wrong then the teeth are destined for further work. If your teeth are healthy and just crooked/discoloured, then striaghten them with invisible Invisalign and bleach them. At least you can eat into a baguette without having to suffer a fractured veneer.

Candidate for Porcelain Veneers

The other doctors have answered your question quite well. For someone who needs Veneers regardless due to staining, wear, etc and doesn't wish conventional orthodontics, might consider this alternative. Create large spaces between the teeth with abrasive strips and perform limited orthodontics for 3 - 6 months followed by veneers. You can get a good result this way by combining approaches. Hope this helps and good luck.

Grinding habit, heavily restored teeth, bad bites

All of these are contraindications to porcelain veeners. Grinding habits and bad bites can cause too much stress on the veneer and it will break or come off. Heavily restored teeth should receive a full porcelain crown instead of veneer because they are not strong enough.

Veneers, braces, orthodontics

It depends on just how crowded and crooked your teeth are. I would need to see you in person or view a set of digital study models, xrays and photos. Many adults with crooked teeth skip the braces and go right to veneers.

Sometimes dental crowns are more appropriate than porcelain veneers

Depending on location, rotation or crowding, the dentist must be a bit more agressive in preparing teeth. So while the desire may have been conservative veneers, full coverage crowns may be more appropriate. Sometimes the teeth are extremely crowded and crowns or veneers simply won't work without braces of some sort. Often braces done with the intent to veneer ("pre-prosthetic orthodontics") mean the treatment is short, perhaps only 3-4 months instead of 2 years... more

Veneers are sometimes not the proper Treatment choice

Sometimes patients will present with teeth that are crooked,rotated and out of position. Cases like these sometimes are best treated first with a traditional orthodontic approach or with Invisalign aligners. After successful Orthodontic treatment a Cosmetic treatment plan can be developed to either use Porcelain Veneers or all Porcelain Crowns. However there are many instances when patients don't have the desire, time or immediate means for Orthodontics. In cases like these Veneers are... more