My teeth have a yellow shade because of a wrong high dose antibiotic treatment I had as a child. I am now 43 and after many years thought I could give myself shiny bright teeth as a present. There is nothing wrong with the shapes of my teeth. The doctor I consulted said whitening would not work for my problem and porcelain would be the answer. Unfortunately I don't remember what he suggested exactly but he said this porcelain on my front teeth would have to be renewed every 10 years. As the best quality treatment cost around 20,000 USD!!! (I'd try to go with the best) renewing this every 10 years is out of the question. Is it really necessary to renew? How long do porcelain veneers and crowns last?
How Long Do Porcelain Veneers and Crowns Last?
Doctor Answers 9
Porcelain veneers & crowns usually last 10-20 years
Most people unfortunately think that any dental work they are having done will last their whole lifetime. I'm glad that your dentist had a frank discussion with you about realistic longevity of dental work. That being said, there are a number of factors that determine how long you can expect your work to last. If you are happy with the shape and setup of your teeth, I would always start with bleaching first. Many products now are formulated to help with tetracycline stained teeth and the worst case scenario is that they don't get quite as white as you'd like! Start there, see where you end up and then you can always do more if need be.
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Porcelain Veneers vs Deep Bleaching
How Long Will Porcelain Veneers and Porcelain Crowns Last?
The short answer is that properly done porcelain veneers and crowns usually last a very long time!
They are like a car, how long your car lasts depends on what type of car your purchased, how well it was maintained, did you follow through and have all your routine services done, in what conditions do you drive it, how many miles do you drive every year, and did you get into any automobile accidents.
How good was the dentist who placed the veneers? What kind of material did he use? How good was the ceramist who actually made the veneers? What kind of bonding protocol did he use? Do you grind or clench your teeth? If so, do you wear a night guard? Have you ever fallen or gotten a traumatic blow to your teeth? Have you ever eaten a soft meal and while chewing found something very hard (like a nut) and unexpected when you bit down to chew?
I have many patients who are still wearing unbroken porcelain veneers for twenty years plus. Now days with better materials and techniques, I'm expecting that many of my porcelain veneers may last even a lifetime. However, there is no dentist who can guarantee that the veneers they placed will last a lifetime, but that certainly is our goal. Again, the short answer is that properly done porcelain veneers should last a very long time provided you don't have an accident with them.
Regarding porcelain crowns, we can expect the same. Actually porcelain crowns may last longer than porcelain veneers, but the downside of porcelain crowns vs. porcelain veneers is that the latter requires more drilling and tooth preparation than with porcelain veneers.
Now, let's look at worst case scenario. You had ten porcelain veneers placed ten years ago and then one day you broke a single porcelain veneer. Do you have to replace all ten? Certainly not! Just replace the one that broke. The same applies to porcelain crowns.
When I hear stories of patients who have had porcelain veneers or porcelain crowns placed that only lasted a few years I usually think to myself, why did they fail? Most common reason is they bit down on something very hard. Second most common reason is that they grind or clench their teeth, and this habit puts double the load on the veneers or crowns. Another reason is the material used. Back in the 1980s feldspathic veneers were the material of choice, actually the only material. Then a decade later pressed ceramic (Empress porcelain) was introduced that was much stronger and lasted longer. Today the material of choice for our practice is EMax porcelain, which is incredibly strong and long lasting and we expect to supersede all of the other materials done in years earlier by many years.
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How long to Veneers Last
This is an excellent question. The answer is "it depends." The research says that veneers last an average of 8-15 years. Most dentists round this number to every 10 years which is accurate.
Sometimes the veneers can last longer than 10 years but cosmetically they become unsightly.
I have patients in my office that had veneers done over 25 years ago and they still look pretty good.
There are several things you can do to prolong the life of the veneers.
1) Wear a protective nightguard every night to prevent grinding and chipping the veneers
2) Visit your dentist on a regular basis for checkups
3) Brush and Floss your teeth 2-3 times per day, avoiding abrasive toothpastes
4) Avoid habits such as nail biting, or ice chewing.
How long do porcelain Veneers and Crowns Last?
With todays technology it is not unreasonable for Veneers or crowns to last as long as your natural teeth. In the case of Veneers, as long as bonding protocols are followed properly, well proven materials are used, your veneers are bonded to enamel, your occlusion is not an issue, and you have good oral hygiene, there is no reason you can't keep your Veneers for a lifetime.
One of the biggest reasons people have replaced veneers in the past is recession of the gums exposing the roots of the teeth and staining around the Veneer root interface. This is actually not a Veneer failure and in fact could , and does happen with natural teeth all the time. Maybe the 10 year comment was based on this possible situation rather than an outright failure of your veneers.
I myself had 10 Veneers placed on my teeth and plan on keeping them the rest of my life!
Longevity of Porcelain Veneers and Crowns depend on many factors
Many factors come into play in maintenance of Porcelain Veneers and Crowns.
It can depend on the patient’s bite, bruxism, eating habits, home care and dental hygiene.
There is no magical number of years, but under optimal conditions, they should last at least 10-15 years. Veneers are more delicate then crowns and require more care and maintenance.
Try whitening first!
I have experience whitening tetracycline stained teeth. For years we told patients it didn't work. But I have done it for a few patients. If the shape is good, you CAN whiten them. They may not end up exactly the color you hope for, but they will whiten significantly. You just have to whiten longer!!! By that I mean most nights for several months. (maybe 6 months?) We usually charge the regular whitening fee and then sell any additional gel needed at our cost. In the end, this should cost less than one veneer and leave your teeth untouched. Best of luck!
Veneers can last decades
To say that they WILL need to be replaced every 10 years is not accurate. I have replaced veneers that were 30 years old and only being replaced to upgrade the color (there was nothing wrong with them).
I would agree, the antibiotic stains are handled best with the porcelain veneers. I would say that if this dentist only gets 10 years out of their work, perhaps another office would be worth looking into.
Porcelain veneers last 10 to 15 years
This is a great question with an almost impossible answer without seeing the condition in your mouth. There are many factors that contribute to the success of veneers.
The single most important factor is how the upper teeth work with the lower teeth. This is referred to your occlusion. Patients with ideal occlusion can have porcelain veneers last greater than 10 to 15 years.
The mouth is a very dynamic environment, with poor occlusion veneers may not last 10 years. An assessment of the various factors that contribute to success is important to give an estimate of how long your veneers may last. Veneers are a wonderful treatment modality if done properly and all the intricate details are taken into consideration.
Make sure your dentist has a ceramist in their office. More often than not veneers need to be customized once they have been fabricated to work out the fine details. Having a ceramist on the team makes the process seamless and the results far superior.
Ask to see your dentists work. All cosmetic dentists document their work and you will be able to better determine if the dentist is the right fit for the results you are looking for.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.