Lumineers or Implants Best with Periodontal Disease?

asked 2 years ago by alberto1
Latest answer by A. Vandiveer Strait, DDS
Question viewed 1,026 times
Tags: teeth, comparison

For someone with chronic periodontal disease and bone loss, would it be best to use veneers to improve the look of the teeth or go directly for implants? Obviously, having the teeth removed is permanent (though so is the progression of periodontal dz) and I can't imagine being ready to run and do that now, but I also think it's important to be practical and realistic. Veneers would cost tens of thousands, probably about the same as implants? How long do implants last vs veneers and what is the best option?

6 answers to Lumineers or Implants Best with Periodontal Disease?

Both are options for you

It would really all depend on your current bone levels around your teeth. If you've already had deep gum cleanings and all disease is gone then your bone can be evaluated with a CT skan by a periodontist to see even if you are a candidate for implants or not. If not enough bone is present for implants you may want to consider the veneers as an option to improve your smile. They wont have a very long term prognosis tho if you have poor bone levels already. This is not a question easily... more

Michael J. Thomas, DDS
Los Angeles Cosmetic Dentist

Get healthy first.

I would advise you find a dentist who has periodontal training and is very interested in Preventive Dentistry. The priority is to stop any active periodontal disease and secondly eliminate any periodontal defects, establish a good preventive program, and then after acheiving good dental health to consider Cosmetic or any major dental restorative care. Implants can get periodontal disease the same as natural teeth can so unless your periodontal disease is... more

A. Vandiveer Strait, DDS
Wilton Cosmetic Dentist

Dental implants or veneers in periodontal disease

Veneers are cosmetic restorative procedure while implants are designed to replace missing teeth. Both have distinct indications. And there is periodontal disease which is a condition that requires attention, no matter what treatment option you choose. Here is a common scenario: Treatment of periodontal disease Extraction of teeth with advance periodontial disease where prognosis is very poor Use veneers where indicated providing tooth is stable and has good long term... more

H. Ryan Kazemi, DMD
Bethesda Oral & Maxillofacial Surgeon

www.facialart.com

Veneers should only be considered if periodontal disease is stable and controlled

It could be considered "curing periodontal disease" by removing the teeth and placing implants. If implants are a plan, now or in the future, then adequate bone is needed. It is possible that the bone level NOW is ok, but won't be there later. Depending on the situation, veneers on "long teeth" (receded gums and bone) will appear long and unesthetic ("not pretty"). Based on the overall goal, veneers may not be an option and may not last as long due to the... more

Lance Timmerman, DMD
Seattle Cosmetic Dentist

Long-lasting smile improvements for patients with periodontal disease

What you may not realize is that through more-recent advanced therapy, your periodontal disease may be controlled, cured, and even possibly reversed! Make sure you have the best information for treating the periodontal problem first. It may not be necessary at all for you to lose your teeth, negating the need for implants. Then you can use porcelain to restore your smile on a healthy foundation. With this plan, you will give yourself the smile of your dreams that is healthy and will... more

Susan Goode Estep, DMD
Atlanta Cosmetic Dentist

Thorough periodontal exam will determine which teeth are hopeless first.

Implants and veneers are not interchangeable. If a tooth is periodontally involved, and has significant bone loss, it will probably become hopeless in the near future whether it has a veneer on it or not. Periodontal disease weakens the foundation in which teeth are implanted in (bone and gums). Veneers only cover the crowns of teeth for esthetics, they do not stabilize anything periodontally. Implants can be planned inadvance with a good periodontal/restorative team, so that you are... more

Anca Bazile, DDS
New York Cosmetic Dentist

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