Are Porcelain Veneers Recommended for Really Crooked Teeth?
- Asked 2 years ago
Is it possible for an adult to correct extremely crooked teeth with veneers, or should they see an orthodontist?
Crooked teeth may need ortho prior to veneers
If your teeth are very overlapped or crowded, it is best to get orthodontics to correct this prior to veneers. This allows for less tooth structure to be removed and a much better esthetic result. It also allows for a healthier periodontal situation beacuse the teeth will be more easy to clean and trap less plaque
Porcelain Veneers do have limitations
Whenever something is changed in the body, we have to ask ourselves if it is working within the parameters of nature or against them. This can help us come to the best solution for a problem. Veneers can definitely correct poorly aligned teeth, even "severely crowded" teeth but with some drawbacks.
1) For long-term success with veneers, the veneer should be bonded primarily to the outer layer of the tooth which is enamel. When teeth are severely crowded and rotated we have to shave a lot of enamel away to create enough room to build the veneers with a straighter alignment. This means that the veneers are being bonded to the second layer of tooth called dentin. Dentin bonds usually do not last as long as enamel bonds. Are you willing to replace your veneers more often by doing this treatment?
2) When the teeth are crowded, the roots of the teeth might be tipped in unfavorable angles. Although the teeth may look straight, forces of biting and chewing may be directed along the roots in damaging ways which could lead to periodontal problems.
If you do orthodontics either in place of veneers, or to line up the roots and teeth more favorably and then place veneers, less enamel will be removed and the veneers will last longer.
Check with your dentist and orthodontist to find out what they feel would be the treatment that is in your best interest and leave you with the healthiest and most durable result.
Porcelain Veneers on Crooked Teeth
While it is possible to place veneers on crooked teeth, it may be better to have them straightened first. If your dentist designs the veneers to make the crooked teeth look straighter, he will probably have to make some areas thicker than others. This will feel weird to you and it is not as healthy for the surrounding gum tissue. Aligning the teeth before veneer construction will allow for nicer looking, healthier veneers.
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Get an Ortho consult before
Even though veneers can do amazing things, I would not consider them on severely crowded teeth before having a consultation with an Orthodontist. You want to make a decision knowing all your alternatives. Like Dr. Jablow said, if you get your crowding corrected before you do the veneers, the tooth structure to be removed is going to be much less and the gum health much more improved. You could also avoid the veneers all together if the shape and color of your teeth are fine. On the other hand, if having braces or Invisalign is not posible, veneers can do the trick under the hand of an experienced Dentist. Just make sure you know exactly what you are getting into and make a decision knowing all the alternatives.
Porcelain Veneers and Crooked Teeth
Correcting severely crowded or "crooked" teeth can be accomplished both orthodontically or restoratively. The risk in correcting them restoratively lies in the severity of the crowding. If the teeth are rotated too severely, they will be at risk for needing endodontic treatment (root canals) performed. This is relative to the amount of tooth structure that would need to be removed during the restorative process to achieve the desired esthetic outcome. Usually these restorations are porcelain crowns vs. veneers.
My suggestion would be to consult a restorative dentist that is well trained in smile makeovers (cosmetic dentistry) and express these concerns. I always suggest (and prefer) orthodontic treatment to correct severe crowding, whether it is the only treatment rendered or it is adjunctive to eventual restorative treatment. Aligning the teeth allows for a more conservative approach to the restorations (i.e. veneers).
Dental veneers for crooked teeth.
Dental porcelain veneers can be used to correct crooked teeth, something called "nstant orthodontics". This type of treatment can result in a beautiful smile, but there is often very aggressive preparation of tooth structure in order to idealize the result.
Orthodontics on the other hand can move the teeth and re-align them which is much more conservative. This takes more time and does not change the shape of colour of teeth, something that porcelain veneers will do.
Best thing is to discuss both options as they relate to your situation with your doctor.
Veneers for Crooked Teeth
It is possible to correct really crooked teeth with veneers but it is not the best treatment option.
The best option is to straighten the teeth first with Invisalign or braces. This is also the least invasive option. It does take longer than veneers but the results will be more stable over time with less maintenance.
Doing veneers on crooked teeth usually requires removing a lot of healthy tooth and causing irreversible damage. Furthermore, the veneers won't last forever and will likely have to be replaced or repaired in 10-15 year on average.
Crooked teeth and veneers
In the situations with severely crooked teeth we recommend orthodontic input first. Usually it regards not only the look of the teeth, but occlusion, bite, surrounding bone and gum. Without proper orthodontic treatment and alignment can lead to devastating effects in long-term. Veneers are usually used for minor corrections.
Get Braces For Really Crooked Teeth
Go have an orthodontic consult for really crooked teeth. Doing procelain veneers may fix the problem in the short run but remember you can get cavities under them, staining at the margins and they can break - they don't last forever. Veneers can be wonderful but braces are always the first choice.
Are Veneers Viable for Crooked Teeth
Veneers can make crooked teeth look straight in most cases. The down side is you will lose some tooth structure to prepare the teeth for veneers when teeth are out of alignment. In severe cases, the amount of preparation could encroach upon the nerve and require root canal therapy. The benefit is you have your new smile in a few weeks vs. the much longer time orthodontics requires. If your teeth are unsightly or have lots of fillings, tetracyclilne stains, etc. even after orthodontics you may not be happy with your smile without veneers. If you have beautiful teeth that are just misaligned by all means, do the orthodontics. Just be prepared to be committed to wearing your retainers as relapse can occur.
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.