How painful are veneers to have put on? I kind of have a phobia with dentists and any procedure. Also which are better composite or porcelain?
Is There Any Pain Involved with Veneers?
Doctor Answers (14)
Discomfort from Porcelain Veneers
Anytime a tooth is reduced with a dental bur the potential for some transient discomfort exists. The beauty of Porcelain Veneers is often as little at .3 mm reduction is needed to accomplish the goal and the tooth does not react. Prepless Veneers are also available for selected situations which result in zero discomfort.
Veneers should not be painful
Porcelain veneers are one of the most conservative treatments we have in dentistry. Local injections are recommended just because everyone's sensitivity level varies. In the many cases I have done over the years, patients are very comfortable since most of the preparation of the tooth is at gum level and not below.
Therefore, with proper temporaries and hygiene, the gum tissue should not get sore nor do the teeth get sensitive.
Perception is reality
Most of my patients report zero pain during the process, yet sometimes a person will report pain JUST from walking through the front door. While the veneer process is mostly painless, it is still dental surgery. We are very conservative when we work, but some cases require aggressive preparation. Some makeovers are so extreme (severe crowding, broken down teeth requiring root canal therapy, extraction of root tips, etc) that some discomfort should be expected.
Depending on the case, it might not be pain FREE. Having said that, most people say that it was completely comfortable and would do it again in a heartbeat.
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No pain should be associated with Porcelain veneers
The placement of porcelain veneers is actually one of the most conservative treatments performed in modern dentistry. We can achieve ultra thin veneers (even down to about 0.2mm thick). Thus, no pain should be attributed to having porcelain veneers placed. There are exceptions to that, in my experience with placing over 5000 veneers.
1. Replacement of old crowns with metal underneath them- Lots of times we do a lot of smile makeovers from people who want to replace their outdated dentistry (old porcelain fused to metal crowns). Sometimes when we go to remove those crowns their can be a lot of decay underneath those crowns, and thus it must be removed. The deeper decay gets (and subsequently removal of that decay gets) to the nerve or pulp, the more post-operative pain one might have
2. Correcting a lot of crowding with porcelain veneers (instant orthodontics): Again, the more tooth structure that is needed to be removed because of mal-positioned teeth or crowding....then potentially the more pulpal inflammation that can occur as result. In general- about 95% of the veneer cases we do experience NO discomfort whatsoever.
Some soreness and or sensitivity is normal.
Veneer therapy invloves:
1. Preparation of the teeth and placement of temporary veneers.
2. Cementation of the permanent veneers, anywhere from the same day to as long as two weeks later.
During the procedure there should be no pain involved. Before the start of the procedure local anesthetic is administered. Some of my patients request nitrous oxide which helps with anxiety and relaxes them.
After the preparation of the teeth some patients have some post operative soreness which is aleviated with ibuprophen. This soreness if at all, typically goes away within a day or two, Most patients have no soreness at all.
Once the veneers are cemented on the teeth some patients have cold sensitivity that can last a day up to a week. Again ibuprophen aleviates this sensitivity.
In summary veneer therapy should be painless, some soreness and or sensitivity is normal and is most often aleviated with simple over the counter pain medications.
Is the porcelain veneering process painful? Which is better, porcelain or composite veneers?
Porcelain veneering involves much less drilling than moderate to deep cavities. As long as your dentist gives you good local anesthetic (Novocain) you should have little discomfort during the veneering procedure. If you're a little "phobic" you might ask your dentist if he offers oral sedation, which is incredible at reducing anxiety.
With regard to any discomfort after the procedure, it is generally mild discomfort. Most patients are a more comfortable if they take a couple Advils every 4-6 hours for a few days after the dental appointment..
In general, you will get a better and long lasting results with porcelain veneers compared with composite veneers. Porcelain is stronger, generally looks better and won't discolor over time as composite veneers sometimes does.
Porcelain Veneer Placement Can Be Performed With Minor Discomfort
The preparation and placement of porcelain veneers typically produces little to no discomfort following the procedure. Local anesthesia is used to keep the patient comfortable during the process. I find that patients rarely take any pain meds following the procedure. Good luck.
Most veneers are placed above the gum line and on the outer layer of tooth (enamel). Doing the procedure this way results in very little discomfort.
If you are truly phobic about the procedure you can look into no-prep veneers or Lumineers. There are some limitations to the treatment, but these can often be done with no shots, no anesthetic and no drilling. Case selection is critical so be sure to speak to your dentist to find out if you are a good candidate.
The process of placement of veneers requires tooth reduction and removal in most cases, unless you have small skinny teeth and you want to make them bigger and close gaps . Therefore you need to be numb. After th procedure you should feel minimal discomfort.
I premadicate my patients with a perscription prior to the appointment, specially if I am doing more than 4 veneers at a time. This makes it very comfortable during and after the procedure. there are always, sedative and laughing gass available.
All of the above is different fo each individual, their level of pain tolerance, origiinal teeth sensitivity i fany, gum receession and existance and extent of cracked, decay or damaged tooth structure.
In General, cosmetic treatment should be very comfortable to undergo for most patients.
Prep, placement & post op veneer work should be comfortable
Ideally, you should feel very numb and comfortable during both your preparation as well as your placement visit when you have your veneers done. Once the anesthetic wears off, you may have a little tenderness but it is usually easily handled with a couple of advil or tylenol.
I would say that if you are phobic, you may want to choose porcelain over bonding as porcelain will last longer and therefore, need fewer follow up visits throughout your lifetime. And you can check for a dentist who is trained in no-prep or minimal-prep veneers which could eliminate or greatly lessen the number of anesthetic shots you might need. Lastly, oral sedation is another possibility to help calm you for the visit. Again, make sure your dentist is trained in this before moving forward.
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.