Had Crown Lengthening/gum Lift and Am Now Waiting to Get 6 Feldspathic Veneers - Santa Barbara, CA

I had a very gummy smile with tiny teeth. I have...

I had a very gummy smile with tiny teeth. I have always hated my gummy smile! Finally, at age 57, I had crown lengthening 2 months ago and am proceeding with the 6 veneers in a few weeks.

The crown lengthening procedure was not painful, took about 3 hours and was expensive at $7500. I experienced very little pain or discomfort after the crown lengthening but had to eat soft foods for a week. During the healing stage of the crown lengthening, I have had to endure my teeth looking very strange with huge gaps and misshapen teeth and gums. This has been a bit of an embarrassment, but it will be well worth it.

There is already a huge difference and a friend asked why I didn't do this 20 years ago. The answer is that the technology was not there and I didn't have the excellent dentist/periodontist that I am now fortunate to have. There has been some rebound tissue where the gums have began to grow back, but hopefully my dentist will address this with the veneer prep.

I want to mention that there are many different types of Veneers and it's important to research your options. My dentist uses the Feldspathic because they are the thinnest and most real looking. The fabrication is quite involved and requires an expert lab. It is important to be proactive with your dentist. I actually downloaded photos of shapes of teeth and took these to my dentist to show him what shaped teeth I wanted.

I am now bleaching my teeth so the color of the veneers will be attractive. I want light teeth, but not fake Hollywood blinding white teeth. I did have bonding done to close gaps many years ago and it has held up. I also had some minor gum contouring twice, which did not last, so I had to take the radical crown lengthening approach. I wish I could just do more bonding, but it just won't give me the esthetic look I desire.

I think it is very important to find a dentist who is adept at veneers. I have noticed people who have inflamed purple gums after veneers. This is not normal and there is a problem with the margins of the veneers. Also, the color and opacity of the veneers are important factors. I have noticed that many veneers look fake like piano keys. There is no color gradiation and the veneers look like one solid color. Natural teeth have different shades. Hope this information helps people who are considering crown lengthening and veneers. I am neer prep in a couple of weeks

they look fantastic!
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Thank you so much for sharing the important info.
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Thank you SO much for sharing! Your teeth look beautiful, and they are just temporaries! I am in the process of researching my options with veneers. Your teeth before look pretty much like my own, and it is so encouraging to see someone else with short teeth who was able to avoid crowns. I'm only 32 and caused much of the damage to my teeth before age 30! :(
Were you grinding your teeth?
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I am so disappointed with the final veneers! They...

I am so disappointed with the final veneers! They look fake, opaque, too white, too large and have small triangle shaped gaps in between each tooth. I really trusted the dentist because he is excellent at restorations. He showed me photos of some of the veneers he had done and they looked very natural.

I drove 1 1/2 hours to the dental lab to have the color custom matched. The tech held up two shades and said she would blend them. I noticed that she was sketching some shading on a piece of paper which indicated she was aware of the color graduations in the teeth. I asked to see a wax up and she did not have one.

When I arrived at my appointment, I asked to see the veneers and they were laying in a box and not on a model. The dentist starting preparing to cement the veneers without me even approving the size, shape, or color. I asked to see them tried on the teeth before cementation and he laid them on for 2 seconds and said be careful not to move because they will fall off. If I would have seen them actually tried in, I would have said send them back to the lab. As he was working, I asked about the color and he said they were a bit lighter. I also asked about adjusting the color with the cement and he said he could. Then I mentioned that the lab tech said that many times she will come with her tools to the final cementation appointment and adjust and fine tune the color. I mentioned this to my dentist and he said that it is only necessary when trying to match 1 tooth.

I think it is customary to have a few try ins to make sure the patient and dentist are satisfied. I am so distraught and now regret ever doing this. I wrote a letter to the dentist explaining my disappointment and have a follow up tomorrow. The good thing is that I have not paid yet.

So, do I have him redo or do I try and find someone else who is more experienced at veneers? Also, photos are very deceiving so I am not going to post any at this time. I have noticed that veneers look very good in photos and do not show the flaws and lack of translucency.

Will update after my follow up appointment.
Sorry to hear you are not satisfied with the results. However, you DO have a nice smile now, just now exactly what you expected. :-|

It's important to read the reviews of any dentist you are going to visit. Also, the dentists personality and willingness to be attentive is very important.
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I'm so sorry you're disappointed with your veneers. You may have read my review. I wish I could warn more people about not getting veneers, but I guess most won't listen until it's too late. The problems with veneers are endless; unreliable, painful, irreversible damage done to natural teeth, limited lifespan etc. I just hope they release teeth regrowing technology soon, hopefully within the next decade so people like us can take advantage of it. I hope all goes well for you. I know I regret my two veneers everyday.
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My gums have continued to be irritated, puffy and...

My gums have continued to be irritated, puffy and swollen and the Periodontist and Dentist agree that the biologic width was compromised. The Periodontist wants to wait a couple of months to see if the problem will resolve itself. I honestly do not think this issue will resolve itself. The Periodontist said that more gum surgery will probably have to be done. This will delay the entire veneer process for several more months. My gums still feel very uncomfortable and I am going to get another opinion. The problem is that I do not know of anyone in my area that does excellent veneers.

I am still terribly disappointed in the color, look, size and fit of the veneers besides all of the gum problems. This whole experience has been very depressing and a nightmare. My dentist is reluctantly willing to re-do the veneers but keeps making excuses saying that the lab matched the veneers to the temporaries. This is untrue because my husband was in the room while the tech matched the veneers to the back teeth not the temporaries. My dentist suggested just redoing the back veneers to match the natural teeth. I am unwilling to settle for any compromises! I stated clearly that I want them all redone!

I have been studying people's teeth and notice that most veneers look very fake, too large, bulky, too yellow or too white. I really had high hopes that my expensive dentist and the Da Vinci lab would give me natural beautiful results. What a huge disappointment. As I mentioned in an earlier post, I have not paid the dentist yet and will not give him a dime until this is done properly. In fact, he may never be paid, because I am considering using someone else to redo the veneers.

Good to hear an update from you Bunnyman, but I sure wish it was better news. :( I'm so sorry to hear all that you are going through. Please continue to keep us posted and know that we are thinking of you & hoping for the best.

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A friend suggested that I contact my local Dental...

A friend suggested that I contact my local Dental Association and request a Peer Review. For those of you who have had problems with dental work, this organization can help mediate solutions and will help you get a re-do and/or refund for poor dental work.
Sorry for the double post. P.S. Your teeth DO look better, despite all your troubles.
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Hello,

I found your post to be informative, but I am curious about what happened after your last post. I am sorry about your disappointment with your veneers... but I have veneers that I am extremely happy with on an aesthetic level, but I am now considering having a crown lengthening procedure because, like you, I have a width impingement which is causing discomfort in the gum region above a couple of my veneers. You mention in your second to last post that your perio recommended a crown lengthening, and so I'm curious as to whether or not you followed through with it. And if so, how were the results? Did it help the aesthetics? Did it help the comfort?

I am afraid it will look funny, and not really help this feeling that is bothering me. I could be wrong (I hope I am wrong!), but I don't want to just do this surgical procedure because my doctors don't know what else to do.

General word to the wise: Dentists and periodontists are just people like you and me. We want to trust them to be essentially all-knowing and able to fix everything thats wrong with our mouths. Often they can work wonders, but just like you and me, they can be wrong and/or not fully understand the complexity of individual human bodies, despite their extensive education. Trust your gut and don't take these people to be miracle working gods.
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Hello,

I found your post to be informative, but I am curious about what happened after your last post. I am sorry about your disappointment with your veneers... but I have veneers that I am extremely happy with on an aesthetic level, but I am now considering having a crown lengthening procedure because, like you, I have a width impingement which is causing discomfort in the gum region above a couple of my veneers. You mention in your second to last post that your perio recommended a crown lengthening, and so I'm curious as to whether or not you followed through with it. And if so, how were the results? Did it help the aesthetics? Did it help the comfort?

I am afraid it will look funny, and not really help this feeling that is bothering me. I could be wrong (I hope I am wrong!), but I don't want to just do this surgical procedure because my doctors don't know what else to do.

General word to the wise: Dentists and periodontists are just people like you and me. We want to trust them to be essentially all-knowing and able to fix everything thats wrong with our mouths. Often they can work wonders, but just like you and me, they can be wrong and/or not fully understand the complexity of individual human bodies, despite their extensive education. Trust your gut and don't take these people to be miracle working gods.
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One week ago, I had the poor fitting veneers...

One week ago, I had the poor fitting veneers removed by a different dentist. After consultations with a different dentist and periodontist, it was determined that the veneers should definitely be removed and temporaries placed for 6 weeks. The traumatized inflamed tissue definitely needs to rest and heal before new veneers are placed. I was definitely not looking forward to having my teeth re-traumatized, but could no longer live with the puffiness, inflammation and big white fake looking teeth. I did take a little Xanax before the procedure to make it more endurable. The worst thing was the loud unbearable grinding noise of removing the old veneers but I was given earplugs which helped.

The new dentist commented that there was a considerable amount of bleeding and that the pain and inflammation on the tongue side near the gum line was caused from the cement being left and being pushed through the front teeth. My old Dentist and Periodontist couldn't determine the cause of the lingual pain and dismissed it, and just said that the tissue was still healing-wrong! The old Periodontist's solution to the gum inflammation was to numb the area and do a deep scaling and cleaning-another wrong! He thought the biological width issue and inflammation would resolve itself after a few months.

After one week, with the new temporaries, my gums look and feel so much healthier!!!! I am experiencing some sensitivity to hot and cold, but no real pain. The temporaries look ok, a bit yellow and not too smooth but feel very secure and comfortable. I am going to be very pro active in getting the final veneer shade and size just right! The new dentist plans on doing several try ins to make sure everything is right. He has asked for feedback on the temporaries on what I like and don't like and we will discuss this at my appointment tomorrow.

At this point, I am hopeful that I will be happy with the final outcome the second time around. One concern is that the gum tissue continues to rebound and more of my gums are again showing when I smile. I really cannot afford to have the new Periodontist re-do the crown lengthening. The new dentist will use a laser to shape and contour the gums unlike the old dentist who used the electro sugery tool to burn away excess gum tissue. The new dentist uses the E-Max veneers instead of the Feldspathic. I pray that there will be translucency and luster to the veneers.


The whole experience with the new dentist has been encouraging and very different from my prior dentist. He was attentive, took photos, was communicative, showed computer photos of veneer cases and was totally willing to listen to my desires of what I want to achieve. He made a wax up of my old veneers and sculpted how he thought the new ones should look. He reduced the size and bulk of one side to show me the difference. I like the new dentist because he is young, current and at the top of his game. He is not burned out or rushed and really wants to protect his reputation.

I never imagined that veneers are so tricky and difficult. It seems so straight forward like getting a crown. This is completely different and I encourage anyone considering veneers to please please do your research and homework! You need to actually meet with patients and actually see the dentist's veneer work and not rely only on photos. Even if a dentist does a lot of veneers, this does not necessarily mean that they are great because they tend to make everyones veneers look the same. There is a local dentist in my area who is considered the veneer man and I was not impressed at all with his veneer work. I just don't want that big hollywood fake white piano key look. I don't want anyone to spot my veneers and think, "nice veneers." Hope I'm not asking too much. Will keep you updated. Thanks for listening to me vent.
Thankfully, I actually never paid for the veneers. I did pay for the crown lengthening. So, now I am scheduled for a crown lengthening re-do in a couple of weeks. Then I will have to wait for 2 months for the gums and bone to heal before proceeding with the new veneers. I'm seriously contemplating moving forward with the peer review and filing a formal complaint against the old dentist. Or should I hire an attorney? I drafted a threatening letter to the dentist explaining my continued suffering and asking for him to assume financial responsibility for the re-do of the veneers and crown lengthening. My husband read the letter and said not to send it. Oh well, it was cathartic writing it.
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Did you ever get a refund?
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You have no idea how happy I am to hear that you are more comfortable with your new dentist! Yes, veneers are an art and do require skill and talent to make them look (and feel) good. Hope the temporaries continue to be comfortable while you are in them!

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The removal of the old veneers was quite tedious...

The removal of the old veneers was quite tedious and the grinding noise was rather unbearable. Thankfully, I was given earplugs to lessen the grinding noise. I had a fear that all of my teeth were going to be damaged from the veneer removal and I would have to have root canals done on all the previously veneered teeth. Luckily, the dentist did a great job and I didn't have much pain except for some sensitivity to hot and cold.

The redo of the crown lengthening was uneventful except for some gum tissue discoloration and swelling of my lips and mouth. I was concerned about the swelling of my lips because this did not happen in the previous gum surgery. My gums and tissue are healing nicely and now I have to wait another 3 months for the final veneers. Both the new Periodontist and Dentist seem very sympathetic to my situation and have been extremely communicative and pro active with my case. Currently, my biggest complaint is the color of the temporaries are too yellow. I have made this clear that I do not want this color as the finals.

The new dentist made the new temporaries smaller and shorter and they match much better with my other teeth. The new dentist has taken impressions every time I have been examined. The new veneers are $510 more than the first veneers and the crown lengthening re-do was $1695 in addition to the $7500 I previously paid. Fortunately I never paid for the first veneers. The veneer/crown lengthening saga has now been going on for almost a year. Thankfully, the new dentist made the temporaries very solid and strong so they will last for a few months until I am ready for the finals. Stay tuned, and wish me luck.
Thank you for sharing. Had a nightmare with a dentist, long story short I am in the process of 10 veneers crowns across upper teeth. It is a pretty tough process and has also taken a lot out of me. Just had all 10 temps placed this week and permanant veneers crowns will be done on 1/30. I went very white and am bleaching my lower teeth. He did gum lift because I hated my short front teeth, I love the temporaries so fingers crossed I will love the permanant
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Thx for sharing your experience! My 18 yr old daughter needs to get veneers she wear braces and two front teeth are very small which makes her teeth shift. But I don't know if I want to pay that much for veneers or bonding or laminate veneers. Any suggestions Plz help

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What a good mom to be doing a bunch of research before choosing the right treatment for your daughter! Here is some info that might help with your decision making:

Bonding Vs Veneers/crown?

Are Porcelain Veneers or Bonding a Better Option for Peg Teeth?

Dental Bonding Vs Veneers for More Natural Looking Teeth?

When Would a Patient Choose Bonding over Lumineers? (Just as a heads up Lumineers are a brand name of a particular kind of veneer).

 

 

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A week ago, I had the second set of veneers...

A week ago, I had the second set of veneers cemented. Needless to say, again, I am not happy with the results. The same exact thing happened as with the previous dentist when I asked to examine the veneers for size, color, shape and fit before the final cementation. I assumed that he was going to use the try in paste, but he just laid them on and I got a brief 2 second glance before he starting the final cementation. The result is that again the teeth are too bright, opaque, one color and there are huge black triangular gaps between the lateral incisors. When I asked about the solid color, he said that it would have looked rather 2 toned if colors were shaded. I asked about the gaps and he said that the gaps will fill in. I highly doubt that the huge gaps will fill in. I wonder why he would go ahead and cement the veneers when he could clearly see the huge gaps. He should have rejected the two incisor veneers and had them remade. Most likely, I will have to have them redone, but will wait patiently for a few months to see if the gaps fill in.

The positive thing is that the shape, size and fit are great. The gum tissue is looking healthy and normal and I have no pain. He made the veneers a bit unperfect, as I requested because I didn't want that fake Hollywood smile. I want to mention that veneers in photos do not look anything like they do in real life. In photos, my veneers look good, but in real life, they look rather fake. I really didn't want a fake veneer look that people would notice. I now notice everyones's teeth and think that most veneers do not look that great. I can easily spot most veneers and wish that the outcome would be a more natural look.

My final thoughts are that yes, my teeth and smile do look better. However, I expected more of my expectations to have been met. I would rate my satisfaction as about 80%. I was really hoping for a 100% satisfaction rate. I am very upset about the huge gaps, but can live with the color.

My advice to anyone considering veneers is to think very seriously and unless you have to do it, DON'T. I had no choice because of the crown lengthening surgery and the terribly small misshapen teeth. I would suggest bonding first, before any veneering. This whole process has been very traumatic and I can't believe after 2 times, I still haven't gotten the results I wanted.
I think your teeth look great. The gaps are not that noticeable to me or at least in the photos. Your newest veneers look allot better. I had crown lengthening done and gum replacement surgery. Give the gums some more time. I found it took my gums several months to fill in. Great story and I enjoyed your persistence.
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The gums get lifted by thread when the veneers are placed. Usually the gums do fall back down and cover the black triangles. So hopefully that's the case for you. However, I'm a bit concerned how you did not speak up some more before the cementing. This was your second go at this stuff and you should have known better in my opinion. Hopefully the doctor does not charge you to have them redone again but you seem like a well informed patient that should not have let this happen twice.
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I agree, and I desperately tried to ask him questions, but it was very difficult while he was working in my mouth. I thought he was applying the try in paste so I could approve the veneers. The dentist told me that there were going to be a few try ins before the final cementation. I feel totally betrayed and will be contacting my local dental association.
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I still am very unhappy with the large black...

I still am very unhappy with the large black triangle gaps between both lateral incisors. The dentist thinks the tissue will fill in, but I am very doubtful and so far no changes. I just can't believe after so much anguish that I am still unhappy with the results. :(
Did your black triangles fill in now? They often will over the course of a year or so. The trauma of the procedure(s) can cause them to temporarily recede.
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Did the minor black triangles close up? They often will given time (year or so). Usually the tissue is traumatized a bit from the whole procedure and once that settles some of those black triangles will disappear.
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Your result appears very much WORTH it!!! I began my saga when I was nineteen and I am now in my sixties. My teeth were very nice, white and well shaped, however the two frontals overlapped and my dad saw that as natural and not a need for braces. Adults were not getting braces in those days, so I opted to have my two frontals capped. I was extremely pleased with them for many years. I have been getting the surrounded teeth bonded for sometime now, and have been contemplating veneers. However, after reading this posting, I think I will stay with bonding. The material does darken over time, but the cost is negligible, and the process takes no time at all. There is no pain, and if you don't like what you see when the dentist hands you the mirror, you just tell him what you want changed and it is done. I have found that their life can can be extended by use of peroxide and baking soda!
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Dr. Phillip Ho

So far, the whole process has been excellent. I will update my report after I receive the permanent veneers

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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