Due to my osteoporosis & poor dental care in the past, my two front teeth needed to be extracted due to infections & many of the remaining upper teeth needed to be capped due to cracking. I have extreme sensitivity to shots in my gums. Dr. Wiebe used sedation therapy & the experience has been pleasant & the result has been wonderful. Wish I had done it sooner!!!!!
Yes, composite crowns are resin material and the longevity is questionable. Composites may absorb color and are relatively softer. In comparison, porcelain crowns come in multiple durability and esthetic types- eMax, empress, zirconia for multiple needs and desires. For the two front teeth I would recommend porcelain.
Yes, teeth are very likely to move, so at the initial consultation appointment I speak to the patient about Vivera Retainers. Vivera Retainers are the post procedure retainer system from Invisalign which is recommended as soon as the patient finishes their Invisalign. Impressions are taken and a years worth of retainers (4) are sent to our office for the patient. There is a charge for this from Invisalign and should be done yearly the rest of the patient's life to ensure that the teeth stay put.
With 80% bone loss Veneers are contraindicated as tooth loss sounds possible -especially with mobility. Veneers cover the front side of your teeth, but your teeth definitely need to be stable (immobile) and in healthy amounts of bone to be restored with anything (crowns, veneers etc). My recommendation is to ask your dentist to refer you to a periodontist for another opinion, then have them work together to create a comprehensive plan. This plan may include having these teeth pulled, but with a comprehensive plan, good communication and your understanding this plan- you can have the smile of your dreams.
If your veneers seem darker than when you first got them this could be from a multitude of issues. Firstly, have you been whitening the other teeth around them with any whitening products? This can make them look darker when they really aren't getting darker. Secondly, the color change could be that the cement underneath could be darkening upon aging or that there are leaks under the veneers. Lastly, if these veneers are composite and not porcelain could definitely stain and discolor. I would recommend new veneers if there is leakage or composite material breakdown. Your local dentist should be able to evaluate this for you.
Typically, I recommend crowns over veneers if there are signs of wear, severe discoloration, spacing or crowding. Crowns can straighten severely mal-aligned teeth with proper planning and lab communication. The results are impressive. Veneers, on the other hand, I would not recommend for a patient who clenches or grinds their teeth and shows signs of wear. They can work wonderfully for patients who want prettier teeth and need some minor tweaks. It sounds as if you would be a candidate for veneers. I wish you the best!
