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Porcelain veneers can provide a completely improved smile in just a few appointments.&nbsp;Before getting veneers, it is important that you consider a few things. If you are interested in bleaching, now is the time to do it. Porcelain veneers will not change color. You should also start to consider what you&nbsp;are looking to enhance. Do you want to change the shape or size of your teeth? Do you want your teeth straighter? I ask many questions to help each patient express what they are looking for in their new smile.

	Regardless of which porcelain veneer treatment is right for you-conventional, Lumineers or DURAthin veneers, or a combination of any of these, the most important choice is which dentist performs your smile makeover.&nbsp; Make sure she/he has had extensive training in cosmetic enhancements. The number of pre-operative visits to work out details to ensure predictable results depends on the complexity of your situation and the changes you desire.&nbsp;

What is the upside and downside of veneers?

What Should Veneer Candidates Know Before Getting Porcelain Veneers?

You are probably just in time to be treated w/a palatal expander.&nbsp; They are less effective once your bones have fused and stopped growing and you&#39;re probably pretty close to that.&nbsp; Make sure your dentist does it slowly and you may need some orthodontic fine tuning after you&#39;re done.&nbsp; It will absolutely widen your smile and improve your air flow.&nbsp; As Dr. Lauson said, it will not only improve your smile, it may improve your health and your quality of life!&nbsp; I treat TMJ pain and migraine patients as well as sleep apnea patients and the great majority of them suffer from a narrow palate.

I am 20 years old and do have a slightly narrow palate and am being treated with invisalign. I was looking to possibly get a palate expander following my alligners (i know this doesnt make much sense). I want a much wider smile. Can a palate expander slightly increase the nasal airway This is not a severe case, however I think I could definitely benefit with increased air flow of the nose. As it stands, I can breathe through my nose no problem, just not as much air as through my mouth.&nbsp;

Palate Expander Open Nasal Air Way?

Without seeing your bite on your back teeth, it&#39;s impossible to say if Invisalign will definitely work for you.&nbsp; With what I can see, it probably will work.&nbsp; Your cost will be dependant on the number of aligners needed to complete your treatment, as well as who performs your care.

A number of years ago, I was told by my orthodontist that I would need to wear traditional braces for 3 years :(!! I was not willing to do so due to high school prom/ college - in hindsight, I wish I did! I have noticed that my right tooth has shifted inward a bit within the past 6 months and I am worried my top teeth will continue to do so if I do not get them fixed. Will invisalign work for me? Is there a price estimate you can give me for my case? Thank you in advance!!

Will Invisalign Work for Me?!? Crowding and Overbite

Your dentist is the one who fills out the prescription for your treatment and then Invisalign comes up with the treatment itself, along with the number of trays needed to reach your goal.&nbsp; Sometimes teeth don&#39;t move exactly as the computer simulation expects, like it sounds happened in your case.&nbsp; Don&#39;t worry about your teeth having moved too fast unless you switched your trays out more frequently than every 2 weeks.&nbsp; Pulpitis can happen just from the teeth moving as well as the bite changing-the sore tooth may be feeling more pressure than it did before.&nbsp; The fact it calmed down is a good sign, but have your bite checked just in case.

Different doctors gave estimated treatment time for a year or so. The doctor that unfortunally did my treatment say 10 trays will be enough. After the 10 trays the IPR gaps did not close completely and he bonded them. Now, I am so scared that invisalign might have moved my teeth too fast. I got pulpitis on one tooth. He wanted to do a root canal but I decided to wait. After 2 months the tooth is better but still a little sensitive. I want to get braces but afraid to hurt my teeth.

How Is the Amount Needed of Invisalign Trays Determined? Is it Determined by the Doctor or Invisalign?

If your teeth are significantly stained and yellow, in-office whitening supervised by your dentist is your best bet. I find the AcquaBrite whitening system to be the most effective, even for stubbornly stained teeth (like tetracycline-stained grey/brown teeth), with little to no sensitivity.&nbsp; Using a combination of in-office whitening gel along with at home bleaching, we&#39;ve gotten awesome results with our patients.&nbsp;

For a long time my teeth have bothered me. Too yellowed and stained to even smile much.&nbsp; Before i just pick up some random <a href='/reviews/teeth-whitening'>teeth whitener</a>, can you tell me what options there are and the best ones to whiten my teeth?

What is the Best Professional Teeth Whitening?

Without knowing what your smile looks like right now, it&#39;s impossible to tell you which 4 teeth should be veneered.&nbsp; In general, you want to start in the middle and work your way out, making sure to place them in pairs. Your dentist may be able to do a &quot;mock up&quot; so you can see what you may look like w/4 of your teeth veneered. Sometimes, if there are major changes that need to happen, it&#39;s best to wait until you can do it all at once. This link shows 4 no-minimal prep veneers- the rest of the patient&#39;s teeth and bite were in great shape.

where should only 4 veneers be placed up top?

I Only Can Afford 4 Veneers for my Top Row. Where Should I Place Them Up Top?

Matching ONE front tooth is about the most difficult challenge a dentist faces, even one with much cosmetic experience.&nbsp; If it&#39;s also dark from trauma, it&#39;s that much harder!&nbsp; I would usually recommend bleaching everything first, seeing how light you can get that tooth, and then doing an all porcelain veneer or crown, depending on the amount of tooth structure remaining.&nbsp; I usually try to avoid placing a post if there is sufficient tooth structure left, as they tend to weaken the teeth.&nbsp; This link shows a patient post-trauma where one porcelain veneer was done on the dark tooth after bleaching.

My front central inscisor is dark due to dental trauma 3 years ago. I am going for a root canal since I am also having pain. Can I place one veneer or crown on this tooth? Will it block the dark color and match my other teeth?

One Dark Front Tooth - Options?

A palatal expander works best in children before their bones have totally fused (usually late teens, early 20s).&nbsp; Invisalign will not expand your palate at all, especially since it doesn&#39;t sit on the palate at all.&nbsp; Invisalign works best at tipping the teeth in or out, which gives the illusion that there has been expansion, but not in the same way that a true palatal expander would work.&nbsp; 
	&nbsp;

Can invisalign expand, albeit not as significant, in the same manner as a palate expander in a 20 year old or above? Or does a palate expander act in a different manner than invisalign in the process of expansion? My idea right now is that invisalign expands the same as a palate expander would except not nearly as fast or perhaps as significant, please let me know what the correct answer is... I really appreciate the help!

What is the Difference Between Invisalign Expansion and the Use of a Palate Expander?

In general, a true non-preparation veneer should have its margin above the gumline and should be invisible to the naked eye.&nbsp; The space between the edge of the veneer and the gumline is just natural tooth and if it&#39;s not been prepared, is no different from any other tooth or tooth area in your mouth.&nbsp; See an example of a no-prep veneer in the link.

I'm thinking of getting non preperation porcelain veneers. But talking about non preperation veneers, what about the area between veneer and gingiva? Isn't there a little area, which isn't covered by the non prep veneer?

Is there an area not covered by non preparation porcelain veneers?

While it&#39;s usually recommended to bleach first, to get your natural teeth as light as possible, and THEN match your veneers to that shade, it&#39;s perfectly safe for you to bleach after your veneers are placed.&nbsp; Just know that the color of the veneers will not change with the bleaching process.

If I have only a few of my teeth covered up with porcelain veneers, can I bleach the teeth without veneers then? Or does the bleaching harm the porcelain veneers?

Is Bleaching of Teeth Possible if Having Porcelain Veneers?

Gerilyn Alfe, DMD

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